Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Dec;161(6):1041-6.
doi: 10.1016/j.jpeds.2012.05.048. Epub 2012 Jun 28.

Improving the Neonatal Research Network annual certification for neurologic examination of the 18-22 month child

Collaborators, Affiliations

Improving the Neonatal Research Network annual certification for neurologic examination of the 18-22 month child

Jamie E Newman et al. J Pediatr. 2012 Dec.

Abstract

Objective: To describe the Neonatal Research Network's efforts to improve the certification process for the Follow-Up Study neurologic exam and to evaluate inter-rater agreement before and after two annual training workshops.

Study design: The Neonatal Research Network Follow-Up Study is a multi-center observational study that has examined more than 11 500 infants from 1998-2010 and born ≤26 weeks gestational age at 18-22 months corrected age for neurodevelopmental outcome. The percentages of examiners who agreed with the Gold Standard examiner on 4 neurodevelopmental outcomes on the initial training video and a test video were calculated. Consistency among examiners was assessed with the first-order agreement coefficient statistic.

Results: Improvements in agreement among examiners occurred between 2009 and 2010 and between initial training and test. Examiner agreement with the Gold Standard during the initial training was 83%-91% in 2009 and 89%-99% in 2010. Examiner agreement on the workshop test video increased from 2009-2010 with agreement reaching 100% for all four neurodevelopmental outcomes examined in 2010. First-order agreement coefficient values for the four neurodevelopmental outcomes on the training videos ranged from 0.64-0.82 in 2009 and 0.77-0.97 in 2010.

Conclusions: We demonstrate the importance of annual certification and the benefits of evaluation and revision of certification protocols to achieve high levels of confidence in neurodevelopmental study outcomes for multi-center networks.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Blanchard Y, Neilan E, Busanich J, Garavuso L, Kilmas D. Interrater reliability of early intervention providers scoring the Alberta Infant Motor Scale. Pediatr Phys Ther. 2004;16:13–18. - PubMed
    1. Cusick A, Vasquez M, Knowles L, Wallen M. Effect of rater training on reliability of Melbourne Assessment of Unilateral Upper Limb Function scores. Dev Med Child Neurol. 2005;47:39–45. - PubMed
    1. Cook DA, Dupras DM, Beckman TJ, Thomas KG, Pankratz VS. Effect of rater training on reliability and accuracy of mini-CEX scores: a randomized, controlled trial. J Gen Intern Med. 2009;24:74–79. - PMC - PubMed
    1. Lyden P, Raman R, Liu L, Emr M, Warren M, Marler J. National Institutes of Health Stroke Scale certification is reliable across multiple venues. Stroke. 2009;40:2507–2511. - PMC - PubMed
    1. Amiel-Tison C, Gosselin J. Neurological Development from Birth to Six Years; Guide for Examination and Evaluation. Johns Hopkins University Press; Baltimore, Maryland: 2001.

Publication types

MeSH terms

Grants and funding