Video and CD-ROM as a training tool for performing neurologic examinations of 1-year-old children in a multicenter epidemiologic study

Karl C K Kuban, Michael O'Shea, Elizabeth Allred, Alan Leviton, Herbert Gilmore, Adré DuPlessis, Kalpathy Krishnamoorthy, Cecil Hahn, Janet Soul, Sunila E. O'Connor, Karen Miller, Paige T. Church, Cecilia Keller, Richard Bream, Robin Adair, Alice Miller, Elaine Romano, Haim Bassan, Kathy Kerkering, Steve EngelkeDiane Marshall, Kristy Milowic, Janice Wereszczak, Carol Hubbard, Lisa Washburn, Robert Dillard, Cherrie Heller, Wendy Burdo-Hartman, Lynn Fagerman, Dinah Sutton, Padu Karna, Nick Olomu, Leslie Caldarelli, Melisa Oca, Kim Lohr, Albert Scheiner

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

In lieu of traditional training of examiners to identify cerebral palsy on a neurologic examination at age 1 year, we proposed an alternative approach using a multimedia training video and CD-ROM we developed after a two-step validation process. We hypothesized that use of CD-ROM interactive training will lead to reliable and valid performance of the neurologic examination by both pediatric neurologists and nonpediatric neurologists. All examiners were asked to take one of six interobserver variability tests found on the CD-ROM on two occasions. In the first interobserver variability evaluation, 89% (531 of 594) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the two items that had a 60% correct rate, the correct response rate rose to 93% (114 of 123). In the second interobserver variability evaluation, 88% (493 of 560) of the responses agreed with the gold standard responses. Following annotated feedback to the examiners about the four items that had a 70% correct rate, the correct response rate rose to 96% (104 of 108). Interactive CD-ROM examination training is an efficient and cost-effective means of training both neurologists and non-neurologists to perform structured neurologic examinations in 1-year-old children. It provides an effective means to evaluate interobserver variability, offers a route for feedback, and creates an opportunity to reevaluate variability, both immediately and at periodic intervals.

Original languageEnglish (US)
Pages (from-to)829-831
Number of pages3
JournalJournal of child neurology
Volume20
Issue number10
DOIs
StatePublished - Oct 2005

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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