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Validity and reliability of Infant Neurological International Battery for detection of gross motor developmental delay in Iran.

BACKGROUND
Child development screening is important issue for early detection of developmental delay and disability. Children in different environment acquire developmental abilities at different age. In this paper we report the examination of Infant Neurological International Battery (INFANIB) as a screening tool for early detection of gross motor developmental delay in Iran.


METHODS
In this study, we reported the result of a study which was conducted on 6150 consecutive 4- to 18-month infants who were referred form Karaj Health Network (Tehran Province) over a 12-month period. A questionnaire was filled for each child, and an evaluation was carried out with INFANIB by occupational therapists. Assessed infants had been classified in three categories: normal, transiently abnormal and abnormal neuro-development. The transient group infants were divided to normal and abnormal group after 3 months' follow-up. The abnormal group was referred to developmental centre for neuro-developmental examination. For depicting validity of the test, some of the normal, transient and abnormal group was evaluated randomly by paediatrician for neuro-developmental exam and for reliability of test between paediatrician and occupational therapist 54 infants scored randomly by both of them.


RESULTS
The INFANIB was valid for normal and abnormal group with 90% sensitivity, 83% specificity, 79% positive predictive value and 93% negative predictive value (NPV). Also the reliability coefficient between the examiners (paediatrician and occupational therapists) was calculated, and the intraclass correlation coefficient was 0.90.


CONCLUSIONS
Results indicate that INFANIB is proposed as an appropriate screening test in developing countries such as Iran as a reliable measurement of gross motor developmental delay and short time of performing.