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This research was funded by the International University of La Rioja. IDDT Project (GrantNo. Biennium 2023/2025, B0036)

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Rodríguez-Fernández AlAuthor

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February 15, 2024
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Reliability, Knowledge Translation, and Implementability of the Spanish Version of the Hammersmith Infant Neurological Examination

Publicated to:Healthcare (Basel). 12 (3): 380-380 - 2024-02-01 12(3), DOI: 10.3390/healthcare12030380

Authors: Hidalgo-Robles, A; Merino-Andrés, J; Rodríguez-Fernández, AL; Gutiérrez-Ortega, M; León-Estrada, I; Ródenas-Martínez, M

Affiliations

Asociac APSA, Alicante, Spain - Author
Univ Castilla La Mancha, Fac Physiotherapy & Nursing, Toledo 45004, Spain - Author
Univ Castilla La Mancha, Physiotherapy Res Grp Toledo GIFTO, Toledo 45004, Spain - Author
Univ CEU San Pablo, Fac Med, Alcorcon 28668, Spain - Author
Univ Int La Rioja, Fac Educ, Logrono 26006, Spain - Author
Univ Valladolid, Fac Educ & Trabajo Social, Valladolid 47011, Spain - Author
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Abstract

Purpose. This study aimed to: (a) translate and cross-culturally adapt the Hammersmith Infant Neurological Examination (HINE) into Spanish; (b) evaluate its intra- and inter-examiner reliability; (c) support a knowledge translation and tool implementation program in early intervention; and (d) evaluate its reliability and implementation for professionals one year after receiving training. Materials and methods. The translation followed the World Health Organization's recommendations. Reliability was assessed in 25 infants aged between 3 and 15 months with identifiable risks of cerebral palsy (CP). The implementation was also evaluated by analyzing the reliability of professionals without previous experience of the tool by using a pre-survey and a follow-up survey one year after training. The survey covered aspects related to the use of early detection tools of CP and the use of HINE, including attitudes, opinions, and perceptions. Results. An excellent intra- and inter-examiner agreement was obtained for the total score of the HINE intra-class correlation coefficient (ICC = 0.98 in both indices). One year after training, the professionals also showed excellent reliability values (ICC = 0.99), as well as an increase in sensitization and skills in evidence-based practices for the early detection of "high risk" of CP. Conclusions. The Spanish version of HINE is a reliable measure for the neurological evaluation of "high risk" of CP and can be administered after standardized training and without costs to acquire the evaluation. This allows its accessible and widespread implementation in the clinical context.

Keywords

agecerebral palsycerebral-palsyearly detectionknowledge translationreliabilityCerebral palsyEarly detectionHammersmith infant neurological examinationHigh-risk infantKnowledge translationReliability

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Healthcare (Basel) due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position 35/124, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Health Policy & Services. Notably, the journal is positioned en el Cuartil Q2 para la agencia Scopus (SJR) en la categoría Leadership and Management.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-08-03:

  • Scopus: 1
  • Europe PMC: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-03:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 9.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 12 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 4.35.
  • The number of mentions on the social network X (formerly Twitter): 7 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.