# Agreement Between Tele- and Face-to-Face Assessment of Neuromotor Development in High-Risk Children
## 3 Results  
Of the 50 patients assessed for eligibility, a total of 45 patients were included. The other five patients did not complete the evaluations within the same week, so they were excluded from the analysis. The descriptive data of the participants are presented in Table 1. The mean gestational age of the participants was 35.31 \(\pm\) 4.03 weeks, and 33.33% were female. The most prevalent perinatal antecedents included prematurity (22%) and plagioccephaly (31%). Table 2 displays the data from the face-to-face assessment and tele-assessment for the AIMS. As seen in Table 2, the data indicate excellent interrater reliability (\(\rho>0.965\)) with narrow confidence intervals. The highest interrater reliability was for the total score of the AIMS (\(\rho=0.996\)), and the lowest was for the supine subscale (\(\rho=0.965\)). The Bland-Altman plot for the AIMS total scores is shown in Figure 1. The mean and standard deviation values in the face-to-face assessment were 23.89 \(\pm\) 10.59 and 24.07 \(\pm\) 11.02 in the tele-assessment. The limits of agreement were \(-\)2.66 and 2.39. Excellent interrater reliability was found (\(\rho=0.996\), 95% confidence interval 0.994, 0.998). \begin{table}
\begin{tabular}{c c} \hline \hline
**Variables** & **Values (n = 45)** \\ \hline Gender (\% female) & 33.33 \\ \hline Gestational age (weeks) (mean \(\pm\) standard deviation) & 35.31 \(\pm\) 4.03 \\ \hline Chronological age (weeks) (mean \(\pm\) standard deviation) & 28.60 \(\pm\) 11.59 \\ \hline Corrected age (weeks) (mean \(\pm\) standard deviation) & 23.40 \(\pm\) 9.43 \\ \hline Prematurity & 22 \\ \hline Multiple gestations & 15 \\ \cline{2-3} Ir intrauterine growth restriction & 4 \\ \cline{2-  
The \(Y\)-axis shows the difference between the two paired measurements and the \(X\)-axis represents the average of these measures. The solid line indicates the mean difference between the face-to-face assessment and tele-assessment. The dashed lines mark the limits of agreement. The mean differences between the face-to-face assessment and tele-assessment for the main NEM scores and kappa coefficient values are included in Table 3. A detailed table is included as a Supplementary Table S1. The lowest Kappa coefficients were for the items related to axis organization in supine (Kappa = 0.338), followed by coordination between two hands with moderate reliability (Kappa coefficient data 0.568). Kappa coefficients ranging from 0.631 to 0.789 show substantial reliability for the following items: axis organization in prone position, eye-hand-mouth coordination, rolling supine to prone and prone to supine positions, control in sitting position, skills for transitions from sitting to crawling position, and independent walking on regular ground. Finally, the highest values of Kappa coefficients (Kappa 0.817-1) were obtained for the assessment of upper extremities' organization, sitting position, skills for transitions from sitting to a prone position, dragging, skills for transition from sitting to side sitting and back, side sitting to crawling position and back, keep crawling position and swinging, crawling, sitting on heels to kneeling and back, kneeling to half kneeling to standing and back, standing with and without support, walking with and without support, walking with and without support, walking pushing a toy car, and independent walking on irregular ground.