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Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study

Introduction: Non-orthopaedic-trained healthcare professionals face challenges in identifying postnatal clubfoot deformities due to the lack of suitable assessment tools, resulting in misdiagnosis. Therefore, this study aimed to develop and validate the Neonatal Clubfoot Screening Checklist (NCSC) t...

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Main Authors: Haniza, Sahdi, Ravin, Prabaharan, Cheah, Whye Lian, Ahmad Hata, Rasit, Mohamed Ameenudeen, B.A. Sultan Abdul Kader, Mohamad Adam, Bujang, Nur Alyana, Benjamin Abdullah
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2024
Subjects:
RD Surgery
Online Access:http://ir.unimas.my/id/eprint/46743/1/19.68_29Nov2024.pdf
http://ir.unimas.my/id/eprint/46743/
https://e-mfp.org/article/development-and-validation-of-the-newborn-clubfoot-screening-checklist-to-improve-the-detection-of-postnatal-congenital-talipes-equinovarus-among-newborns-by-non-orthopaedic-trained-healthcare-workers/
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spelling my.unimas.ir-467432024-12-02T01:33:08Z http://ir.unimas.my/id/eprint/46743/ Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study Haniza, Sahdi Ravin, Prabaharan Cheah, Whye Lian Ahmad Hata, Rasit Mohamed Ameenudeen, B.A. Sultan Abdul Kader Mohamad Adam, Bujang Nur Alyana, Benjamin Abdullah RD Surgery Introduction: Non-orthopaedic-trained healthcare professionals face challenges in identifying postnatal clubfoot deformities due to the lack of suitable assessment tools, resulting in misdiagnosis. Therefore, this study aimed to develop and validate the Neonatal Clubfoot Screening Checklist (NCSC) to assist non-orthopaedic-trained healthcare professionals in postnatal clubfoot assessment. Methods: The NCSC development involved five phases: conceptual understanding of deformity components, creation of pictorial representations, tool structure design, content and face validation, pilot study and field study. A cross-sectional prospective study was conducted in Sarawak General Hospital from January to June 2021. Non-orthopaedic-trained healthcare professionals were randomly assigned to two groups: one utilising the NCSC for newborn screening and another without it. Results were compared with assessments by the paediatric orthopaedic team. Kappa agreement tests and sensitivity and specificity analyses were performed to evaluate the tool’s reliability and validity, respectively. Results: The content and face validity were satisfactory. Six hundred twelve feet were screened using the NCSC, and 596 feet were checked without the tool. The kappa agreement tests showed strong concordance (kappa coefficient=0.725–1.000, P<0.001) between the non-orthopaedictrained personnel and paediatric orthopaedic team for all NCSC items. The NCSC exhibited 100% sensitivity, specificity and positive and negative predictive values. Conclusion: The NCSC is a reliable tool for postnatal clubfoot screening, offering high sensitivity and specificity. It facilitates accurate differentiation of true-positive congenital talipes equinovarus from other foot conditions, reducing misdiagnoses and unnecessary referrals. The NCSC is valuable in resource-constrained settings and for healthcare professionals lacking specialised orthopaedic training. Academy of Family Physicians of Malaysia 2024-11-29 Article PeerReviewed text en http://ir.unimas.my/id/eprint/46743/1/19.68_29Nov2024.pdf Haniza, Sahdi and Ravin, Prabaharan and Cheah, Whye Lian and Ahmad Hata, Rasit and Mohamed Ameenudeen, B.A. Sultan Abdul Kader and Mohamad Adam, Bujang and Nur Alyana, Benjamin Abdullah (2024) Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study. Malaysian Family Physician, 19 (68). pp. 1-12. ISSN 1985-2274 https://e-mfp.org/article/development-and-validation-of-the-newborn-clubfoot-screening-checklist-to-improve-the-detection-of-postnatal-congenital-talipes-equinovarus-among-newborns-by-non-orthopaedic-trained-healthcare-workers/
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RD Surgery
spellingShingle RD Surgery
Haniza, Sahdi
Ravin, Prabaharan
Cheah, Whye Lian
Ahmad Hata, Rasit
Mohamed Ameenudeen, B.A. Sultan Abdul Kader
Mohamad Adam, Bujang
Nur Alyana, Benjamin Abdullah
Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study
description Introduction: Non-orthopaedic-trained healthcare professionals face challenges in identifying postnatal clubfoot deformities due to the lack of suitable assessment tools, resulting in misdiagnosis. Therefore, this study aimed to develop and validate the Neonatal Clubfoot Screening Checklist (NCSC) to assist non-orthopaedic-trained healthcare professionals in postnatal clubfoot assessment. Methods: The NCSC development involved five phases: conceptual understanding of deformity components, creation of pictorial representations, tool structure design, content and face validation, pilot study and field study. A cross-sectional prospective study was conducted in Sarawak General Hospital from January to June 2021. Non-orthopaedic-trained healthcare professionals were randomly assigned to two groups: one utilising the NCSC for newborn screening and another without it. Results were compared with assessments by the paediatric orthopaedic team. Kappa agreement tests and sensitivity and specificity analyses were performed to evaluate the tool’s reliability and validity, respectively. Results: The content and face validity were satisfactory. Six hundred twelve feet were screened using the NCSC, and 596 feet were checked without the tool. The kappa agreement tests showed strong concordance (kappa coefficient=0.725–1.000, P<0.001) between the non-orthopaedictrained personnel and paediatric orthopaedic team for all NCSC items. The NCSC exhibited 100% sensitivity, specificity and positive and negative predictive values. Conclusion: The NCSC is a reliable tool for postnatal clubfoot screening, offering high sensitivity and specificity. It facilitates accurate differentiation of true-positive congenital talipes equinovarus from other foot conditions, reducing misdiagnoses and unnecessary referrals. The NCSC is valuable in resource-constrained settings and for healthcare professionals lacking specialised orthopaedic training.
format Article
author Haniza, Sahdi
Ravin, Prabaharan
Cheah, Whye Lian
Ahmad Hata, Rasit
Mohamed Ameenudeen, B.A. Sultan Abdul Kader
Mohamad Adam, Bujang
Nur Alyana, Benjamin Abdullah
author_facet Haniza, Sahdi
Ravin, Prabaharan
Cheah, Whye Lian
Ahmad Hata, Rasit
Mohamed Ameenudeen, B.A. Sultan Abdul Kader
Mohamad Adam, Bujang
Nur Alyana, Benjamin Abdullah
author_sort Haniza, Sahdi
title Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study
title_short Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study
title_full Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study
title_fullStr Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study
title_full_unstemmed Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospective study
title_sort development and validation of the newborn clubfoot screening checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by nonorthopaedic-trained healthcare workers in sarawak general hospital: a cross-sectional prospective study
publisher Academy of Family Physicians of Malaysia
publishDate 2024
url http://ir.unimas.my/id/eprint/46743/1/19.68_29Nov2024.pdf
http://ir.unimas.my/id/eprint/46743/
https://e-mfp.org/article/development-and-validation-of-the-newborn-clubfoot-screening-checklist-to-improve-the-detection-of-postnatal-congenital-talipes-equinovarus-among-newborns-by-non-orthopaedic-trained-healthcare-workers/
_version_ 1817848775527366656
score 13.222552

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