Comparison of dual discrepancy criteria to assess response to intervention

Much of the research regarding diagnosing children as LD with responsiveness-to-intervention (RTI) has examined methods to identify children as non-responsive. The current study examined the dual discrepancy (DD) definition in which children score low on a post-intervention reading measure and score below their peers in reading growth rates. Four definitions of DD were compared, student growth below the 25th percentile, 33rd percentile, 50th percentile, and less than one standard deviation below the mean. Participants were 151 children in grades 1 through 3 who were identified as experiencing reading difficulties. Results suggested that the three percentile groups significantly differentiated reading scores between DD and non-DD children, but the one standard deviation group did not. No ethnic or gender biases were noted and the 25th and 33rd percentile criteria closely matched estimates of LD prevalence. Implications for future research are included.     

Motor and functional skills of children with developmental coordination disorder: a pilot investigation of measurement issues

This paper reports on the motor and functional outcomes of 20 children with developmental coordination disorder (DCD) aged 4-8 years consecutively referred to a pediatric physiotherapy service. Children with a Movement ABC (M-ABC) score less than the 15th percentile, and with no concurrent medical, sensory, physical, intellectual or neurological impairments, were recruited. The Motor Assessment Outcomes Model (MAOM) [Coster and Haley, Infants and Young Children 4 (1992) 11] provided the theoretical base for measurement selection, and preliminary findings at the activities and participation levels of the model are reported in this article. Children with DCD performed at the lower end of the normal range on the Peabody Developmental Motor Scales (fine motor total score) (M=85.65, SD=12.23). Performance on the Visual Motor Integration Test (VMI) standard scores was within the average range (M=96.15, SD=10.69). Videotaped observations of the children's writing and cutting indicated that 29% were left-handed and that a large proportion of all children (31%) utilized unusual pencil grasp patterns and immature prehension of scissors. Measurement at the participation level involved use of the Pictorial Scale of Perceived Competence and Social Acceptance (PCSA) and Pediatric Evaluation of Disability Inventory (PEDI). Overall, these young children rated themselves towards the more competent and accepted end of the PCSA over the dimensions of physical and cognitive competence and peer and maternal acceptance. The PEDI revealed generally average performance on social (M=49.98, SD=16.62) and mobility function (M=54.71, SD=3.99), however, self-care function was below the average range for age (M=38.01, SD=12.19). The utility of the MAOM as a framework for comprehensive measurement of functional and motor outcomes of DCD in young children is discussed.     

Development of norms for executive functions in typically-developing Indian urban preschool children and its association with nutritional status

Executive functions (EFs) are essential and important for achieving success in children’s everyday lives and play a fundamental role in children’s cognitive, academic, social, emotional and behavioral functioning. A cross-sectional study was carried out to develop age- and sex-specific norms for EFs using the Behavior Rating Inventory of Executive Function – Preschool Version (BRIEF-P) among 2- to 5-year-olds from urban Bangalore, India. In addition, the association between EFs and anthropometric measures, a marker of nutritional status, is also examined. Primary caregivers of 412 children, equally distributed by age and sex, participated. Raw scores for each domain and indices were converted to standard t-scores and percentiles were computed. A t-score at or above 63 corresponding to the 90th percentile was considered as the cutoff for executive dysfunction in this sample. The prevalence of executive dysfunction is 10% based on the Global Executive Composite score of the BRIEF-P. The cutoff score for identifying executive dysfunction using existing United States (US) norms is higher compared to the cutoff score obtained in the current study. Therefore, using US norms for Indian children could result in the prevalence of executive dysfunction been underestimated. Multiple linear regression analysis revealed that stunted and underweight children have significantly elevated EF scores after adjusting for age, sex and socioeconomic status (SES; p < .01). A greater understanding of EFs in preschool children is important for the early identification of executive dysfunction and implementing interventions to improve their future prospects. This study also shows that undernourished children are more likely to have executive dysfunction.     

Development of the Drooling Infants and Preschoolers Scale (DRIPS) and reference charts for monitoring saliva control in children aged 0–4 years

ObjectivesTo develop and validate a parent questionnaire to quantify drooling severity and frequency in young children (the Drooling Infants and Preschoolers Scale – the DRIPS). To investigate development of saliva control in typically developing young children in the age of 0–4 years. To construct sex-specific reference charts presenting percentile curves for drooling plotted for age to monitor the development of saliva control in infancy and preschool age.Study designThe DRIPS was developed consisting of 20 items to identify severity and frequency of drooling during meaningful daily activities. Factor analysis was performed to test construct validity. A piecewise logistic regression was followed by a piecewise linear regression to construct sex-specific reference charts.ResultsWe obtained 652 completed questionnaires from parents of typically developing children. The factor analysis revealed four discriminating components: drooling during Activities, Feeding, Non nutritive sucking, and Sleep. To illustrate the development of saliva control, eight sex-specific reference curves were constructed to plot the scores of the DRIPS by age group, at the 15th, 50th, 85th and 97th percentile. About 3–15% of the preschoolers in our cohort did not acquire full saliva control at the age of 4 years.ConclusionsWith the DRIPS it is possible to validly compare and visualize the development of saliva control in an individual infant or preschooler and allow clinicians to timely initiate individually targeted interventions if children outperform.     

Stability of M-ABC-2-measured motor functioning in early childhood: Evidence from a large prospective cohort

AimSome studies have reported that children with poor motor functioning tend to improve over time. However, much existing research does not account for regression towards the mean (RTM). Here, we examine measurement stability among 589 children aged 4–5 years.MethodWe administered the Movement Assessment Battery for Children 2nd Edition annually to 269 children initially scoring above and 252 at or below the 16th percentile. We measured agreement between year 1 and year 2 standard scores using Pearson correlation and derived expected regression towards the mean (RTM). We then regressed follow-up on baseline scores, controlling for relative age, sex, and exact interval between assessments. Finally, we performed a small illustrative simulation.Outcomes and resultsThe mean score in the poor-coordination group rose from 5.6 (SD = 1.5) to 7.2 (SD = 2.8). Year 1 and year 2 scores were correlated at r = 0.66, corresponding to predicted RTM in the MI group of 1.56, close to the observed change of 1.57. Degree of change was not associated with time between assessments.InterpretationObserved improvements in motor functioning were consistent with measurement error. The stability of motor functioning may be greater than it appears from past research, and reported functional improvements in some studies may be illusory.What this paper adds?

• -Impaired motor coordination is common and can meaningfully affect functioning.
• -Our analysis suggests that coordination is generally stable.
• -Apparent improvement in research may often be produced by measurement error.

     

On the "optimal" size for normative samples in neuropsychology: capturing the uncertainty when normative data are used to quantify the standing of a neuropsychological test score.

Bridges and Holler (2007) have provided a useful reminder that normative data are fallible. Unfortunately, however, their paper misleads neuropsychologists as to the nature and extent of the problem. We show that the uncertainty attached to the estimated z score and percentile rank of a given raw score is much larger than they report and that it varies as a function of the extremity of the raw score. Methods for quantifying the uncertainty associated with normative data are described and used to illustrate the issues involved. A computer program is provided that, on entry of a normative sample mean, standard deviation, and sample size, provides point and interval estimates of percentiles and z scores for raw scores referred to these normative data. The methods and program provide neuropsychologists with a means of evaluating the adequacy of existing norms and will be useful for those planning normative studies.     

Norms for the Beck Depression Inventory (BDI-II) in a Large Dutch Community Sample

The Beck Depression Inventory (BDI-II) is a widely used instrument that provides information about the presence and severity of depressive symptoms. Although the BDI-II is a psychometrically sound instrument, relatively little is known about norm scores. This study aimed to develop reliable norms for the BDI-II in a Dutch community sample. Gender, age, and education were hypothesized to predict BDI-II scores. A total of 7,500 respondents from a community sample in The Netherlands completed the BDI-II. It was investigated by means of multiple regression analysis whether distinct norms for genders, education levels, and age group are appropriate. BDI-II scores depended on gender and education level, but not on age. BDI-II norms were computed based on the final regression model. These BDI-II norms can be used for diagnostic purposes, clinical decision making, or the evaluation of treatment effects.     

The use of personality test norms in work settings: Effects of sample size and relevance

The value of personality test norms for use in work settings depends on norm sample size (N) and relevance, yet research on these criteria is scant and corresponding standards are vague. Using basic statistical principles and Hogan Personality Inventory (HPI) data from 5 sales and 4 trucking samples (N range=394–6,200), we show that (a) N>100 has little practical impact on the reliability of norm‐based standard scores (max=±10 percentile points in 99% of samples) and (b) personality profiles vary more from using different norm samples, between as well as within job families. Averaging across scales, T‐scores based on sales versus trucking norms differed by 7.3 points, whereas maximum differences averaged 7.4 and 7.5 points within the sets of sales and trucking norms, respectively, corresponding in each case to approximately ±14 percentile points. Slightly weaker results obtained using nine additional samples from clerical, managerial, and financial job families, and regression analysis applied to the 18 samples revealed demographic effects on four scale means independently of job family. Personality test developers are urged to build norms for more diverse populations, and test users, to develop local norms to promote more meaningful interpretations of personality test scores.     

Depression symptoms among Omani children: age and sex differences

The present study explored the existence of depressive symptoms among Omani children according to sex and age. The Arabic translated version of the Multidimensional Child and Adolescent Depression Scale was administered to 1,749 children (828 boys, 921 girls) ranging in age from 10 to 18 years old (M= 13.9, SD = 2.3) from 10 schools representing different areas of Muscat, Oman. The results showed no differences in the total mean scores on depression between boys and girls, although differences were observed on 4 of the 8 subscales. Boys had significantly higher scores on Weak concentration and Loneliness, while girls scored higher for Sleep problems and Anhedonia. Significant differences across ages also were exhibited for the total score as well as four subscales (Pessimism, Weak concentration, Anhedonia, and Fatigue), suggesting higher rates of depression among 15- to 18-year-olds.     

The link between motor impairment level and motor imagery ability in children with developmental coordination disorder

The present study examined motor imagery ability in children with developmental coordination disorder (DCD). Specifically, it explored whether children with varying degrees of motor impairment differed in their ability to perform motor imagery tasks. Fourty-two children scoring below the 15th percentile on the Movement ABC were split into two groups--DCD severe (DCD-S), scoring on or below the 5th percentile, and DCD mild (DCD-M), scoring from the 6th to 15th percentiles--and compared to 21 age matched controls. Participants performed two motor imagery tasks--hand (performed without and with specific imagery instructions) and whole-body rotation. The results demonstrated that children in the DCD-S group had a generalized motor imagery deficit in that they were less accurate across tasks than controls (and the DCD-M group on the hand task) and showed little benefit when given specific imagery instructions. The DCD-M group appeared capable of performing simpler motor imagery transformations, but were less successful as task complexity increased. Unlike the DCD-S group, the DCD-M group did show some benefit from specific imagery instructions with increases in accuracy on the hand task. These results suggest that a motor imagery deficit does exist in many children with DCD but that its presentation can vary--factors such as the individual child's level of motor impairment and task complexity appear to be linked to the profile of deficits observed, which could explain the inconsistent findings of previous studies. Although this study lends support to the theory that a deficit in internal modeling is an underlying problem for children with DCD, still more research is required to develop the theory further.     

How many infants are temperamentally difficult? Comparing norms from the Revised Infant Temperament Questionnaire to a population sample of UK infants

The original norms for the Revised Infant Temperament Questionnaire (RITQ) were published in 1978 and were based on a small sample from the US. The aim of this study is to compare temperament scores from the original RITQ against scores from a large population-based cohort of infants from the UK. This study consists of 10,937 infants from the Avon Longitudinal Study of Parents and Children (ALSPAC) born between April 1991 and December 1992 in the southwest of England. Infant temperament at 6 months of age was reported by parents using the adapted RITQ. Responses were scored according to the RITQ manual and then categorized into temperament groups (easy, intermediate low, intermediate high, and difficult) using either the RITQ norms or norms derived from the data. The scores for each temperament subscale and the proportion of children in each temperament group were compared across the two methods. Subscale scores for the ALSPAC sample were higher (more “difficult”) than the RITQ norms for rhythmicity, approach, adaptability, intensity, and distractibility. When RITQ norms were applied, 24% infants were categorized as difficult and 25% as easy, compared with 15% difficult and 38% easy when ALSPAC norms were used. There are discrepancies between RITQ norms and the ALSPAC norms which resulted in differences in the distribution of temperament groups. There is a need to re-examine RITQ norms and categorization for use in primary care practice and contemporary population-based studies.     

Longitudinal Predictive Validity of a Learning Potential Test

The aim of this article is to provide empirical psychometric evidence of the (longitudinal) predictive validity of a learning potential measure—the Learning Potential Computerised Adaptive Test (LPCAT)—in comparison with standard static tests with school aggregate results as the criterion measure. Participants were 79 boys (mean age 12.44, SD = 0.44) and 72 girls (mean age 11.18, SD = 0.42) attending two private schools. Correlation and regression analyses were used to evaluate the predictive validity of the learning potential and standard test scores for school aggregate academic results as criterion measure. Results indicate that learning potential scores were statistically significant predictors of aggregate academic results and provided results that were comparable to those of the standard test results—providing empirical support for the use of learning potential tests in mainstream educational settings.     

Screening for motor coordination challenges in children using teacher ratings of physical ability and activity

We examined the effectiveness of a teacher-based rating scale called the teacher estimation of activity form (TEAF) to screen for developmental coordination disorder (DCD) in children. A random selection of 15 of 75 schools from the District School Board of Niagara in Ontario, Canada was chosen for this study. Every consented child in Grade 4 (n=502) was evaluated for probable DCD (pDCD) in school using the short form Bruininks-Oseretsky test of motor proficiency (BOTMP-SF). Each student also completed the children's self perceptions of adequacy in and predilection toward physical activity (CSAPPA) scale, participation questionnaire, and Léger 20-meter shuttle run, and had their height and weight measured. The 27 children (5.1%) who scored below the 5th percentile on BOTMP-SF were designated as pDCD cases and the 475 children who scored above the 5th percentile served as controls. Results showed that mean TEAF scores were significantly lower for pDCD children than controls (p<.001). Total TEAF scores ranging from 28 to 32 were preferred in maintaining good sensitivity (.74, 95% CI=.55-.87 to .85, 95% CI=.68-.94). The area under the ROC curve was .77 (95% CI, .68-.86) for the TEAF total score, and some individual items performed approximately as well as the full scale. The TEAF was positively correlated with measures of physical activity and fitness. The TEAF appears to be an effective tool in screening for DCD, particularly in a population setting. Considering the brevity of the TEAF and the discriminative power of individual items, this instrument would be effective in an abbreviated version.     

Comparison of K-ABC performance between at-risk and normal preschool children

This study examined differences in K-ABC performance between at-risk (n = 44) and normal (n = 49) preschool children. For the group at-risk, all of the mean global scores on the K-ABC clustered around a standard score of approximately 90. The normal group's mean scores were 15 to 21 standard-score points higher and clustered near 110. The results of t tests for independent samples indicated that the normal group's scores on both the global scales and K-ABC subtests were significantly higher than the at-risk group's scores in nearly every instance. Correlations among scores were consistent with previous findings for preschoolers on the K-ABC. For the normal group, correlations obtained among the global scales were nearly identical to those reported for the standardization sample. For the at-risk group, however, the correlation of .75 between Sequential processing and Achievement was higher than that (.58) between Simultaneous processing and Achievement.     

Clinical Validity and Interpretation of the Gordon Diagnostic System in ADHD Assessments

Gordon Diagnostic System (GDS) data were analyzed for 165 referred children with ADHD combined type and 46 referred children without ADHD, 6–16 years of age. Results showed significant differences between children with and without ADHD on the GDS standard scores and the IQ-GDS differences scores. Using a GDS composite standard score of 13 points or more below IQ to classify children as having ADHD resulted in the highest diagnostic accuracy (86%), with positive predictive power equal to 91%, and negative predictive power 67%. Results for the GDS compared favorably with those reported for other continuous performance tests. The findings lend support to the GDS as a clinically useful component of an ADHD evaluation.     

Clinical validity and interpretation of the Gordon Diagnostic System in ADHD assessments.

Gordon Diagnostic System (GDS) data were analyzed for 165 referred children with ADHD combined type and 46 referred children without ADHD, 6-16 years of age. Results showed significant differences between children with and without ADHD on the GDS standard scores and the IQ-GDS differences scores. Using a GDS composite standard score of 13 points or more below IQ to classify children as having ADHD resulted in the highest diagnostic accuracy (86%), with positive predictive power equal to 91%, and negative predictive power 67%. Results for the GDS compared favorably with those reported for other continuous performance tests. The findings lend support to the GDS as a clinically useful component of an ADHD evaluation.     

Development of motor imagery ability in children with developmental coordination disorder – A goal-directed pointing task

Children with developmental coordination disorder (DCD) have difficulties with the predictive control of movements. This was shown in studies that target motor imagery and motor planning, and appears to become particularly evident with increases in task complexity. In this study, we used a complex mental chronometry paradigm to examine the development of motor imagery ability in children with DCD, using a longitudinal design. Thirty children were included in the DCD group (aged 6–11 years) and age- and gender-matched to 30 controls. The DCD group had a Movement Assessment Battery for Children-2 score ≤16th percentile and the control group ≥25th percentile. Results of this study showed that children with DCD indeed had a significantly lower correlation between executed and imagined movements. Importantly, the increase in the correlation and linear fit during subsequent measurements was comparable for the DCD and control group. Together, these findings suggest a delayed developmental onset of motor imagery ability in DCD, but a similar rate of development over time compared to the control group. Based on these results, it seems likely that explicit motor imagery instructions can be used to improve predictive control in children with DCD.     

Bayley‐III: Cultural differences and language scale validity in a Danish sample

The purpose of this study was to investigate cultural differences between Danish and American children at 2 and 3 years as measured with the developmental test Bayley‐III, and to investigate the Bayley‐III Language Scale validity. The Danish children (N = 43) were tested with the Bayley‐III and their parents completed an additional language questionnaire (the MacArthur‐Bates CDI). Results showed that scores from the Danish children did not differ significantly from the American norms on the Cognitive or Motor Scale, but the Danish sample scored significantly higher on the Language Scale. A comparison of the Bayley‐III Language subtests with the CDI showed that the two measures correlated significantly, but the percentile score from the CDI was significantly higher than the percentile score from the Bayley‐III Language subtests. This could be because the two instruments measure slightly different areas of language development, or because the Bayley‐III overestimates language development in Danish children. However, due to the limitations of the current study, further research is needed to clarify this issue.     

The KTSA and Emotional Pathology in Children

The ability of the nine KTSA symbolization scores to differentiate between normal and emotionally disturbed children was explored. Significant results were obtained for two scores (B and X). Contrary to the suggestions of the literature, the D score failed to discriminate between the groups. The results for the normal group were in general agreement with Abidin's (1966) norms. These results suggest that two of the KTSA symbolization scores can possibly be used independently for diagnostic purposes.     

The woodcock reading mastery test: impact of normative changes

This study examined the magnitude of differences in standard scores, convergent validity, and concurrent validity when an individual's performance was gauged using the revised and the normative update (Woodcock, 1998) editions of the Woodcock Reading Mastery Test in which the actual test items remained identical but norms have been updated. From three metropolitan areas, 899 first to third grade students referred by their teachers for a reading intervention program participated. Results showed the inverse Flynn effect, indicating systematic inflation averaging 5 to 9 standard score points, regardless of gender, IQ, city site, or ethnicity, when calculated using the updated norms. Inflation was greater at lower raw score levels. Implications for using the updated norms for identifying children with reading disabilities and changing norms during an ongoing study are discussed.