Validation of the fine motor subtest of the Bayley‐III with children with sickle cell disease using Rasch analysis.
Background: Children with sickle cell disease (SCD) are at risk for fine motor (FM) delays; however, screening for FM impairments is not common among young children with SCD. The Bayley Scales of Infant and Toddler Development, Third Edition (Bayley‐III) is the most commonly used performance‐based d...
| Published in: | Child: Care, Health & Development Vol. 46; no. 5; pp. 576 - 585 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Sep2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145008477&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145008477 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Sep2020 vid: 46 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 145008477 145008477 145829603 145008477 10.1111/cch.12795 145008477 ppf: 576 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Validation of the fine motor subtest of the Bayley‐III with children with sickle cell disease using Rasch analysis. aug: au: L'Hotta, Allison J. Hoyt, Catherine R. Lindsey, Terianne Abel, Regina A. Chang, Chih‐Hung King, Allison A. affil: School of Medicine, Washington University, St. Louis Missouri sug: subj: Instrument Validation Anemia, Sickle Cell Diagnosis Motor Skills Disorders Risk Factors Risk Assessment Motor Skills Disorders Diagnosis Infant Development Human Rasch Analysis Scales ab: Background: Children with sickle cell disease (SCD) are at risk for fine motor (FM) delays; however, screening for FM impairments is not common among young children with SCD. The Bayley Scales of Infant and Toddler Development, Third Edition (Bayley‐III) is the most commonly used performance‐based developmental assessment. We aim to determine if the FM subtest of the Bayley‐III is structured hierarchically in accordance with development and comprehensively evaluates FM development in children with SCD. Methods: Bayley‐III assessments were completed between October 2009 and December 2013. The Bayley‐III FM screening test, a shorter and more rapid method of assessing for FM impairments, was not directly administered to participants. Screening test scores were calculated from full Bayley‐III scores. Results: Rasch analysis was performed using WINSTEPS. Sixty children with SCD were included in the final Rasch model. The Rasch‐generated Wright map, which jointly positions items and persons on the same latent trait, illustrated that the FM items were slightly skewed towards more challenging items, indicating more difficult items may be overrepresented. High item separation values were reported (17.4), and item outfit statistics were less than 1.7. More than one third of items demonstrated overfit, indicating possible item redundancy. The FM subtest and the screening test, a shorter and faster method of assessing skills, were highly correlated (r = 0.993, p < 0.001). Conclusion: The Bayley‐III FM subtest is structured hierarchically, aligning with motor development, and comprehensively evaluates FM development in children with SCD. The test could be improved by reordering items, removing overfitting items and modifying screening test items to capture all ranges of development. The screening test is comprehensive and has high potential clinical utility among children with SCD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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