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BAYLEY-III CLINICAL USE AND INTERPRETATION

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The Bayley-III provides an individual assessment of developmental function in infants and toddlers between 1 and 42 months of age. Theoretical Background and Structure of the Bayley Scales of Infant and Toddler Development, Third Edition.

SCHOLARSHIP FOR THE BAYLEY SCALES

Motor abilities measured in the Bayley-III framework follow basic recognizable and generally universal milestones (Gesell, 1946; Thelen, 1995; Adolph & Berger, 2006). Preliminary analyzes using data collected from the Bayley-III normed sample suggest a relationship between mastery of earlier, pre-symbolic levels of affect signaling and language and cognitive skills.

OVERVIEW OF TEST STRUCTURE

However, other things can be used (eg the bracelet or the car) when the child shows an interest in them. A General Adaptive Composite (GAC) provides an overall measure of adaptive development based on the following 10 skill areas: Communication (e.g., the child's speech, language, and nonverbal skills), Community Use (e.g., the child's interest in activities outside the home and the ability to recognize div.

SUMMARY OF FEATURES

2001). The Functional Emotional Assessment Scale (FEAS) for infancy and early childhood: clinical and research applications. Toy play in infancy and early childhood: normal development and special considerations for children with disabilities (1994, June 6).

INTRODUCTION

CONTENT

The items can be taken one after the other if the child is engaged and attentive. Symbolic and imaginative play (e.g., feeding and washing a doll) is observed from item 48, in which the child is provided with a baby doll and other interesting objects.

ADMINISTRATION

While administering the test, the examiner can point out these characteristics to the observing parent or caregiver as examples of activities they can use to develop skills that are important for success in preschool settings. The Bayley-III takes these concerns into account, as far as possible within a standardized assessment tool, by providing some flexibility in administering this test to children whose physical or sensory limitations may place them at a disadvantage.

SCORING

As with the Bayley-III subtests, the total number of passes is added together with the number of unadministered items below the basal level, resulting in a raw score. We find age scores most useful in describing performance within the context of development for severely delayed children, who may exceed the age range for the Bayley-III.

FIGURE 2.1 Case study: Cognitive Growth Chart for Katie Doe.
FIGURE 2.1 Case study: Cognitive Growth Chart for Katie Doe.

INTERPRETATION

Developmental age scores are based on the average age in months at which a given total raw score is achieved - for example, if the average raw score for 2-year-old children is 62, any child who achieves a score of 62 is given an age equivalent of 2 years. Furthermore, the distribution of age scores does not represent equal units, and small raw score changes can result in large changes in resulting developmental age equivalents.

STRENGTHS AND CONCERNS

The main weakness of the Bayley-III is the lack of research supporting its clinical utility. The cognitive domain provides only general information that can be used for intervention and instructional purposes, as "the sample of articles is limited, 22% of the articles are timely, and some of the articles are of questionable educational relevance" (Bradley-Johnson &.

USE IN CLINICAL POPULATIONS

CASE STUDY: KATIE

The Bayley-III (Bayley, 2006) is in good agreement with current federal law (IDEA, 2004), best practice guidelines, a range of early intervention areas (Sandall, Hemmeter, Smith, & McLean, 2005), and recent research findings. The use of this scale allows different professionals in the assessment team (for example, the psychologist, speech therapist, occupational therapist, physiotherapist, special educator) to contribute their individual disciplinary knowledge, leading to an integrated description of the child.

TABLE 2.2 Results of Bayley-III at Follow-up Evaluation Domain/subtests Scaled
TABLE 2.2 Results of Bayley-III at Follow-up Evaluation Domain/subtests Scaled

ADMINISTRATION AND SCORING

After completing the Language Scale, calculating the child's total raw scores is easy. This information is necessary to form a complete understanding of the child's communication and language skills.

CASE STUDY: JACK

He is a good problem solver and is not easily fooled (e.g. he finds hidden things easily). For item 16 (Identifies object in environment) Jack has a Magnadoodle that he likes to draw on, so the examiner asked him where it was and if he wanted to "draw". from his mother's bag. In other words, what his parents thought he might know had been attempted (i.e. shoe, pants); however, he did not respond to it.

Jack did not respond to his name when called during play, and the examiner went to item 8.

SUMMARY

Prelinguistic predictors of language growth in children with developmental disabilities. Journal of Speech, Language and Hearing Research. Predicting language outcomes for young prelinguistic children with developmental delay. Journal of Speech, Language and Hearing Research. Phonological behavior in toddlers with slow expressive language development. Journal of Speech and Hearing Research.

Language and gesture in late speakers: A one-year follow-up. Journal of Speech and Hearing Research.

CONTENT Neuromaturation

Social influences on the child's performance are also considered (eg, the Bayley-III scales consider how the presence of the parent may affect the child's performance). Postural instability also affects the child's ability to use his or her eyes to guide hand movements. The examiner should think carefully about the impact of the testing environment on the child's performance.

Test items can be placed on the floor next to the examiner and out of the child's view. Negative conditions include audio and visual disturbances that limit the child's ability to perform the subject. The examiner should document this rationale in the report as a possible explanation for the child's performance.

FIGURE 4.1 Child demonstrates radial digital grasp (Item 22).
FIGURE 4.1 Child demonstrates radial digital grasp (Item 22).

USE IN CLINICAL POPULATIONS Children with Autism Spectrum Disorder

Children with ASD are likely to fail this item if they refuse to go to the examiner. Children with cerebral palsy (CP) show deficits in anticipatory postural adjustments (feedforward postural control) as measured by. The fine and gross motor growth curve often falls in the 5 to 10 percentile range for children with CP.

Children with ID may have a short attention span, and the examiner may need to use verbal cueing, pointing, or tapping to help the child refocus on the task.

CASE STUDY: MATTHEW

Record this scaled score in the corresponding box in the Social-Emotional (SE) row on page 1 of the registration form. Scores are plotted by marking the point on the graph that corresponds to the appropriate scale (eg, the social-emotional scale) and the value of the scaled score and composite score or equivalent. Record this information on page 13 of the social-emotional scale in the Supplemental Analysis table by checking the appropriate category of coping.

For example, a child with a 9 on the Bayley Social-Emotional Scale-III has an equivalent composite score of 95 and a percentile rank of 37.

FIGURE 5.1 Greenspan’s Social Emotional Growth Chart. From: Bayley Scales of Infant & Toddler Development, Third Edition (Bayley III)
FIGURE 5.1 Greenspan’s Social Emotional Growth Chart. From: Bayley Scales of Infant & Toddler Development, Third Edition (Bayley III)

STANDARDIZATION, RELIABILITY, AND VALIDITY

Intercorrelations between the Social-Emotional Scale and other subtests on the Bayley-III vary between 0.18 and 0.25. Studies involving children with special needs were also included in the validation of the Bayley-III Social-Emotional Scale. The Social-Emotional Scale scores for children with special needs therefore tend to be lower than those of the corresponding control groups.

As such, the impact of the child's sensory processing on the child's social-emotional functioning can be more adequately addressed.

Figure 5.2 shows examples of three different types of outcomes;
Figure 5.2 shows examples of three different types of outcomes;

CASE STUDY: STEVEN

He also recommended that Peter be contacted when Peter was 24 months old and to bring a completed Greenspan Social-Emotional Growth Chart questionnaire to each visit. Tracking Peter's development through the social-emotional growth chart and future visits to the doctor proved to be highly effective, as evidenced by increased mastery of the child's social-emotional milestones and reaffirmed by higher scores on the social-emotional emotional growth chart. Supporting social-emotional well-being in early childhood: the building blocks for early learning and school success.

Are infant-toddler social emotional and behavioral problems transient? Journal of the American Academy of Child & Adolescent Psychiatry.

FIGURE 5.4 Greenspan’s Social Emotional Growth Chart: Peter’s scores.
FIGURE 5.4 Greenspan’s Social Emotional Growth Chart: Peter’s scores.

ADAPTIVE BEHAVIOR IN YOUNG CHILDREN

The autonomic system is the most basic of the systems described by synactive theory. Items in the Bayley Adaptive Behavior Scale-III related to this subsystem assess the infant's movement and posture skills. A strength of the Bayley-III Adaptive Behavior Scale is its focus on assessing adaptive behaviors supported by the motor system.

Accordingly, the Bayley Adaptive Behavior Scale-III asks caregivers how often infants and toddlers sleep through most of the night.

THE ADAPTIVE BEHAVIOR SCALE

As previously mentioned, the adaptive behavior scale of the Bayley-III is derived from items for children aged birth through 5 years on the ABAS-II. After the Bayley-III Adaptive Behavior Scale is completed by a caregiver or by examiner and caregiver together, the examiner adds the raw scores to obtain a total raw score for each skill area. The reliability of the Adaptive Behavior Scale is obtained using data on the internal consistency of the ABAS-II (Bayley, 2006).

The theory and constructs of the ABAS-II (and consequently those items used for the Bayley-III Adaptive Behavior Scale) rely heavily on the AAIDD's definition of adaptive behavior.

TABLE 6.1 Skill Areas Comprising Adaptive Domains for the Adaptive Behavior Composite
TABLE 6.1 Skill Areas Comprising Adaptive Domains for the Adaptive Behavior Composite

CASE STUDY: ROCHELLE

Rochelle's cognitive abilities, as measured by the Bayley-III, are in the average range (cognitive standard score=95; 37th percentile) and consistent with a child her age. Rochelle's receptive communication skills, as measured by the Bayley-III, are in the better range and above expectations for a child her age (receptive communication scale score=15). Also, Rochelle's expressive communication skills, as measured by the Bayley-III, are better and above expectations for a child of her age (expressive communication scale score=15).

Rochelle's overall motor skill development as assessed by the Bayley Motor Scale-III is in the low end of the average range (motor standard score ¼88, 21st percentile).

Gambar

FIGURE 2.1 Case study: Cognitive Growth Chart for Katie Doe.
TABLE 2.2 Results of Bayley-III at Follow-up Evaluation Domain/subtests Scaled
FIGURE 4.1 Child demonstrates radial digital grasp (Item 22).
TABLE 4.4 Grasping Patterns
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