Factor Analysis of the Einstein Neonatal Neurobehavioral Assessment Scale in Infants with Congenital Heart Disease and Healthy Controls.

Factor Analysis of the Einstein Neonatal Neurobehavioral Assessment Scale in Infants with Congenital Heart Disease and Healthy Controls.
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DOI:
10.1177/08830738221115982
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发表时间:
2022-10
影响因子:
1.9
通讯作者:
--
中科院分区:
医学4区
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爱因斯坦新生儿神经行为评估量表(ENNAS)的管理可能是耗时的,项目可能高度相关。我们的目的是确定:(1)其因子分析结构;(2)因素结构的有效性;(3)生理指标与因子得分的关系。对57例先天性心脏病(CHD)患儿和35例健康婴儿进行因子分析,将21个ENNAS项目缩减为5个因子。多元线性回归检验了因子得分与组、胎龄和生理变量的关系。5因素解决方案:1(定向反射),2(伸肌轴向张力),3(原始反射),4(屈肌张力),5(四肢关节周围的反射张力)。中等到强烈的证据支持:这些因素的表面效度、区别效度和结构效度,其中因子2最强。因子2的成分可能提供关于新生儿发育的类似信息,从而减少了研究人员和临床医生的时间和管理负担。
Administration of the Einstein Neonatal Neurobehavioral Assessment Scale (ENNAS) can be time-consuming, and items can be highly correlated. We aimed to determine: (1) its factor analytic structure; (2) the validity of the factor structure; and (3) the associations of physiologic measures with factor scores. A factor analysis reduced 21 ENNAS items into 5 factors in 57 congenital heart disease (CHD) and 35 healthy infants. Multiple linear regressions examined the association of factor scores with group, gestational age, and physiologic variables. 5-factor solution: 1 (Orienting Reflex), 2 (Extensor Axial Tone), 3 (Primitive Reflexes), 4 (Flexor Tone), 5 (Reflexive Tone Around Extremity Joints). Moderate to strong evidence supported: face, discriminant, and construct validity of these factors, with Factor 2 having the strongest. Components of Factor 2 may provide similar information about neonatal development, thus reducing the time for and burden of administration for researchers and clinicians.
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