A METHODOLOGICAL APPROACH TO DEVELOPING AN ASSESSMENT PROCEDURE FOR TESTING THE NEUROBEHAVIORAL MATURITY OF PRETERM INFANTS
A METHODOLOGICAL APPROACH TO DEVELOPING AN ASSESSMENT PROCEDURE FOR TESTING THE NEUROBEHAVIORAL MATURITY OF PRETERM INFANTS
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DOI：
10.2307/1130687
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发表时间：
1987-12-01
影响因子：
4.6
通讯作者：
THOM, VA
中科院分区：
文献类型：
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作者：
KORNER, AF;KRAEMER, HC;THOM, VA
利用179名早产儿的数据，采用一种以概念一致性和面部效度为特征的聚类系统地进行统计分析，以测试它们是否也具有高的重测信度、统计内聚性和发展效度，从而开发了一种神经行为成熟度评估方法。测试项目的心理测量效度是其纳入评估程序的先决条件。还测试了群集冗余，以及胎龄和胎龄的影响，以及出生后对测试功能的影响。神经行为功能的8个维度被发现是稳定的，重测信度至少为。6或以上连续2天，非冗余和发展有效。它们分别是：主动张力/运动活力、警觉性和定向性、兴奋倾向、抑制倾向、围巾标志、腘窝角、前庭反应成熟度和哭泣活力。
Using data from 179 preterm infants, a neurobehavioral maturity assessment was developed by using a process in which clusters characterized by conceptual coherence and face validity were systematically subjected to statistical analyses designed to test whether they also had high test-retest reliability, statistical cohesion, and developmental validity. The psychometric soundness of the test items was made a precondition for their inclusion into the assessment procedure. Also tested were cluster redundancy, as well as the impact of gestational and conceptional age, and of postbirth influences on the functions tested. 8 dimensions of neurobehavioral functioning were found to be stable with a test-retest reliability of at least .6 or higher on 2 consecutive days, nonredundant and developmentally valid. They were: Active Tone/Motor Vigor, Alertness and Orientation, Excitation Proneness, Inhibition Proneness, Scarf Sign, Popliteal Angle, Maturity of Vestibular Response, and Vigor of Crying.