Neonatal Behavioral Assessment Scale (NBAS): Confirmatory factor analysis of the six behavioral clusters
Neonatal Behavioral Assessment Scale (NBAS): Confirmatory factor analysis of the six behavioral clusters
复制标题
DOI：
10.1016/j.earlhumdev.2018.07.007
复制
发表时间：
2018-09-01
影响因子：
2.5
通讯作者：
Fuertes, Marina
中科院分区：
文献类型：
--
作者：
Barbosa, Miguel;Moreira, Joao;Fuertes, Marina
新生儿行为评估量表（NBAS）是一种广泛应用于新生儿神经行为评估的临床实践和研究工具。莱斯特的数据减少系统的NBAS项目是最常用的研究，但少数因素分析研究进行了它的验证留下差距。目前的研究旨在测试和比较（a）的因子结构的莱斯特的数据减少系统的NBAS和（B）的替代数据减少系统，从莱斯特的系统略有修改。在出生后的前72小时（M = 43.63小时）内，对196名健康的葡萄牙足月婴儿（51%为男性）进行了NBAS。通过验证性因素分析（CFA），数据简化系统的结构效度进行了测试。莱斯特的原始系统进行了比较，三个替代模型，其中两个包括三个项目的评分规则和排除五个项目的修订。终审法院普遍支持六因素结构。然而，莱斯特的原始模型的拟合指数只是公平的。另一种具有二阶因子的修正模型--自组织系统--表现出更好的拟合。结果提供的证据支持莱斯特的六个行为集群的修改形式作为NBAS项目的数据减少模型。
The Neonatal Behavioral Assessment Scale (NBAS) is a widely used in the neurobehavioral assessment of neo-nates in clinical practice and research. Lester's data reduction system for the NBAS items is the most often used in research, but the few factor analytic studies carried out with it leave gaps in its validation. The current study aimed to test and compare (a) the factorial structure of the Lester's data reduction system for the NBAS and (b) an alternative data reduction system, slightly modified from Lester's system. The NBAS was administered to 196 healthy Portuguese full-term infants (51% male) in the first 72 h of life (M = 43.63 h). Construct validity of the data reduction systems was tested through confirmatory factor analysis (CFA). Lester's original system was compared to three alternative models, two of which included a revision of the scoring rules for three items and the exclusion of five items. The CFA generally supported the six-factor structure. However, fit indices for Lester's original model were only fair. An alternative, revised model with a second-order factor - Self-Organizing System - demonstrated a better fit. The results provide evidence to support a modified form of Lester's six behavioral clusters as a data reduction model for the NBAS items.