The Clinical Utility of Korean Bayley Scales of Infant and Toddler Development-Ⅲ -Focusing on using of the US norm-

& (2017). The Clinical Utility of Korean Bayley Scales of Infant and Toddler Development-Ⅲ -Focusing on using of the US norm-. Korean Journal of Psychology: General, 36(1), 81-107, https://doi.org/10.22257/kjp.2017.03.36.1.081

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Abstract

The study aims to investigate the clinical utility of Bayley-Ⅲ using US norm in Korea. A total of 98 preterm infants and 93 term infants were assessed with the K-Bayley-Ⅲ. The performance pattern of preterm infants was analyzed with mixed design ANOVA which examined the differences of scaled scores and composite scores of Bayley-Ⅲ between full term- and preterm- infant group and within preterm infants group. Then, We have investigated agreement between classifications of delay made using the BSID-II and Bayley-III. In addition, ROC plots were constructed to identify a Bayley-Ⅲ cut-off score with optimum diagnostic utility in this sample. The results were as follows. (1) Preterm infants have significantly lower function levels in areas of 5 scaled scores and 3 developmental indexes compared with infants born at term. Significant differences among scores within preterm infant group were also found. (2) Bayley-Ⅲ had the higher scores of the Mental Development Index and Psychomotor Developmental Index comparing to the scores of K-BSID-Ⅱ, and had the lower rates of developmental delay. (3) All scales of Bayley-Ⅲ, Cognitive, Language and Motor scale had the appropriate level of discrimination, but the cut-off composite scores of Bayley-Ⅲ were adjusted 13~28 points higher than 69 for prediction of delay, as defined by the K-BSID-Ⅱ. It explains the lower rates of developmental delay using the standard of two standard deviation. This study has provided empirical data to inform that we must careful when interpreting the score for clinical applications, identified the discriminating power, and proposed more appropriate cut-off scores. In addition, discussion about the sampling for making the Korean norm of Bayley-Ⅲ was provided. It is preferable that infants in Korea should use our own validated norms. The standardization process to get Korean normative data must be performed carefully.

keywords: Bayley scales of Infant and Toddler Development-Third Edition, clinical utility, preterm infants, 베일리 영유아 발달검사 3판(Bayley-Ⅲ), 미숙아, 규준, 임상적 유용성

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Article Contents

Vol.36 No.1

The Clinical Utility of Korean Bayley Scales of Infant and Toddler Development-Ⅲ -Focusing on using of the US norm-

Abstract

Reference

Korean Journal of Psychology: General