Multimodal Executive Function Measurement in Preschool Children Born Very Low Birth Weight and Full Term: Relationships Between Formal Lab-Based Measure Performance, Parent Report, and Naturalistic Observational Coding

Executive function and preterm birth: A longitudinal study

Infants born low birth weight (LBW) and preterm are at risk for developmental delay and cognitive deficits. These deficits can lead to lifelong learning difficulties and high-risk behaviors. Preterm (PT) and full-term (FT) groups were compared across infant and toddler measures of behavior and development to extract early indicators of executive function (EF). The goal was to extract indicators of EF from standardized infant assessments. PT (<2500 grams and <37 weeks) and FT (> 2500 grams and >37 weeks) were compared across assessment and EF components were identified from the BSID-III. A multivariate linear model was used to examine group differences. All children (99 PT and 46 FT) were administered the Bayley III and the DMQ assessments for session 1 (6-8 months). During session 2, N=78 PT and 37 FT (18-20 months), the CBCL was added to previous assessments, and the BRIEF-P was added to previous assessments in session 3, N= 52 PT and 36 FT for session 3 (See Table 1). Significant change scores were found on BSID-III subtests and EF components across all 3 sessions. The PT group also showed significantly more behavioral concerns on the CBCL at 18 months and 36 months and had lower scores on the BRIEF-P than their FT peers. The number of children born PT (N = 27, 52%) who were in Early Intervention (EI) increased across the 3 sessions. Examining early indicators of EFs supported the development of early identification that could lead to decrease adverse outcomes often associated with preterm birth.

Cool and hot effortful control moderate how parenting predicts child internalization in Chinese families

Internalization of external rules is a behavioral manifestation of moral development during childhood, and its development has come to be understood from the view of a complex parenting-by-temperament process. To examine this developmental process, the current research investigated how maternal parenting behaviors and child effortful control foretell internalization throughout early to middle childhood with two longitudinal samples of Chinese mother-child dyads. In Study 1 (N = 226), maternal respect for autonomy and negative control during free plays at 15 months of age were observed. At 25 months, child cool and hot effortful control were measured with a Stroop-like categorization task and an externally imposed delay task. At 37 months, observed internalization of maternal rules was assessed. Results showed that for toddlers with high levels of cool effortful control, maternal respect for autonomy positively predicted later internalization. In Study 2 (N = 88), maternal respect for autonomy and negative control during free plays at 38 months of age were coded. At 60 months, child cool and hot effortful control were measured with a Stroop-like inhibition task and a delay-of-gratification task. Observed internalization of maternal and experimenter rules and mother-reported internalization in everyday life were assessed at 60 and 84 months. Results showed that for children low on either cool or hot effortful control, maternal respect for autonomy negatively predicted later internalization during childhood. Together, the current findings support an age-relevant goodness-of-fit model for internalization development in Chinese children throughout the first 7 years of life.

Early Intervention Referral Outcomes for Children at Increased Risk of Experiencing Developmental Delays

OBJECTIVES

The primary goal was to examine outcomes of Part C early intervention (EI) referrals from a high-risk infant follow-up program and factors associated with success. A secondary aim was to determine how many referred children not evaluated by EI would have likely qualified by either automatically meeting state eligibility criteria with a condition associated with "high-probability" for developmental delays or having test scores evidencing developmental delays.

METHODS

Participants included 77 children referred directly to EI from a high-risk infant follow-up program. Scores on the Bayley Scales of Infant and Toddler Development-III, basic demographics, and medical variables were extracted from electronic medical records. Information regarding referral outcomes was gathered via follow-up phone calls to EI programs several months after referral.

RESULTS

Results indicate 62% of EI referrals resulted in evaluation, with 69% of those evaluated being found eligible for services. Overall, 34% of referrals resulted in EI enrollment. Of those who were not evaluated, 71% were likely to have qualified based on state eligibility criteria. Follow-up phone call results indicated the majority of families not evaluated (64%) were never successfully contacted by the EI program.

CONCLUSIONS

Findings from the present study illustrate the extent of challenges in connecting families with needed EI services and indicate an opportunity for improvement in EI referral processes to increase enrollment for eligible children. Improved communication between referral sources and service providers could support enrollment with detailed documentation of prior testing and explicit reasons for referral. Follow-up calls to confirm receipt of referral may also be necessary.