Child/Parent Neurobehavioral Test Battery

Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study

M_Att18_ChildParentNeurobhvrlTestBttry_20191212

Child Neurobehavioral Test Battery

OMB: 0923-0063

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Attachment 18.


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Form Approved

OMB No. 0923-XXXX

Exp. Date xx/xx/201x xx/xx/20xxExDaxx/xx/20xx

Exp. Date xx/xx/20xx


Multi-site Study

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ATSDR estimates the average public reporting burden for this collection of information as 90 minutes per child response and 15 minutes per parent response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0923-xxxx).

Child/Parent Neurobehavioral Test Battery


Proprietary Neurobehavioral Test Information

The following test forms are not found in the ATSDR Multi-site Study Protocol (Number 7207). The data collection forms are copyrighted and may be reproduced only with written permission from the publishers. The SDQ allows paper versions of its forms to be reproduced and used provided ATSDR does not charge any fee to participants.


To review a copy of the test forms, write to the publishers at the addresses provided below:

Wechsler Abbreviated Scale of Intelligence – 2nd Edition (WASI - II)

Pearson Education, Inc. (Clinical Assessment Ordering Department, P.O. Box 599700, San Antonio, TX 78259)

Toll-free: 800-627-7271

A Developmental NEuroPSYchological Assessment – Second Edition (NEPSY-II)

Pearson Education, Inc. (Clinical Assessment Ordering Department, P.O. Box 599700, San Antonio, TX 78259)

Toll-free: 800-627-7271

Conners Kiddie Continuous Performance Test, 2nd Edition (Conners K-CPT 2)

Multi-Health Systems Inc. (P.O. Box 950, North Tonawanda, NY, 14120-0950)

Toll-free: 800-456-3003 

Conners Continuous Performance Test 3rd Edition (CPT 3)

Multi-Health Systems Inc. (P.O. Box 950, North Tonawanda, NY, 14120-0950)

Toll-free: 800-456-3003 

Strengths and Difficulties Questionnaire© (SDQ©)

Development and Well-Being Assessment (DAWBA). Feedback and enquiries welcome at [email protected]

The SDQ is part of the DAWBA family of mental health measures.

COPYRIGHT NOTICE: Please note that Strengths and Difficulties Questionnaires, whether in English or in translation, are copyright documents that are not in the public domain. As such, they may not be modified in any way (e.g. changing the wording of questions, adding questions or administering only subsets of questions). This is to ensure that the SDQ is fully comparable across studies and settings. Similarly, to ensure high quality and consistency, unauthorized translations are not permitted. Paper versions may be downloaded and subsequently photocopied without charge by individuals or non-profit organizations provided they are not making any charge to families. Users are not permitted to create or distribute electronic versions for any purpose without prior authorization from youthinmind. If you are interested in making translations or creating electronic versions you MUST first contact [email protected].

Behavior Rating Inventory of Executive Function® (BRIEF®)

Psychological Assessment Resources, Inc. (16204 North Florida Avenue, Lutz, FL  33549)

Toll-free 800-331-8378

Behavior Rating Inventory of Executive Function® – Preschool Version (BRIEF®-P)

Psychological Assessment Resources, Inc. (16204 North Florida Avenue, Lutz, FL  33549)

Toll-free 800-331-8378



Multi-site Study Neurobehavioral Test Battery for Children

Neurobehavioral Test

Domain

Age

Administration

Time to Administer

Wechsler Abbreviated Scale of Intelligence – 2nd Edition (WASI - II)

Two Subtest Form (FSIQ-2)

(Vocabulary and Matrix Reasoning)

6 – 17*

Child

15 minutes

A Developmental Neuropsychological Assessment – 2nd edition (NEPSY – II) subtests


* from Core Assessment









Comprehension of Instructions* (receptive language, trouble following multi-step commands)

4 – 16

Child

6 – 8 minutes

Speeded Naming* (expressive language, processing speed)

4 – 16

Child

2 – 7 minutes





Narrative Memory* (comprehension, verbal memory)

4 – 16

Child

6 – 11 minutes

Design Copying* (visuospatial processing)

4 – 16

Child

7 – 10 minutes

Affect Recognition (social perception)

4 – 16

Child


5 – 7 minutes





Statue (inhibitory control)

4 – 6

Child

3 minutes

Word Generation (expressive language, executive control)

4 - 16

Child

4 – 6 minutes

Conners Kiddie Continuous Performance Test, 2nd Edition (Conners K-CPT 2)

Inattentiveness, Impulsivity, Sustained Attention, Vigilance

4-7

Child

8 minutes

Conners Continuous Performance Test 3rd edition (CPT 3)

Inattentiveness, Impulsivity, Sustained Attention, Vigilance

8-17

Child

14 minutes

Strengths and Difficulties Questionnaire© (SDQ©)

Double-sided form with impact supplement (behavioral problems)

4 – 17

Parent about Child

5 minutes

Behavior Rating Inventory of Executive Function® (BRIEF®)

Executive Function

6-17

Parent about Child

10 minutes

Behavior Rating Inventory of Executive Function® – Preschool Version (BRIEF®-P)

Executive Function - Preschool

4-5

Parent about Child

10 minutes





Neuropsychological Test Battery, Children aged 4-17 years

Age Range, years

Test

Domains

6-17 years

Wechsler Abbreviated Scale of Intelligence® - Second Edition (WASI® - II)

https://www.pearsonclinical.com/psychology/products/100000037/wechsler-abbreviated-scale-of-intelligence--second-edition-wasi-ii.html

Author: David Wechsler

Qualification Level: C

Age Range: Individuals 6:0–90:11

Completion Time: Two-subtest form (Vocabulary and Matrix Reasoning), 15 minutes

Scores/Interpretation: FSIQ–2 score: Estimate of general cognitive ability

Scoring Options: Manual scoring

Publication Date: 2011

4-16 years

A Developmental NEuroPSYchological Assessment – 2nd Edition (NEPSY-II)

https://www.pearsonclinical.com/psychology/products/100000584/nepsy-second-edition-nepsy-ii.html

https://images.pearsonclinical.com/images/Products/NEPSY-II/Clin_Chp_2.pdf


Author(s): Marit Korkman, Ursula Kirk, Sally Kemp

Qualification Code: CL1

Age Range: 3 years to 4 years; 5 years to 16 years

Administration: Core Assessment 45 minutes for preschool ages, 1 hour for school ages; Comprehensive Assessment - 90 minutes for preschool ages, 2-3 hours for school ages

Publication Year:

2007


This NEPSY-II battery covers Five of Six Domains

Executive Functioning/Attention, Language, Memory and Learning, Visuospatial Processing, Social Perception. Sensorimotor Functioning will not be tested.


ATTENTION AND EXECUTIVE FUNCTIONING

1) Statue (ST – 3-6 years). This subtest is designed to assess motor persistence and inhibition. The child is asked to maintain a body position with eyes closed during a 75-second period and to inhibit the impulse to respond to sound distracters.

LANGUAGE

1) Comprehension of Instructions (CI – 3-16 years). This subtest is designed to assess the ability to receive, process, and execute oral instructions of increasing syntactic complexity. For each item, the child points to appropriate stimuli in response to oral instructions.

2) Speeded Naming (SN – 3-16 years). This timed subtest is designed to assess rapid semantic access to and production of names of colors, shapes, sizes, letters, or numbers. The child is shown an array of colors and shapes; colors, shapes, and sizes; or letters and numbers. He or she names them in order as quickly as possible.

3) Word Generation (SN – 3-16 years). This subtest is designed to assess verbal productivity through the ability to generate words within specific semantic and initial letter categories. The child is given a semantic or initial letter category and asked to produce as many words as possible in 60 seconds. The test evaluates difficulty with expressive language, processing speed, executive control, initiation and ideation.

MEMORY AND LEARNING

1) Narrative Memory (NM – 3-16 years). This subtest is designed to assess memory for organized verbal material under free recall, cued recall, and recognition conditions. The child listens to a story and is then asked to repeat the story. The child is then asked questions to elicit missing details from his or her recall of the story.

VISUOPSPATIAL PROCESSING

1) Design Copying (DC – 3-16 years). This subtest is designed to assess motor and visual-perceptual skills associated with the ability to copy two-dimensional geometric figures. The child copies figures displayed in the Response Booklet.

SOCIAL PERCEPTION

1) Affect Recognition (3 – 16 years). The child is asked to recognize affect (e.g., happy, sad, anger) from photographs of children’s faces in various tasks. The test evaluates difficulty with recognition and discrimination of facial affect.


4-7 years

Connors Kiddie Continuous Performance Test Second Edition™

(Conners K-CPT 2™)

https://www.mhs.com/MHS-Assessment?prodname=kcpt2


Overview

The Conners Kiddie Continuous Performance Test 2nd Edition™ (Conners K-CPT 2™) assesses attention deficits in children ages 4 to 7 years old. Based on the well-established Conners CPT paradigm, the Conners K–CPT 2 takes only half the time (7.5 minutes) to complete, making it more appropriate for younger children. Results from the measure can be used for clinical assessment, early identification, and educational classification. The assessment can be also be used to evaluate treatment effectiveness by administering the test before treatment and during treatment to monitor change.


Author(s): Keith Conners, Ph.D

Key Areas Measured:

  • Inattentiveness

  • Impulsivity

  • Sustained Attention

  • Vigilance

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Age: 4 to 7

Administration Type: Self

Administration Time: 7.5 Minutes

Qualification Level: B Inattentiveness

  • Impulsivity

  • Sustained Attention

  • Vigilance

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8-17 years

Connors Continuous Performance Test Third Edition™ (CPT 3™)

https://www.mhs.com/MHS-Assessment?prodname=cpt3


Overview

The Conners Continuous Performance Test Third Edition™ (Conners CPT 3™) measures attention-related problems in individuals aged eight years and older. By indexing the respondent’s performance in areas of inattentiveness, impulsivity, sustained attention, and vigilance, the Conners CPT 3 can aid in the assessment of Attention-Deficit/Hyperactive Disorder (ADHD) and other neurological conditions related to attention. The Conners CPT 3 provides objective information about an individual’s performance in attention tasks, complementing information obtained from rating scales such as the Conners 3®.


New Scores and Score Dimensions of Attention Measured:

    • Inattentiveness

    • Impulsivity

    • Sustained Attention

    • Vigilance

Key Areas Measured:

    • Inattentiveness

    • Impulsivity

    • Sustained Attention

    • Vigilance

Age: 8+

Administration Type: Self

Administration Time: 14 Minutes

Qualification Level: B

Parent (4-17 years)

Strengths and Difficulties Questionnaire (SDQ)

http://www.cebc4cw.org/assessment-tool/strengths-and-difficulties-questionnaire/


The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioural screening questionnaire about 3-16 year olds. It exists in several versions to meet the needs of researchers, clinicians and educationalists. Each version includes between one and three of the following components: 25 items on psychological attributes. All versions of the SDQ ask about 25 attributes, some positive and others negative.  These 25 items are divided between 5 scales:

1) emotional symptoms (5 items)

2) conduct problems (5 items)

3) hyperactivity/inattention (5 items)

4) peer relationship problems (5 items)

5) prosocial behaviour (5 items)


[1) to 4) added together generate a total difficulties score (based on 20 items)]


A two-sided version of the SDQ has the 25 items on strengths and difficulties on the front of the page and an impact supplement on the back. These extended versions of the SDQ ask whether the respondent thinks the young person has a problem, and if so, enquire further about chronicity, distress, social impairment, and burden to others.  This provides useful additional information for clinicians and researchers with an interest in psychiatric caseness and the determinants of service use (Goodman, 1999).


Target Population: Children between the ages of 2 to 17

Time to Administer: One sided version with 25 items, administration time approximately 5 minutes

Completed By: Parents and teachers


NOTE: As of June 2014 the authors have relabelled all SDQ questionnaires to be consistent in giving '4-17 years' as the age range of the standard SDQ (e.g. 4-17 years not 4-16 years) and giving '2-4 years' as the age range of the early-years SDQ (i.e. 2-4 years not 3/4 years). The content of the SDQs themselves is unchanged. They have relabelled the SDQs following evidence that the SDQ has good psychometric properties in 2-year-olds, and that the performance of the SDQ in 17-year-olds is similar to that in 15- and 16-year olds.

Parent (4-5 years)

Behavior Rating Inventory of Executive Function® – Preschool Version (BRIEF®-P)

https://www.parinc.com/Products/Pkey/26


BRIEF®-P

Behavior Rating Inventory of Executive Function®—Preschool Version

Gerard A. Gioia, PhD, Kimberly Andrews Espy, PhD, and Peter K. Isquith, PhD

Purpose: Assesses executive functioning in preschool-aged children

Format: Paper and pencil, Online administration and scoring via PARiConnect, Software

Age range: 2 years to 5 years, 11 months

Time: Approximately 10-15 minutes to administer; 15-20 minutes to score

Qualification level: B


The BRIEF-P is the first standardized rating scale designed to specifically measure the range of executive function in preschool-aged children.

Features and benefits

  • Measures multiple aspects of executive functioning; scales include Inhibit, Shift, Emotional Control, Working Memory, and Plan/Organize.

  • Useful in assessing preschool-aged children with such medical, acquired neurological, and developmental conditions as prematurity, emerging learning disabilities and attention disorders, language disorders, traumatic brain injuries, lead exposure, and pervasive developmental disorders/autism.

Test structure

  • A single Rating Form allows parents, teachers, and day care providers to rate a child’s executive functions within the context of his or her everyday environments—home and preschool.

  • Three broad indexes (Inhibitory Self-Control, Flexibility, and Emergent Metacognition), one composite score, and two validity scales (Inconsistency and Negativity) are provided.

Technical information

  • Normative data are based on child ratings from 460 parents and 302 teachers from urban, suburban, and rural areas, reflecting 1999 U.S. Census estimates for race/ethnicity, gender, socioeconomic status, and age.

  • Clinical samples included children with ADHD, prematurity, language disorders, and autism spectrum disorders, as well as a mixed clinical group.

  • Demonstrates high internal consistency reliability (.80-.95 for the parent sample and .90-.97 for the teacher sample) and moderate test-retest reliability (.78-.90 for the parent sample and .64-.94 for the teacher sample).

  • Demonstrates convergent and discriminant validity with other measures of inattention, hyperactivity-impulsivity, depression, atypicality, anxiety, and somatic complaints.

Parent (6-17 years)

Behavior Rating Inventory of Executive Function® (BRIEF®)

https://www.parinc.com/Products/Pkey/23


BRIEF®

Behavior Rating Inventory of Executive Function®

Gerard A. Gioia, PhD, Peter K. Isquith, PhD, Steven C. Guy, PhD, and Lauren Kenworthy, PhD

Purpose: Assesses impairment of executive function

Format: Paper and pencil, Online administration and scoring via PARiConnect

Age range: 5 years to 18 years

Time: 10-15 minutes to administer; 15-20 minutes to score

Qualification level: B


Assess executive function behaviors in the school and home environments with the BRIEF, a questionnaire developed for parents and teachers of school-age children. Designed to assess the abilities of a broad range of children and adolescents, the BRIEF is useful when working with children who have learning disabilities and attention disorders, traumatic brain injuries, lead exposure, pervasive developmental disorders, depression, and other developmental, neurological, psychiatric, and medical conditions.

Features and benefits

  • Provides multiple perspectives. The Parent and Teacher Forms of the BRIEF each contain 86 items that measure different aspects of executive function.

  • Specific normative data based on age and gender. Separate normative tables for parent and teacher forms provide T scores, percentiles, and 90% confidence intervals for four developmental age groups by gender of the child.

  • Nonoverlapping scales. Theoretically and statistically derived scales measure different aspects of a child or adolescent’s behavior, such as his or her ability to control impulses, move freely from one situation to the next, modulate responses, anticipate future events, and keep track of the effect of his or her behavior on others.

Test structure

  • Eight clinical scales (Inhibit, Shift, Emotional Control, Initiate, Working Memory, Plan/Organize, Organization of Materials, Monitor) and two validity scales (Inconsistency and Negativity) give the clinician a well-rounded picture of the behavior of the child or adolescent being rated.

  • The clinical scales form two broader Indexes (Behavioral Regulation and Metacognition) and an overall score, the Global Executive Composite.

  • The Working Memory and Inhibit scales differentiate among ADHD subtypes.

Technical information

  • Normative data are based on child ratings from 1,419 parents and 720 teachers from rural, suburban, and urban areas.

  • The clinical sample included children with developmental disorders or acquired neurological disorders (e.g., reading disorder, ADHD subtypes, traumatic brain injury, Tourette’s disorder, mental retardation, localized brain lesions, high functioning autism).

  • High internal consistency (αs = .80-.98) and test-retest reliability (rs = .82 for parents, .88 for teachers) were found.



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