Att 3a - Behavior Rating Inventory Of Executive Functioning 2nd Edition (BRIEF-2)_4-2-25

Att 3a - Behavior Rating Inventory Of Executive Functioning 2nd Edition (BRIEF-2)_4-2-25.pdf

[NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study

Att 3a - Behavior Rating Inventory Of Executive Functioning 2nd Edition (BRIEF-2)_4-2-25

OMB: 0920-1392

Document [pdf]

Download: pdf | pdf

Confidential

Study to Explore Early Development (SEED)
Page 1

Behavior Rating Inventory of Executive Function - 2
(BRIEF-2)
Family ID:

Survey Link:

Online Survey Flag:

Preferred Language / Idioma preferido:

__________________________________

__________________________________
English / Inglés
Spanish / Español

Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2)
Parent Form
Instructions
On the following pages is a list of statements that describe children. We would like to know if your child has
had problems with these behaviors over the past 6 months. Please answer all the items the best that you can. Please
DO NOT SKIP ANY ITEMS. Think about your child as you read each statement and select:
N if the behavior is Never a problem
S if the behavior is Sometimes a problem
O if the behavior is Often a problem
For example, if your child never has trouble completing homework on time, you would select N for this item. Before
sex
you begin answering the items, please fill in your child's gender and your relationship to the child.
Adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc. (PAR),
16204 North Florida Avenue, Lutz, Florida 33549, from the Behavior Rating Inventory of Executive Function, Second
Edition by Gerard A. Gioia, PhD, Peter K. Isquith, PhD, Steven C. Guy, PhD, and Lauren Kenworthy, PhD, Copyright
1996, 1998, 2000, 2015 by PAR. Further reproduction is prohibited without permission from PAR.
Child's Sex:

04/02/2025 11:21am

Female
Male

projectredcap.org

Confidential
Page 2

N = Never S = Sometimes O = Often
1. Is fidgety ______
2. Resists or has trouble accepting a different way to solve a problem with schoolwork, friends, tasks, etc. ______
3. When given three things to do, remembers only the first or last ______
4. Is unaware of how his/her behavior affects or bothers others ______
5. Work is sloppy ______
6. Has explosive, angry outbursts ______
7. Does not plan ahead for school assignments ______
8. Cannot find things in room or school desk ______
9. Is not a self-starter ______
10. Does not think before doing (is impulsive) ______
11. Has trouble getting used to new situations (classes, groups, friends, etc.) ______
12. Has a short attention span ______
13. Has poor understanding of own strengths and weaknesses ______
14. Has outbursts for little reason ______
15. Gets caught up in details and misses the big picture ______
16. Gets out of control more than friends ______
17. Gets stuck on one topic or activity ______
18. Forgets his/her name ______
19. Has trouble with chores or tasks that have more than one step ______
20. Does not realize that certain actions bother others ______
21. Written work is poorly organized ______
22. Small events trigger big reactions ______
23. Has good ideas but does not get the job done (lacks follow-through) ______
24. Talks at the wrong time ______
25. Has trouble finishing tasks (chores, homework, etc.) ______
26. Does not notice when his/her behavior causes negative reactions ______
27. Reacts more strongly to situations than other children ______
28. Has trouble remembering things, even for a few minutes ______
29. Makes careless errors ______
30. Gets out of seat at the wrong times ______
31. Becomes upset with new situations ______
32. Has trouble concentrating on tasks, schoolwork, etc. ______
N = Never S = Sometimes O = Often
33. Has poor handwriting ______
34. Mood changes frequently ______
35. Has good ideas but cannot get them on paper ______
36. Has trouble counting to three ______
37. Leaves messes that others have to clean up ______
38. Needs to be told to begin a task even when willing ______
39. Acts too wild or "out of control" ______
40. Thinks too much about the same topic ______
41. Forgets what he/she was doing ______
42. Does not check work for mistakes ______
43. Angry or tearful outbursts are intense but end suddenly ______
44. Becomes overwhelmed by large assignments ______
45. Loses lunch box, lunch money, permission slips, homework, etc. ______
46. Needs help from an adult to stay on task ______
47. Forgets to hand in homework, even when completed ______
48. Has trouble putting the brakes on his/her actions ______
49. Resists change of routine, foods, places, etc. ______
50. Has trouble getting started on homework or tasks ______
51. Mood is easily influenced by the situation ______
52. Underestimates time needed to finish tasks ______
53. Does not bring home homework, assignment sheets, materials, etc. ______
54. Cannot find the front door of home ______
55. Does not take initiative ______
56. Becomes upset too easily ______
57. Starts assignments or tasks at the last minute ______
58. Has trouble moving from one activity to another ______
59. Has trouble carrying out the actions needed to reach goals (saving money for special item, studying to get a
good grade, etc.) ______
60. Is disturbed by change of teacher or class ______
61. Has trouble organizing activities with friends ______
62. Becomes too silly ______
63. Leaves a trail of belongings wherever he/she goes ______
04/02/2025 11:21am

projectredcap.org

Confidential
Page 3

Date of Completion:

__________________________________

Inventario de Calificación de Comportamiento de la Función Ejecutiva, Segunda Edición
Formulario para padres
Instrucciones
En las siguientes páginas hay una lista de enunciados que describen a niños. Desearíamos saber si su hijo/a ha
tenido problemas con estas conductas en los últimos 6 meses. Responda todos los enunciados de la mejor manera
que pueda. NO SALTE NINGÚN ENUNCIADO. Piense en su hijo/a al leer cada enunciado y seleccione la mejor opción:
N si la conducta Nunca es un problema
A si la conducta A veces es un problema
F si la conducta Frecuentemente es un problema
Por ejemplo, si a su hijo/a nunca le resulta difícil completar sus deberes escolares a tiempo, debe seleccionar N
para esta declaración. Antes de comenzar a responder, complete el sexo del niño/a y relación con el/la niño/a.
Adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc. (PAR),
16204 North Florida Avenue, Lutz, Florida 33549, from the Behavior Rating Inventory of Executive Function, Second
Edition by Gerard A. Gioia, PhD, Peter K. Isquith, PhD, Steven C. Guy, PhD, and Lauren Kenworthy, PhD, Copyright
1996, 1998, 2000, 2015 by PAR. Further reproduction is prohibited without permission from PAR.
Sexo Infantil:

04/02/2025 11:21am

Masculino
Femenino

projectredcap.org

Confidential
Page 4

N = Nunca A = A veces F = Frecuentemente
1. Es inquieto/a ______
2. Se resiste o le resulta difícil aceptar una manera diferente de resolver un problema con los deberes escolares, los
amigos, las tareas, etc. ______
3. Cuando le dan tres cosas para hacer, solo recuerda la primera o la última ______
4. No se da cuenta de cómo su conducta afecta o molesta a los demás ______
5. El trabajo es descuidado ______
6. Tiene arrebatos explosivos, de ira ______
7. No planea los deberes escolares por adelantado ______
8. No puede encontrar cosas en su habitación o en el pupitre ______
9. No tiene iniciativa ______
10. No piensa antes de actuar (es impulsivo/a) ______
11. Le resulta difícil acostumbrarse a situaciones nuevas (clases, grupos, amigos, etc.) ______
12. Tiene poca capacidad de concentración ______
13. No conoce bien sus propias fortalezas y debilidades ______
14. Tiene arrebatos casi sin motivo ______
15. Queda atrapado/a en los detalles y pierde la visión general ______
16. Pierde el control más que sus amigos ______
17. Queda atascado/a en un tema o en una actividad ______
18. Olvida su nombre ______
19. Tiene problemas con los quehaceres domésticos o con las tareas que involucran más de un paso ______
20. No se da cuenta de que ciertas acciones molestan a los demás ______
21. El trabajo escrito está mal organizado ______
22. Acontecimientos insignificantes desencadenan reacciones exageradas ______
23. Tiene buenas ideas pero no termina las cosas (le falta seguimiento) ______
24. Habla en el momento inoportuno ______
25. Le resulta difícil terminar las tareas (quehaceres domésticos, deberes escolares, etc.) ______
26. No se da cuenta de cuándo su conducta provoca reacciones negativas ______
27. Reacciona con mayor intensidad que los demás niños frente a las situaciones ______
28. Le resulta difícil recordar cosas, incluso durante algunos minutos ______
29. Comete errores por descuido ______
30. Se levanta de su asiento cuando no debe hacerlo ______
31. Se fastidia con situaciones nuevas ______
32. Le resulta difícil concentrarse en las tareas, en los deberes escolares, etc. ______
N = Nunca A = A veces F = Frecuentemente
33. Tiene mala letra ______
34. Tiene cambios de humor frecuentes ______
35. Tiene buenas ideas pero no consigue ponerlas por escrito ______
36. Le resulta difícil contar hasta tres ______
37. Deja las cosas desordenadas y los demás las tienen que ordenar ______
38. Necesita que le indiquen que comience una tarea, aunque esté dispuesto/a a llevarla a cabo ______
39. Actúa demasiado desenfrenado/a o "fuera de control" ______
40. Piensa demasiado en el mismo tema ______
41. Se olvida de lo que estaba haciendo ______
42. No revisa el trabajo para comprobar si tiene errores ______
43. Los arrebatos de ira o de llanto son intensos pero finalizan bruscamente ______
44. Las tareas extensas lo/a abruman ______
45. Pierde la lonchera, el dinero para el almuerzo, autorizaciones y permisos, deberes escolares, etc. ______
46. Necesita ayuda de un adulto para mantenerse enfocado/a en su tarea ______
47. Olvida entregar sus deberes escolares, incluso cuando están terminados ______
48. Le resulta difícil poner freno a sus acciones ______
49. Se resiste al cambio de rutina, de alimentos, de lugares, etc. ______
50. Le resulta difícil comenzar deberes escolares o tareas ______
51. La situación influye en el estado de ánimo fácilmente ______
52. Subestima el tiempo necesario para finalizar las tareas ______
53. No trae a casa los deberes escolares, las hojas de tareas, los materiales, etc. ______
54. No puede encontrar la puerta de la casa ______
55. No toma la iniciativa ______
56. Se fastidia con demasiada facilidad ______
57. Comienza los trabajos o las tareas a último momento ______
58. Le resulta difícil pasar de una actividad a otra ______
59. Le resulta difícil llevar a cabo las acciones necesarias para alcanzar metas (ahorrar dinero para un artículo
especial, estudiar para obtener una buena calificación, etc.) ______
60. Un cambio de profesor o de clase lo/a perturban ______
61. Le resulta difícil organizar actividades con amigos ______
62. Hace muchas tonterías ______
63. Deja un reguero de objetos personales dondequiera que vaya ______
04/02/2025 11:21am

projectredcap.org

Confidential
Page 5

Fecha de finalización:

__________________________________

SCORING (Negativity, Infrequency and Inconsistency)
Negativity Scale Score:

Negativity Scale Classification

Infrequency Scale Score:

Infrequency Scale Classification

Inconsistency Scale Score:

Inconsistency Scale Classification

__________________________________
((range 0 to 8))

__________________________________
≤6 equals to Percentile ≤98 (Acceptable)
7 equals to Percentile 99 (Elevated)
≥8 equals to Percentile >99 (Highly elevated)

__________________________________
((range 0 to 3))

__________________________________
0 equals to Percentile 99 (Acceptable)
≥1 equals to >99 (Questionable)

__________________________________
((range 0 to 16))

__________________________________
(Inconsistency ≥11 (>99 percentile))
≤6 equals to Percentile ≤98 (Acceptable)
7-10 equals to Percentile 99 (Questionable)
≥11 equals to Percentile >99 (Inconsistent)

SUBTOTAL SCORING
Inhibit Subtotal (Items 33 - 63)

Inhibit Subtotal (Items 1 - 32)

Total Raw Score - Inhibit

Self-Monitor Subtotal (Items 1 - 32)

Shift Subtotal (Items 33 - 63)

04/02/2025 11:21am

__________________________________

projectredcap.org

Confidential
Page 6

Shift Subtotal (Items 1 - 32)

Total Raw Score - Shift

Emotional Control Subtotal (Items 33 - 63)

Emotional Control Subtotal (Items 1 - 32)

Total Raw Score - Emotional Control

Initiate Subtotal (Items 33 - 63)

Initiate Subtotal (Items 1 - 32)

Total Raw Score - Initiate

Working Memory Subtotal (Items 33 - 63)

Working Memory Subtotal (Items 1 - 32)

Total Raw Score - Working Memory

Plan/Organize Subtotal (Items 33 - 63)

Plan/Organize Subtotal (Items 1 - 32)

Total Raw Score - Plan/Organize

Task-Monitor Subtotal (Items 33 - 63)

Task-Monitor Subtotal (Items 1 - 32)

Total Raw Score - Task-Monitor

Organization of Materials Subtotal (Items 33 - 63)

04/02/2025 11:21am

__________________________________

projectredcap.org

Confidential
Page 7

Organization of Materials Subtotal (Items 1 - 32)

Total Raw Score - Organization of Materials

__________________________________

SCORING SUMMARY (BRI, ERI, CRI, GEC)
BRI (sum of Inhibit and Self-Monitor scores)

ERI (sum of Shift and Emotional Control scores)

CRI (sum of Initiate, Working Memory, Plan/Organize,
Task-Monitor, and Organization of Materials scores)
GEC (sum of BRI, ERI, and CRI)

__________________________________

SCORING IN SPANISH (Negativity, Infrequency and Inconsistency)
Negativity Scale Score (Spanish):

Negativity Scale Classification (Spanish)

Negativity Scale Percentile (Spanish)

Infrequency Scale Score (Spanish):

Infrequency Scale Classification (Spanish)

Infrequency Scale Percentile (Spanish)

Inconsistency Scale Score (Spanish):

Inconsistency Scale Classification (Spanish)

Inconsistency Scale Percentile (Spanish)

__________________________________
((range 0 to 8))

__________________________________
≤6 equals to Percentile ≤98 (Acceptable)
7 equals to Percentile 99 (Elevated)
≥8 equals to Percentile >99 (Highly elevated)

__________________________________
((range 0 to 3))

__________________________________
0 equals to Percentile 99 (Acceptable)
≥1 equals to >99 (Questionable)

__________________________________
((range 0 to 16))

SUBTOTALS SCORING IN SPANISH

04/02/2025 11:21am

projectredcap.org

Confidential
Page 8

Inhibit Subtotal (Items 33 - 63) (Spanish)

Inhibit Subtotal (Items 1 - 32) (Spanish)

Total Raw Score - Inhibit (Spanish)

Self-Monitor Subtotal (Items 1 - 32) (Spanish)

Shift Subtotal (Items 33 - 63) (Spanish)

Shift Subtotal (Items 1 - 32) (Spanish)

Total Raw Score - Shift (Spanish)

Emotional Control Subtotal (Items 33 - 63) (Spanish)

Emotional Control Subtotal (Items 1 - 32) (Spanish)

Total Raw Score - Emotional Control (Spanish)

Initiate Subtotal (Items 33 - 63) (Spanish)

Initiate Subtotal (Items 1 - 32) (Spanish)

Total Raw Score - Initiate (Spanish)

Working Memory Subtotal (Items 33 - 63) (Spanish)

Working Memory Subtotal (Items 1 - 32) (Spanish)

Total Raw Score - Working Memory (Spanish)

Plan/Organize Subtotal (Items 33 - 63) (Spanish)

Plan/Organize Subtotal (Items 1 - 32) (Spanish)

04/02/2025 11:21am

__________________________________

projectredcap.org

Confidential
Page 9

Total Raw Score - Plan/Organize (Spanish)

Task-Monitor Subtotal (Items 33 - 63) (Spanish)

Task-Monitor Subtotal (Items 1 - 32) (Spanish)

Total Raw Score - Task-Monitor (Spanish)

__________________________________

Organization of Materials Subtotal (Items 33 - 63)
(Spanish)

__________________________________

Organization of Materials Subtotal (Items 1 - 32)
(Spanish)

__________________________________

Total Raw Score - Organization of Materials (Spanish)

__________________________________

SCORING SUMMARY IN SPANISH (BRI, ERI, CRI, GEC)
BRI (sum of Inhibit and Self-Monitor scores) Spanish

ERI (sum of Shift and Emotional Control scores)
Spanish
CRI (sum of Initiate, Working Memory, Plan/Organize,
Task-Monitor, and Organization of Materials
scores) Spanish
GEC (sum of BRI, ERI, and CRI) Spanish

04/02/2025 11:21am

__________________________________

projectredcap.org

File Type	application/pdf
File Modified	2025-04-02
File Created	2025-04-02