Willoughby Michael T, Magnus Brooke, Vernon-Feagans Lynne, Blair Clancy B
1 RTI International, Research Triangle Park, NC, USA.
2 University of North Carolina at Chapel Hill, USA.
J Learn Disabil. 2017 Jul/Aug;50(4):359-372. doi: 10.1177/0022219415619754. Epub 2016 Jan 11.
Substantial evidence has established that individual differences in executive function (EF) in early childhood are uniquely predictive of children's academic readiness at school entry. The current study tested whether growth trajectories of EF across the early childhood period could be used to identify a subset of children who were at pronounced risk for academic impairment in kindergarten. Using data that were collected at the age 3, 4, and 5 home assessments in the Family Life Project ( N = 1,120), growth mixture models were used to identify 9% of children who exhibited impaired EF performance (i.e., persistently low levels of EF that did not show expected improvements across time). Compared to children who exhibited typical trajectories of EF, the delayed group exhibited substantial impairments in multiple indicators of academic readiness in kindergarten (Cohen's ds = 0.9-2.7; odds ratios = 9.8-23.8). Although reduced in magnitude following control for a range of socioeconomic and cognitive (general intelligence screener, receptive vocabulary) covariates, moderate-sized group differences remained (Cohen's ds = 0.2-2.4; odds ratios = 3.9-5.4). Results are discussed with respect to the use of repeated measures of EF as a method of early identification, as well as the resulting translational implications of doing so.
大量证据表明,幼儿期执行功能(EF)的个体差异对儿童入学时的学业准备情况具有独特的预测作用。本研究测试了幼儿期EF的发展轨迹是否可用于识别一组在幼儿园有明显学业受损风险的儿童。利用家庭生活项目中在3岁、4岁和5岁时进行的家庭评估收集的数据(N = 1120),生长混合模型被用于识别9%执行功能表现受损的儿童(即EF水平持续较低且未随时间显示出预期改善)。与表现出典型EF轨迹的儿童相比,延迟组在幼儿园学业准备的多个指标上表现出明显受损(科恩d值 = 0.9 - 2.7;优势比 = 9.8 - 23.8)。尽管在控制了一系列社会经济和认知(一般智力筛查、接受性词汇)协变量后差异幅度有所减小,但中等规模的组间差异仍然存在(科恩d值 = 0.2 - 2.4;优势比 = 3.9 - 5.4)。讨论了将重复测量EF作为一种早期识别方法的应用,以及这样做所产生的转化意义。