Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, USA.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clin Neuropsychol. 2020 Jan;34(1):243-258. doi: 10.1080/13854046.2019.1571634. Epub 2019 Feb 16.
The BRIEF2 is the recent revision of a frequently employed measure of executive behaviors; however, no research has yet addressed the validity of the new measure's theoretical design. The present study examined the factor structure of the BRIEF2 in 5212 clinically referred youth (66% male, 5-18 years) via exploratory (EFA) and confirmatory (CFA) factor analyses of item-level responses. Results from the EFA suggested the BRIEF2 has fewer factors than would be suggested by the nine theoretically derived scales. While the theoretical CFA model, that omitted item-level information, demonstrated the best fit, when the item-level information was employed there was a decrement in model fit statistics and several extremely high loadings suggested scale-level redundancy in measurement. When the scales were omitted, and the items were loaded directly onto the indices, there was very little change in item-level factor loadings. Findings suggest fewer than nine scales are needed and that clinical interpretation of the BRIEF2 may be more appropriate at the index, rather than scale, level.
BRIEF2 是一种常用于评估执行功能行为的工具的最新修订版;然而,目前尚无研究探讨新测量工具的理论设计的有效性。本研究通过对 5212 名临床转介青少年(66%为男性,年龄 5-18 岁)进行项目水平反应的探索性(EFA)和验证性(CFA)因子分析,检验了 BRIEF2 的因子结构。EFA 的结果表明,BRIEF2 的因子数量少于九个理论上推导出来的量表所建议的数量。虽然理论 CFA 模型,即省略项目水平信息,表现出最佳的拟合度,但当使用项目水平信息时,模型拟合统计数据会下降,并且几个极高的负荷表明在测量中存在量表水平的冗余。当省略量表,将项目直接加载到指标上时,项目水平因子负荷几乎没有变化。研究结果表明,需要的量表数量少于九个,并且临床解释 BRIEF2 可能更适合在指标水平,而不是量表水平。