Department of Physical Therapy and Human Movement Science and Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Kennedy Research Center on Intellectual and Neurodevelopmental Disabilities, Chicago, IL, USA.
Dev Med Child Neurol. 2021 Mar;63(3):349-354. doi: 10.1111/dmcn.14737. Epub 2020 Nov 18.
To determine the concurrent validity of the Warner Initial Developmental Evaluation of Adaptive and Functional Skills (WIDEA-FS), a criterion-specified questionnaire that assesses a child's adaptive skills in everyday contexts, and the Bayley Infant and Toddler Scales of Development, Third Edition (Bayley-III).
In a prospective cohort study, 431 WIDEA-FS and Bayley-III assessments were completed among 341 children, aged 10 to 36 months corrected age (158 females, 183 males; median [interquartile range] gestational age at birth 32wks [29-38]), monitored in a high-risk neonatal intensive care unit follow-up clinic.
WIDEA-FS scores were significantly associated with Bayley-III scores in all domains. Lower scores on the WIDEA-FS were significantly associated with an increased risk of adverse developmental performance on all Bayley-III scales. The association was strongest for motor and language Bayley-III scores when tested at <30 months of age, and for cognitive Bayley-III scores when tested at ≥30 months of age.
The WIDEA-FS has concurrent validity with the Bayley-III and may be a useful tool in high-risk follow-up settings.
WIDEA-FS mobility, communication, and social cognition domains are concurrently valid in infants at high-risk for neurodevelopmental disability. Bayley-III motor, language, and cognitive composite scores are concurrently valid in the same group. The WIDEA-FS mobility and communication domains may be most clinically useful in children <30 months.
确定 Warner 初始发展性适应和功能技能评估（WIDEA-FS）与贝利婴幼儿发育量表第三版（Bayley-III）的同时效度。WIDEA-FS 是一种基于标准的问卷，用于评估儿童在日常环境中的适应技能，而 Bayley-III 则评估儿童的发育情况。
在一项前瞻性队列研究中，对 341 名 10 至 36 个月矫正年龄（158 名女性，183 名男性；中位[四分位间距]出生时的胎龄为 32 周[29-38 周]）的高危新生儿重症监护病房随访诊所的儿童进行了 431 次 WIDEA-FS 和 Bayley-III 评估。
WIDEA-FS 评分与所有领域的 Bayley-III 评分均显著相关。WIDEA-FS 得分较低与所有 Bayley-III 量表的发育不良风险增加显著相关。当在<30 个月时测试时，与运动和语言 Bayley-III 评分的关联最强，而当在≥30 个月时测试时，与认知 Bayley-III 评分的关联最强。
WIDEA-FS 与 Bayley-III 具有同时效度，可能是高危随访环境中的有用工具。
WIDEA-FS 的移动性、沟通和社会认知领域在神经发育障碍风险高的婴儿中具有同时效度。Bayley-III 运动、语言和认知综合评分在同一组中具有同时效度。WIDEA-FS 的移动性和沟通领域在<30 个月的儿童中可能最具临床意义。
