PMID- 24423629 OWN - NLM STAT- MEDLINE DCOM- 20141021 LR - 20240213 IS - 1532-2130 (Electronic) IS - 1090-3798 (Print) IS - 1090-3798 (Linking) VI - 18 IP - 2 DP - 2014 Mar TI - Validity of US norms for the Bayley Scales of Infant Development-III in Malawian children. PG - 223-30 LID - S1090-3798(13)00203-1 [pii] LID - 10.1016/j.ejpn.2013.11.011 [doi] AB - OBJECTIVE: Most psychometric tests originate from Europe and North America and have not been validated in other populations. We assessed the validity of United States (US)-based norms for the Bayley Scales of Infant and Toddler Development-III (BSID-III), a neurodevelopmental tool developed for and commonly used in the US, in Malawian children. METHODS: We constructed BSID-III norms for cognitive, fine motor (FM), gross motor (GM), expressive communication (EC) and receptive communication (RC) subtests using 5173 tests scores in 167 healthy Malawian children. Norms were generated using Generalized Additive Models for location, scale and shape, with age modeled continuously. Standard z-scores were used to classify neurodevelopmental delay. Weighted kappa statistics were used to compare the classification of neurological development using US-based and Malawian norms. RESULTS: For all subtests, the mean raw scores in Malawian children were higher than the US normative scores at younger ages (approximately <6 months) after which the mean curves crossed and the US normative mean exceeded that of the Malawian sample and the age at which the curves crossed differed by subtest. Weighted kappa statistics for agreement between US and Malawian norms were 0.45 for cognitive, 0.48 for FM, 0.57 for GM, 0.50 for EC, and 0.44 for RC. CONCLUSION: We demonstrate that population reference curves for the BSID-III differ depending on the origin of the population. Reliance on US norm-based standardized scores resulted in misclassification of the neurological development of Malawian children, with the greatest potential for bias in the measurement of cognitive and language skills. CI - Copyright (c) 2013 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved. FAU - Cromwell, Elizabeth A AU - Cromwell EA AD - Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA. Electronic address: elizabeth.cromwell@unc.edu. FAU - Dube, Queen AU - Dube Q AD - Malawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi; Department of Pediatrics & Child Health, Queen Elizabeth Central Hospital, Blantyre, Malawi. Electronic address: qdube@mlw.medcol.mw. FAU - Cole, Stephen R AU - Cole SR AD - Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA. Electronic address: cole@unc.edu. FAU - Chirambo, Chawanangwa AU - Chirambo C AD - Malawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi. Electronic address: mahebere@yahoo.co.uk. FAU - Dow, Anna E AU - Dow AE AD - Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA. Electronic address: adow@email.unc.edu. FAU - Heyderman, Robert S AU - Heyderman RS AD - Malawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi. Electronic address: r.heyderman@liverpool.ac.uk. FAU - Van Rie, Annelies AU - Van Rie A AD - Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA. Electronic address: vanrie@email.unc.edu. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - 100890/WT_/Wellcome Trust/United Kingdom GR - 101113/WT_/Wellcome Trust/United Kingdom GR - R01 HD053216/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20131231 PL - England TA - Eur J Paediatr Neurol JT - European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society JID - 9715169 SB - IM MH - Child MH - Child Development MH - Child, Preschool MH - Developmental Disabilities/*diagnosis MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Malawi MH - Male MH - Psychometrics/*standards MH - Reference Values MH - United States PMC - PMC4019333 MID - NIHMS552868 OTO - NOTNLM OT - Child development OT - Cross-cultural testing bias OT - Testing norms COIS- Conflict of Interest: All authors have no conflict of interest to disclose. EDAT- 2014/01/16 06:00 MHDA- 2014/10/22 06:00 PMCR- 2015/03/01 CRDT- 2014/01/16 06:00 PHST- 2013/07/25 00:00 [received] PHST- 2013/11/21 00:00 [revised] PHST- 2013/11/24 00:00 [accepted] PHST- 2014/01/16 06:00 [entrez] PHST- 2014/01/16 06:00 [pubmed] PHST- 2014/10/22 06:00 [medline] PHST- 2015/03/01 00:00 [pmc-release] AID - S1090-3798(13)00203-1 [pii] AID - 10.1016/j.ejpn.2013.11.011 [doi] PST - ppublish SO - Eur J Paediatr Neurol. 2014 Mar;18(2):223-30. doi: 10.1016/j.ejpn.2013.11.011. Epub 2013 Dec 31.