Accommodating the Bayley-III for motor and/or visual impairment: a comparative pilot study

Pediatr Phys Ther. 2014 Spring;26(1):57-67. doi: 10.1097/PEP.0000000000000004.

Abstract

Purpose: This study assessed the validity and usefulness of the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) Low Motor/Vision accommodated version. Accommodations are adaptations to minimize impairment bias, without altering what the test measures. Of the items, 66% have Low Motor accommodations like enlarged materials; 62% have Low Vision accommodations.

Methods: Using a within-subject design, we tested 19 children with the accommodated and standard Bayley-III, in a randomly counterbalanced order. The children had motor and/or visual impairment and a chronological age between 22 and 90 months. The test administrators completed an evaluation form.

Results: A subgroup of children benefited from the accommodations; 2 children obtained a large raw score difference. Test administrators considered the accommodations as practical, and advantageous for most children.

Conclusion: The Low Motor/Vision accommodated version seems to validly assess the development of this population. Future, larger-scale research should study whether the accommodations improve the construct validity of the Bayley-III.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child Development / physiology*
  • Child, Preschool
  • Developmental Disabilities / diagnosis*
  • Disabled Children / rehabilitation*
  • Disabled Persons / rehabilitation*
  • Female
  • Humans
  • Infant
  • Male
  • Physical Therapy Modalities*
  • Pilot Projects
  • Reproducibility of Results
  • Visually Impaired Persons / rehabilitation