Measuring family outcomes for young autistic children receiving interventions in China: The structure of the Family Outcomes Survey and predicting variables.

LAY ABSTRACT: Efforts to measure, document, and monitor family outcomes can be helpful to practitioners in developing and delivering effective and sustainable interventions. Researchers have developed the Family Outcomes Survey, Form A, for measuring the outcomes experienced by families of children in the early intervention/early childhood special education system. Little has been reported on how well the five outcomes on the Family Outcomes Survey, Form A describe the experiences and expectations of families of autistic children in China. We conducted a survey using the Family Outcomes Survey, Form A, Chinese version with 467 caregivers of young autistic children in China. First, the five-outcome structure of the Family Outcomes Survey, Form A seemed to be appropriate for measuring family outcomes of autistic children in China. We also found that the Chinese caregivers of autistic children seemed to give general lower ratings on all five outcomes on the Family Outcomes Survey, Form A as compared to caregivers of children in early intervention/early childhood special education in Western countries like the United States and Australia. Furthermore, caregivers' ratings on the five Family Outcomes Survey, Form A outcomes seemed to be related to their educational attainment, employment status, family income level, and how much time caregivers spent with their autistic child. This study supported the use of the Family Outcomes Survey, Form A, Chinese version with families of autistic children in China. We also discussed how the coronavirus disease 2019 pandemic could have impacted the family outcomes as reported by the Chinese caregivers.

Screening for executive function difficulties: An evaluation of the Behavior Rating Inventory of Executive Function-2nd Edition Screener, Teacher Report (BRIEF2-TS).

Executive functions (EFs) correlate positively with many developmental outcomes, and ecologically valid measures of EFs may be more predictive of some outcomes than performance-based measures. Accordingly, there is a need to evaluate short EF rating scales, such as the Behavior Rating Inventory of Executive Function-2nd Edition Screener, Teacher Report (BRIEF2-TS). Data from 1,322 kindergarten children in Singapore (50% girls; 61.3% Chinese, 10.6% Malay, 16.3% Indian, 4.0% other ethnicity, and 7.8% did not report their ethnicity), followed for 3 years, were used to examine the multilevel factor structure, gender and longitudinal invariance, reliability, and concurrent and predictive validity of BRIEF2-TS scores. Results indicated a two-factor within-level structure (11 items; cognitive and emotional-behavioral regulation) that was at least partially invariant across gender and time. Concurrent validity with direct EF measures and ratings of self-regulation, and predictive validity for socioemotional and academic skills were good. Overall, BRIEF2-TS scores showed evidence for good validity and reliability. Future research should consider correlates of the between-level structure and further consider structure and validity in clinical samples. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Validation of the Child Behavior Rating Scale (CBRS) using multilevel factor analysis.

Behavioral regulation supports children to control their cognitive and emotional skills and participate fully in classroom learning and interactions. Teacher ratings are frequently used to collect data but are highly susceptible to the teacher's response bias, meaning much child level variance is attributable to the teacher level. Multilevel modeling techniques are commonly used to assess the psychometric properties of measures at different levels by disaggregating within- and between-teacher variation in student behaviors. In this study, we attempt to identify the factor structure at each level using teacher ratings on the Child Behavior Rating Scale (CBRS). The sample of 1,375 preschool children (49.2% males) was drawn from a longitudinal study in Singapore. The teacher ratings of these children were collected at three time points (average age at Time 1 was 58.5 months, Time 2 was 69.8 months, and Time 3 was 80.9 months). Using multilevel exploratory and confirmatory factor analyses, a three-factor model at the within level and a two-factor model at the between level best fit the data. At the within level, the three factors were identified as basic interpersonal skills, advanced interpersonal skills, and learning-related social skills. The three factors showed good internal consistency and differential correlates. The two factors at the between level may be related to teacher and classroom characteristics. This study provides empirical support for (a) differential factor structures of CBRS at the within and between levels; and (b) two distinct interpersonal skills. Future studies should aim at exploring the sources of between level variability. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Construct validity of the Family Outcomes Survey - Revised expanded helpfulness scale.

BACKGROUND: With family centred practice as one of the tenets in early childhood intervention (ECI), it is important to understand family outcomes as a means of assessing the effectiveness of ECI services. AIMS: The present paper investigates the psychometric properties of an expanded measure of caregivers' perceptions of helpfulness of ECI services, the Family Outcomes Survey - Revised, Expanded Part B (FOS-RE B). METHODS AND PROCEDURES: Two-hundred and forty-six caregivers of children enrolled in an ECI programme in Singapore completed the FOS-RE B, as well as convergent validity measures (FOS-R Part A, Depression, Stress and Anxiety Scale and questions addressing perceptions of family situation and optimism for the child's future). Confirmatory factor analysis was used to examine the factor structure of the FOS-RE B and correlations were used to examine convergent validity. OUTCOMES AND RESULTS: The factor structure of the FOS-RE B was found to mirror the structure of the FOS-R A, as hypothesized. Evidence for convergent validity, in the form of correlations with family well-being measures was found, as well as evidence for good internal consistency reliability. CONCLUSIONS AND IMPLICATIONS: It is concluded that the FOS-RE B presents a promising measure of perceived helpfulness of ECI services.