Abstract
Background: Administration of the Einstein Neonatal Neurobehavioral Assessment Scale (ENNAS) can be time-consuming, and items can be highly correlated. We aimed to determine: (1) its factor analytic structure; (2) the validity of the factor structure; and (3) the associations of physiologic measures with factor scores. Methods: A factor analysis reduced 21 ENNAS items into 5 factors in 57 congenital heart disease (CHD) and 35 healthy infants. Multiple linear regressions examined the association of factor scores with group, gestational age, and physiologic variables. Results: 5-factor solution: 1 (Orienting Reflex), 2 (Extensor Axial Tone), 3 (Primitive Reflexes), 4 (Flexor Tone), 5 (Reflexive Tone Around Extremity Joints). Moderate to strong evidence supported: face, discriminant, and construct validity of these factors, with Factor 2 having the strongest. Conclusions: Components of Factor 2 may provide similar information about neonatal development, thus reducing the time for and burden of administration for researchers and clinicians.
Original language | English (US) |
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Pages (from-to) | 851-863 |
Number of pages | 13 |
Journal | Journal of child neurology |
Volume | 37 |
Issue number | 10-11 |
DOIs | |
State | Published - Oct 2022 |
Keywords
- congenital heart disease
- developmental outcomes
- Einstein Neonatal Neurobehavioral Assessment Scale
- factor analytic structure
- infants
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Neurology
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Factor Analysis of the Einstein Neonatal Neurobehavioral Assessment Scale in Infants with Congenital Heart Disease and Healthy Controls
Tran, N. N. (Creator), Desai, J. (Creator), Votava-Smith, J. K. (Creator), Brecht, M. (Creator), Vanderbilt, D. L. (Creator), Panigrahy, A. (Creator), Mackintosh, L. (Creator), Brady, K. M. (Creator) & Peterson, B. S. (Creator), SAGE Journals, 2022
DOI: 10.25384/sage.c.6134004.v1, https://sage.figshare.com/collections/Factor_Analysis_of_the_Einstein_Neonatal_Neurobehavioral_Assessment_Scale_in_Infants_with_Congenital_Heart_Disease_and_Healthy_Controls/6134004/1
Dataset
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sj-xlsx-7-jcn-10.1177_08830738221115982 - Supplemental material for Factor Analysis of the Einstein Neonatal Neurobehavioral Assessment Scale in Infants with Congenital Heart Disease and Healthy Controls
Tran, N. N. (Creator), Desai, J. (Creator), Votava-Smith, J. K. (Creator), Brecht, M. (Creator), Vanderbilt, D. L. (Creator), Panigrahy, A. (Creator), Mackintosh, L. (Creator), Brady, K. M. (Creator) & Peterson, B. S. (Creator), SAGE Journals, 2022
DOI: 10.25384/sage.20439477.v1, https://sage.figshare.com/articles/dataset/sj-xlsx-7-jcn-10_1177_08830738221115982_-_Supplemental_material_for_Factor_Analysis_of_the_Einstein_Neonatal_Neurobehavioral_Assessment_Scale_in_Infants_with_Congenital_Heart_Disease_and_Healthy_Controls/20439477/1
Dataset