Complementary assessments of executive function in preterm and full-term preschoolers
Open accessAbstract
Executive functions (EFs) are interrelated cognitive processes that have been studied in relation to behavior, attention, academic achievement, and developmental disorders. Studies of EF skills assessed through parent report and performance-based measures show correlations between them ranging from none to modest. Few studies have examined the relationship between EF skills measured through parent report and performance-based measures in relation to adaptive function. The present study included preschool children born preterm as a population at high risk for EF impairments. Preschool children (N = 149) completed a battery of EF tasks that assess working memory, response inhibition, idea generation, and attention shifting or cognitive flexibility. Parents reported on children's EF and adaptive skills. Preterm children showed more parent-rated and performance-based EF impairments than did full-term children. The combined use of either parent report or performance-based measures resulted in the identification of a large number of children at risk for EF impairment, especially in the preterm group. Both parent report and performance-based EF measures were associated with children's adaptive function. EF skills are measurable in young child'ren, and we suggest that EF skills may serve as targets for intervention to improve functional outcomes. We recommend the use of both parent report and performance-based measures to characterize children's EF profiles and to customize treatment.
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- Findingown data
Preschoolers born preterm had higher parent-rated executive function problems than full-term peers across all BRIEF-P scores.
“Preterm children showed more parent-rated and performance-based EF impairments than did full term children.”
- Also stated in: § Parent-Rated EF · hedged
“the preterm group compared to full term group had significantly higher scores, indicating more EF problems, for all BRIEF-P scores, including the GEC, indexes, and scales.”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Also stated in: § Parent-Rated EF · hedged
- Findingown data
A greater proportion of preterm children, 26%, than full-term children, 4%, had poor performance on three to five executive function tasks versus good performance on zero to two tasks.
“There was a significantly greater proportion of preterm children (n = 18 or 26%) than full term children (n = 3 or 4%) with poor performance (defined as poor performance on 3-, 4-, and 5- tasks) compared to good performance (defined as poor performance on 0, 1-, and 2- tasks), X2(1) = 14.7, p < .001.”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The BRIEF-P GEC showed small but statistically significant correlations with the 6-boxes and verbal fluency tasks.
“The GEC showed small, but statistically significant correlations with the 6-boxes and verbal fluency tasks.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Maternal education was a significant covariate only for the 6-boxes task.
“Maternal education was a significant covariate only for 6-boxes, F(1, 142) = 4.1, p = .046.”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The total variance explained in adaptive function by maternal education, performance-based executive function, and parent-rated executive function was 33.4%.
“The total variance explained increased significantly to 33.4% with overall F(3, 129) = 21.6, p < .001, R2 = .334.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The preterm group scored almost one standard deviation lower than the full-term group on the Vineland Adaptive Behavior Composite.
“the preterm group (M = 96.8, SE 1.6) scored almost one standard deviation lower than the full term group (M = 111, SE 1.3), t(133) = 6.91, p < .001.”
Quote in the paperNot a substantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Male sex predicted greater odds of failing the gift wrap task, with an odds ratio of 2.89 and 95% confidence interval 1.29 to 6.48.
“were boys (OR: 2.89; 95% CI 1.29–6.48)”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
There was no difference between preterm and full-term children in the proportion able to sort by the first card sort dimension.
“For the card sort task, there were no differences in the proportion of preterm compared to full term children who were able to sort by the first dimension”
Quote in the paperNot a substantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Younger age predicted greater odds of failing the gift wrap task, with b = −.793, SE .28, p = .005.
“or younger in age (b = −.793, SE .28, p = .005)”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The flexibility index was correlated with the 6-boxes and bird/dragon tasks.
“the flexibility index (FI) was correlated with the 6-boxes and bird/dragon tasks”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Preterm group membership predicted greater odds of failing the gift wrap task, with an odds ratio of 3.1 and 95% confidence interval 1.4 to 6.96.
“Children were more likely to fail the gift wrap task (or peek) if they belonged to the preterm group (OR: 3.1; 95% CI 1.4–6.96)”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
A larger proportion of preterm children failed the gift wrap task than full-term children, 43% versus 23%.
“A larger proportion of preterm children failed the gift wrap task compared to full term (43% vs. 23%).”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Preterm group membership predicted greater odds of failing the second card sort dimension, with an odds ratio of 3.0 and 95% confidence interval 1.38 to 6.35.
“the preterm group was significantly more likely to fail (OR: 3.0; 95% CI 1.38–6.35)”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The preterm group had more children in poor performance categories on the performance-based executive function measures overall.
“The preterm group had more children in poor performance categories than the full term group, overall X2(5) = 22.7, p < .001.”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The emergent metacognition index was correlated with the 6-boxes, bird/dragon, and verbal fluency tasks.
“the emergent metacognition index (EMI) was correlated with the 6-boxes, bird/dragon, and verbal fluency tasks.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Preterm children had significantly lower average z-scores across five executive function tasks than full-term children.
“preterm children (M = −.825, SE .12) had significantly lower z-scores than full term (M = −.0036, SE .058), t(99) = 6.0, p < .001.”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The inhibitory self-control index was significantly correlated with the 6-boxes task.
“The inhibitory self-control index (ISCI) was significantly correlated with the 6-boxes task”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Performance-based executive function was related to overall child function, accounting for 19.2% of the variance after controlling for maternal education.
“Performance-based EF was related to overall child function, accounting for 19.2% of the variance, R2 change = .192, F change1, 130 = 31, p < .001.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The correlation between the BRIEF-P GEC and the average performance-based z-score was r = −.176, p = .034.
“The correlation between the GEC and average z-score was r = −.176, p = .034.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Maternal education was not significantly associated with the adaptive behavior composite in the hierarchical regression.
“maternal education was not significant (overall F(1, 131) = .073, p = .787, R2 = .001).”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Performance-based executive function measures had significant small to moderate correlations among all measures.
“For the performance-based EF measures, there were significant small to moderate correlations among all measures.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Using scales or tests approximately doubled sensitivity in identifying true positive cases compared with using scales or tests alone.
“However, the use of scales OR tests approximately doubled the sensitivity in identifying true positive cases over the use of scales or tests alone.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
The preterm and full-term groups differed significantly on all performance-based executive function tasks.
“There were significant differences between preterm and full term groups for all EF tasks.”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
No group-by-age interactions were found for any executive function task.
“There were no group-by-age interactions for any of the tasks: for 6-boxes, F(2, 142) = .63, p = .53; for bird/dragon, F(2, 141) = .36, p = .701; for day/night, F(2,140) = .234, p = .79; and for verbal fluency, F(2, 122) = .227, p = .797.”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Significantly more preterm children failed to sort by the second card sort dimension, 46% versus 20%.
“significantly more preterm children failed to sort by the second dimension (46% vs. 20%).”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
A greater proportion of preterm than full-term preschoolers had poor performance or impairment on all BRIEF-P outcomes except the Shift scale.
“A significantly greater proportion of the preterm compared to full term group had poor performance or impairment on all BRIEF-P outcomes, except for the Shift scale.”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Maternal education did not significantly predict failure on the gift wrap task.
“Maternal education was not significant (b = .347, SE .27, p = .204).”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Findingown data
Parent-report and direct executive function measures each explained unique variance in children's overall function, as measured by the Vineland Adaptive Behavior Composite.
“Another novel finding is that parent report and direct measures of EF both contributed unique variance to children’s overall function”
- Also stated in: § DISCUSSION · plain
“One novel finding from this study is that both performance-based and parent-rated EF contributed unique variance to overall child function, as measured by the Vineland Adaptive Behavior Composite score.”
Quote in the paperSubstantial claim - Also stated in: § DISCUSSION · plain
- Findingown data
For low adaptive function, performance tests alone produced the highest odds ratio, with a score one standard deviation below the mean linked to a 17.6-fold increase in likelihood of belonging to the low adaptive function group.
“The use of tests alone had the highest odds ratio—children with a z-score 1 SD below the mean were 17.6 times more likely to be in the low adaptive function group.”
Quote in the paperSubstantial claim - Findingown data
Parent-report and direct measures of executive function were significantly but only modestly correlated.
“We found significant, but modest correlations between parent report and direct measures of EF”
Quote in the paperSubstantial claim - Findingown data
Children born preterm displayed impairments across a broad range of executive function skills, whether measured by parent report or directly.
“We found that children born preterm showed impairments on a wide range of EF skills, whether based on parent report or measured directly.”
Quote in the paperSubstantial claim - Findingown data
Parent ratings identified a greater proportion of preterm children with impairment or poor performance on the GEC and all indexes than full-term children.
“Parent ratings of EF also identified a larger proportion with impairments or poor performance in the preterm group on the GEC and all indexes compared to the full term group.”
Quote in the paperSubstantial claim - Findingown data
When identifying low adaptive function, combining parent-rating scales and performance tests with an OR rule raised sensitivity above using either scales alone or tests alone.
“The use of scales OR tests increased the sensitivity in identifying true positive cases over the use of scales or tests alone.”
Quote in the paperSubstantial claim - Findingown data
A larger proportion of the full-term group than the preterm group was in the highest socioeconomic status category.
“compared to the preterm group, a larger proportion of the full term group was in the highest SES group.”
Quote in the paperNot a substantial claim - Findingown data
Applying an evidence-based clinical neuropsychological practice approach to these data showed that using scales or tests greatly increased sensitivity and odds ratio for detecting children in the at-risk preterm group.
“Applying these data in an “evidence-based clinical neuropsychological practice” approach as proposed by Chelune (Chelune, 2010) and Youngstrom (Youngstrom, 2012) showed that the use of scales or tests greatly increased the sensitivity and odds ratio in detecting children in the at-risk preterm group.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Chelune, 2010
Not checked in the free run.
- cites Youngstrom, 2012
Not checked in the free run.
- Findingown data
A parent-report composite executive function score correlated modestly but significantly with two performance-based tasks measuring working memory and verbal fluency.
“We found modest but statistically significant correlations between a parent-report composite score of EF and two performance-based EF tasks that assess working memory and verbal fluency.”
Quote in the paperSubstantial claim - Premisecitation
Sequelae of preterm birth include impairments in executive function and related domains.
“Sequelae of preterm birth include impairments in EF and related domains (Aarnoudse-Moens, Weisglas-Kuperus, Van Goudoever, & Oosterlaan, 2009; Aylward, 2005).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Aarnoudse-Moens, Weisglas-Kuperus, Van Goudoever, & Oosterlaan, 2009
Not checked in the free run.
- cites Aylward, 2005
Not checked in the free run.
- Premisecitation
Some studies find insignificant or modest correlations between parent ratings and performance-based measures of executive function.
“Some studies find insignificant (Mahone & Hoffman, 2007) or modest (Payne et al., 2011) correlations between parent ratings and performance-based measures of EF.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Mahone & Hoffman, 2007
Not checked in the free run.
- cites Payne et al., 2011
Not checked in the free run.
- Interpretationown data
The sample's high mean socioeconomic status may not represent the preterm and full-term population with lower socioeconomic status.
“The mean SES of the sample was high, consistent with the geographic area, and may not be representative of the preterm and full term population with lower SES.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Parent-rated executive function impairments occur across the full spectrum of preterm birth.
“Our study included children with a wider range of birth weight and gestational age than these studies, indicating that parent rated EF impairments occur across the spectrum of preterm birth.”
Quote in the paperSubstantial claim - Premisecitation
Damage may occur in several regions that subserve executive function, such as prefrontal and parietal lobes, cerebellum, and subcortical regions, as well as in connections among these regions.
“Damage may occur in several regions that subserve EF skills, such as prefrontal and parietal lobes, cerebellum, and subcortical regions, as well as in connections among these regions (Volpe, 2001, 2009; Woodward, Edgin, Thompson, & Inder, 2005).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Volpe, 2001, 2009
Not checked in the free run.
- cites Woodward, Edgin, Thompson, & Inder, 2005
Not checked in the free run.
- Interpretationreasoning
High socioeconomic status may have limited the study's ability to detect associations between socioeconomic status and outcomes.
“High SES may have limited the ability to identify associations of SES with outcomes.”
Quote in the paperNot a substantial claim - Premisecitation
A few structural MRI studies have found associations between white matter injury and executive function skills in preterm toddlers and preschoolers.
“A few studies using structural MRI have found associations between white matter injury and EF skills in preterm toddlers and preschoolers (Edgin et al., 2008; Woodward et al., 2011; Woodward et al., 2005).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Edgin et al., 2008
Not checked in the free run.
- cites Woodward et al., 2011
Not checked in the free run.
- cites Woodward et al., 2005
Not checked in the free run.
- Premisecitation
A computer-based working memory intervention for children born prematurely improved working memory at preschool age and in adolescence.
“A computer-based working memory intervention in children born prematurely resulted in working memory improvements at both preschool age (Grunewaldt, Lohaugen, Austeng, Brubakk, & Skranes, 2013) and adolescence (Lohaugen et al., 2011).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Grunewaldt, Lohaugen, Austeng, Brubakk, & Skranes, 2013
Not checked in the free run.
- cites Lohaugen et al., 2011
Not checked in the free run.
- Interpretationown data
Using either parent report or performance-based measures identified a large number of children at risk for executive function impairment, especially in the preterm group.
“The combined use of either parent report or performance-based measures resulted in identification of a large number of children at risk for EF impairment, especially in the preterm group.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Interpretationown data
Executive function skills are measurable in young children.
“EF skills are measurable in young children”
Quote in the paperSubstantial claim- Rests on an assumption: The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
- Interpretationown data
Using both measures identified additional children with executive function impairments who could be targeted for intervention.
“The use of both measures identified additional children with EF impairments that could be targeted for intervention.”
Quote in the paperSubstantial claim - Interpretationown data
Both parent-rated and performance-based executive function measures can serve as complementary assessments to characterize executive function skills in preschool children.
“Study results suggest that both parent-rated and performance-based EF measures can be used as complementary assessments to characterize the EF skills of preschool children.”
Quote in the paperSubstantial claim - Interpretationown data
At preschool age, a developmentally sensitive battery plus parent-report measures can identify children with executive function impairments.
“Our study suggests that at preschool age, using a developmentally sensitive battery and parent report measures can identify children with EF impairments.”
Quote in the paperSubstantial claim - Premisecitation
Children born preterm are at risk for executive function impairments partly on the basis of neural injury.
“Children born preterm are at risk for EF impairments, in part, on the basis of neural injury (Rose, Feldman, Jankowski, & Van Rossem, 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rose, Feldman, Jankowski, & Van Rossem, 2011
Not checked in the free run.
- Interpretationown data
Parent-report and direct executive function measures serve as complementary assessments.
“highlighting the importance of using both methods as complementary assessments.”
- Also stated in: § DISCUSSION · hedged
“these results also lend support to the use of both measures as complementary assessments in preterm children.”
Quote in the paperSubstantial claim - Also stated in: § DISCUSSION · hedged
- Study design and conductown data
There were no significant demographic differences between preterm and full-term groups completing the verbal fluency task compared with the larger study sample.
“There were no significant differences in demographic variables for preterm and full term groups completing the verbal fluency task compared to the larger study sample.”
Quote in the paperNot a substantial claim - Premisecitation
A parent-training intervention called Play and Learning Strategies for preterm children improved social, communication, and problem-solving outcomes.
“Another intervention approach in preterm children called Play and Learning Strategies focused on parent training to enhance parent responsiveness and parent-child interactions (Landry, Smith, Swank, & Guttentag, 2008); although EF skills were not directly targeted per se, outcomes included improvements in child outcomes of social, communication, and problem solving skills (Landry, Smith, & Swank,”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Landry, Smith, Swank, & Guttentag, 2008
Not checked in the free run.
- cites Landry, Smith, & Swank, 2006
Not checked in the free run.
- May combine two claims. 27
- Classified as probably not a substantial claim. 9
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataWhen performance-based and parent-rated executive function were entered simultaneously, they collectively explained 33.3% of variance in adaptive function in the second step, and total variance remained 33.4%.
“with EF measures contributing a collective 33.3% to the variance in outcome in the second step, R2 change = .333, F change2, 129 = 32.3, p < .001. The total variance explained was the same as the stepwise model above – 33.4% with overall F(3, 129) = 21.6, p < .001, R2 = .334.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataAll measures had low sensitivity and high specificity in detecting preterm group membership.
“All measures had low sensitivity and high specificity in detecting the condition of interest (preterm group membership).”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataBRIEF-P GEC and indexes were significantly correlated in expected directions, and BRIEF-P subscales were significantly correlated with each other, ranging from r = .48 to .84.
“For the BRIEF-P, the GEC and BRIEF-P indexes were significantly correlated in the expected directions. BRIEF-P subscales of Inhibit, Shift, Emotional Control, Working Memory, and Plan/Organize were significantly correlated with each other, ranging from r = .48 to .84, all p < .001.”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataUsing scales or tests had the highest odds ratio; children with a score 1 SD above or below the mean for either the GEC or the z-score were 26.5 times more likely to have preterm group membership.
“Use of scales OR tests also had the highest odds ratio—children with a score 1 SD above or below the mean for either the GEC or the z-score, respectively, were 26.5 times more likely to have the condition of interest.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataSex, age, and maternal education were not significant predictors of failure on the second dimension of the card sort task.
“sex (OR 1.46; 95% CI .691–3.1), age (b = −.442, SE .26, p = .08), and maternal education (b = −.438, SE .25, p = .08) were not significant.”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataIn the preterm group, 22 children had poor GEC scores, 26 had poor average z-scores, and 10 had poor performance on both measures.
“For the preterm group, 22 had poor performance on the GEC, 26 had poor performance based on average z-score, and 10 had poor performance on both measures.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataIn the full-term group, four children had poor GEC scores, two had poor average z-scores, and none had poor performance on both measures.
“For the full term group, only 4 children had poor performance on the GEC, 2 children had poor performance based on average z-score, and none had poor performance on both.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThere was a trend for an age-category main effect on the 6-boxes working memory task.
“There was a trend for main effect of age category for the working memory 6-boxes task, F(2, 142) = 2.6, p = .08.”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
The quote only partly states this claim.
Findingown dataParent ratings of executive function contributed an additional 14.1% of the variance in adaptive function after maternal education and performance-based executive function were accounted for.
“parent ratings of EF contributing an additional 14.1% of the variance, R2 change = .141, F change1, 129 = 27.3, p < .001.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataAge category had significant main effects on bird/dragon, day/night, and verbal fluency performance.
“There were significant main effects of age category for the EF tasks as follows: bird/dragon, F(2, 141) = 14.9; day/night, F(2, 140) = 10.1; and verbal fluency, F(2, 122) = 18.6, all p < .001.”
Quote in the paperNot a substantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
Findingown dataThe emergent metacognition index, made up of working memory and plan/organize subscales, correlated with three performance-based tasks, the largest number among the indexes.
“The emergent metacognition index, comprised of working memory and plan/organize subscales, correlated with three performance-based tasks.”
- Also stated in: § DISCUSSION · plain
“The correlations among scales and tests in our study showed that the emergent metacognition index, comprised of “cold” working memory and plan/organize subscales, correlated with the largest number of EF tests.”
Quote in the paperSubstantial claim- Also stated in: § DISCUSSION · plain
May combine two claims.
Findingown dataEven with the resources and service access associated with higher socioeconomic status, preterm children in the study showed executive function impairments and lower IQ than full-term children.
“Nonetheless, even with the resources and access to services accompanying higher SES, the preterm children in our study demonstrated impairments in EF and lower IQ compared to full term children.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPreterm children performed worse than full-term children on working memory, complex response inhibition, verbal fluency, simple response inhibition, and attention/task shifting.
“Preterm children showed poorer performance than full term children on measures of working memory, complex response inhibition, verbal fluency, simple response inhibition, and attention/task shifting.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWith a comprehensive battery of executive function tasks, the study found significant group differences on all tasks and age effects on most tasks.
“Using a comprehensive battery of EF tasks, we found significant group differences on all tasks and age effects for most tasks.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFor classifying preterm group membership, the ROC area under the curve was .717 for scales only, .754 for tests only, and .81 for a composite of scales and tests.
“The area under the curve associated with preterm group status using scales only was .717; for tests only, .754; and for composite scales and tests, .81.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSome children had poor performance on both parent-report and direct executive function measures, while others were impaired on only one type.
“although some children performed poorly on both measures, other children showed impaired performance on one or the other.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFor detecting low adaptive function, tests alone had the highest odds ratio, and using scales or tests increased sensitivity only marginally compared with tests alone.
“In contrast, the use of tests alone had the highest odds ratio in detecting children in the low adaptive function group, and the use of scales or tests increased the sensitivity only marginally compared to tests alone.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataOn the BRIEF-P, preterm children scored higher than full-term children on every scale and index, indicating more executive function problems.
“Using the BRIEF-P, scores on all scales and indexes were higher, indicating more EF problems, in the preterm compared to full term group.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataUsing both parent-rated and performance-based measures to identify poor performance found a small subset of children who were poor on both, while each measure also identified additional children who were poor on only one.
“Using the parent-rated and performance-based measures to identify poor performance resulted in identification of a small subset of children who performed poorly on both measures, but each measure also identified additional subjects with poor performance on one or the other.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFor classifying low adaptive function group membership, the ROC area under the curve was .781 for scales only, .829 for tests only, and .875 for a composite of scales and tests.
“The area under the curve associated with low adaptive function group status using scales only was .781; for tests only, .829; and for composite scales and tests, .875.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMean IQ scores were in the average range but significantly lower in the preterm group than in the full-term group.
“Mean IQ scores were in the average range, but significantly lower in the preterm compared to full term group.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExecutive function impairments are found in attention-deficit/hyperactivity disorder, autism, and learning disorders.
“EF impairments are found in several neurodevelopmental disorders, including attention-deficit/hyperactivity disorder (ADHD), autism, and learning disorders (Gathercole & Alloway, 2006; Gioia, Isquith, Kenworthy et al., 2002).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Gathercole & Alloway, 2006
Not checked in the free run.
- cites Gioia, Isquith, Kenworthy et al., 2002
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExecutive function skills have been linked to brain structures and neural networks in typical and atypical development.
“EF skills have been linked to brain structures and neural networks in several neuropsychological and neuroimaging studies of typical and atypical development (P. Anderson, 2002; Durston & Casey, 2006; Luna, Padmanabhan, & O’Hearn, 2010; Warren et al., 2013).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites P. Anderson, 2002
Not checked in the free run.
- cites Durston & Casey, 2006
Not checked in the free run.
- cites Luna, Padmanabhan, & O’Hearn, 2010
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataMissing data were present for the BRIEF-P, Vineland, and several executive function tasks, with counts varying by group and task.
“Data from the BRIEF-P was missing for 4 preterm children. Data from the Vineland was missing for 5 full term and 9 preterm subjects. Data were missing from the EF battery as follows: one preterm child for the bird/dragon task (would not play); one preterm and one full term for the day/night task (technical failure); 14 preterm and 6 full term for the verbal fluency task (change in testing protocol”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationDevelopmentally sensitive, performance-based executive function measures have been specifically designed for use in preschoolers.
“Developmentally sensitive, performance-based EF measures have been specifically designed for use in preschoolers (Carlson, 2005; Garon et al., 2008).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Carlson, 2005
Not checked in the free run.
- cites Garon et al., 2008
Not checked in the free run.
May combine two claims.
Interpretationown dataBoth parent-rated and performance-based executive function measures are ecologically valid.
“We believe that our findings suggest that both types of measures are ecologically valid, despite showing modest or limited correlations among individual EF constructs measured by parent ratings or direct observation.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningExecutive function skills may be targets for intervention to improve outcomes.
“Given the links between EF skills and other important functional outcomes, we suggest that EF skills may serve as targets for intervention to improve outcomes.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationStudies of typical and other clinical populations using parent ratings and performance-based measures show correlations between some but not all executive function constructs, and sometimes a parent rating for one construct correlates with a performance measure of a different construct.
“Studies of typical and other clinical populations that use parent ratings of EF and performance-based measures of EF show correlations between some, but not all EF constructs; in some cases, EF measurements correlate, but are not aligned, i.e., a parent-rating for one EF construct correlated with a performance-based measure of a different EF construct (P. Anderson, 2002; Payne, Hyman, Shores, &”
Quote in the paperSubstantial claim0 of 3 sources checked- cites P. Anderson, 2002
Not checked in the free run.
- cites Payne, Hyman, Shores, & North, 2011
Not checked in the free run.
- cites Toplak, Bucciarelli, Jain, & Tannock, 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExecutive function has been associated with attention, behavior, academic achievement, and social function.
“EF has been associated with other domains, including attention, behavior, academic achievement, and social function (Blair & Razza, 2007; Cameron et al., 2012; Diamantopoulou, Rydell, Thorell, & Bohlin, 2007; Ganesalingam et al., 2011).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Blair & Razza, 2007
Not checked in the free run.
- cites Cameron et al., 2012
Not checked in the free run.
- cites Diamantopoulou, Rydell, Thorell, & Bohlin, 2007
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll children were able to perform the 3-boxes control task.
“All children were able to perform the 3-boxes control task.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenControls were group-matched to children born preterm for age, gender, ethnicity, and race.
“Controls were group-matched to children born preterm for age, gender, ethnicity, and race.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationStudies of preschoolers and kindergartners born preterm find impairments in working memory, inhibitory control, and planning, switching, and attention.
“Studies of preschoolers and kindergartners born preterm find impairments in working memory (Baron, Kerns, Muller, Ahronovich, & Litman, 2012; Espy et al., 2002), inhibitory control (Baron et al., 2012; Edgin et al., 2008), and planning, switching and attention (P. J. Anderson, Doyle, & Group, 2004; Edgin et al., 2008; Woodward, Clark, Pritchard, Anderson, & Inder, 2011).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Baron, Kerns, Muller, Ahronovich, & Litman, 2012
Not checked in the free run.
- cites Espy et al., 2002
Not checked in the free run.
- cites Edgin et al., 2008
Not checked in the free run.
May combine two claims.
PremisecitationIn typical and clinical populations, executive function skills have been shown to correlate with academic performance, behavior problems or symptoms, social skills, and overall adaptive function.
“In typical and clinical populations, EF skills have been shown to correlate with academic performance, including reading and math (Blair & Razza, 2007; Cameron et al., 2012; Diamantopoulou et al., 2007; Jacobson et al., 2011), behavior problems/symptoms (Brocki, Eninger, Thorell, & Bohlin, 2010; Wahlstedt, Thorell, & Bohlin, 2008), social skills (Ganesalingam et al., 2011) and overall adaptive”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Blair & Razza, 2007
Not checked in the free run.
- cites Cameron et al., 2012
Not checked in the free run.
- cites Diamantopoulou et al., 2007
Not checked in the free run.
May combine two claims.
Interpretationown dataBoth parent report and performance-based executive function measures were associated with children's adaptive function.
“Both parent report and performance-based EF measures were associated with children’s adaptive function.”
Quote in the paperSubstantial claim- Rests on an assumption: Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
May combine two claims.
PremisecitationThe preterm brain is highly vulnerable to neonatal insults, and injuries such as periventricular hemorrhage, leukomalacia, and diffuse white matter injury likely contribute to multiple adverse outcomes.
“The preterm brain is highly vulnerable to insults in the neonatal period, and injuries, such as periventricular hemorrhage and leukomalacia and diffuse white matter injury, likely contribute to multiple adverse outcomes (Volpe, 2001, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Volpe, 2001, 2009
Not checked in the free run.
May combine two claims.
PremisecitationPreschool curricula targeting multiple executive function skills improved executive function and related pre-academic skills in low socioeconomic status children.
“Preschool curricula targeting multiple EF skills have shown improvements in EF (Bierman, Nix, Greenberg, Blair, & Domitrovich, 2008) and related pre-academic skills in low SES children (Diamond, Barnett, Thomas, & Munro, 2007).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Bierman, Nix, Greenberg, Blair, & Domitrovich, 2008
Not checked in the free run.
- cites Diamond, Barnett, Thomas, & Munro, 2007
Not checked in the free run.
The paper relies on this without support.
The lower mean IQ in the preterm group does not account for the observed preterm versus full-term differences in executive function.
“Mean IQ scores were in the average range, but significantly lower in the preterm compared to full term group.”
The paper relies on this without support.
Missing data from the BRIEF-P, Vineland, and executive function battery do not bias the reported group comparisons and associations.
“Data from the BRIEF-P was missing for 4 preterm children. Data from the Vineland was missing for 5 full term and 9 preterm subjects. Data were missing from the EF battery as follows: one preterm child for the bird/dragon task (would not play); one preterm and one full term for the day/night task (technical failure); 14 preterm and 6 full term for the verbal fluency task (change in testing protocol”
The paper relies on this without support.
Most high-risk infant follow-up programs do not follow children past the toddler years.
“Most high-risk infant follow-up programs do not follow children beyond the toddler years, despite adverse long-term outcomes.”
The paper relies on this without support.
Administering a standardized or research-oriented executive function battery in a general pediatric clinic is not feasible.
“In contrast, while the administration of a standardized or research oriented EF battery in the general pediatric clinic setting is not feasible, performance-based measures remain desirable in clarifying individual EF profiles, especially when designing or customizing treatment.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Performance-based and parent-rated measures of executive function contribute divergent but related information to the measurement of executive function ability.
“Previous research has demonstrated that performance-based and parent-rated measures of executive function contribute divergent but related information to the measurement of executive function ability [28].”
From Sensory processing in preterm preschoolers and its association with executive function (2015) · cites this paper as [28]
Parent-reported executive function is associated with adaptive function in this sample.
“We found that parent-reported executive function is associated with adaptive function; this is consistent with results of the larger study from which this sample is drawn [28].”
From Sensory processing in preterm preschoolers and its association with executive function (2015) · cites this paper as [28]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(2, 142) = 2.6reported p = .08 · recomputed p = .078
“F(2, 142) = 2.6, p = .08”
- ConsistentF(2, 142) = 0.63reported p = .53 · recomputed p = .534
“F(2, 142) = .63, p = .53”
- ConsistentF(2, 141) = 0.36reported p = .701 · recomputed p = .698
“F(2, 141) = .36, p = .701”
- ConsistentF(2, 140) = 0.234reported p = .79 · recomputed p = .792
“F(2,140) = .234, p = .79”
- ConsistentF(2, 122) = 0.227reported p = .797 · recomputed p = .797
“F(2, 122) = .227, p = .797”
- ConsistentF(1, 142) = 4.1reported p = .046 · recomputed p = .045
“F(1, 142) = 4.1, p = .046”
- ConsistentF(1, 141) = 1.3reported p = .27 · recomputed p = .256
“F(1, 141) = 1.3, p = .27”
- ConsistentF(1, 140) = 1.6reported p = .211 · recomputed p = .208
“F(1, 140) = 1.6, p = .211”
- ConsistentF(1, 122) = 2.4reported p = .126 · recomputed p = .124
“F(1, 122) = 2.4, p = .126”
- Consistentχ²(5) = 22.7reported p < .001 · recomputed p < .001
“X2(5) = 22.7, p < .001”
- Consistentχ²(1) = 14.7reported p < .001 · recomputed p < .001
“X2(1) = 14.7, p < .001”
- Consistentt(99) = 6reported p < .001 · recomputed p < .001
“t(99) = 6.0, p < .001”
- Consistentt(133) = 6.91reported p < .001 · recomputed p < .001
“t(133) = 6.91, p < .001”
- ConsistentF(1, 131) = 0.073reported p = .787 · recomputed p = .787
“F(1, 131) = .073, p = .787”
- ConsistentF(2, 130) = 15.5reported p < .001 · recomputed p < .001
“F(2, 130) = 15.5, p < .001”
- ConsistentF(3, 129) = 21.6reported p < .001 · recomputed p < .001
“F(3, 129) = 21.6, p < .001”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
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- Authors
- Loe, I. M., Chatav, M., & Alduncin, N.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Loe, Irene M.
- ORCID
- Loe, Irene M.
- Venue
- Child Neuropsychology
- Publisher
- Informa UK Limited
- Published
- 2014-04-22
- Volume
- 21
- Issue
- 3
- Pages
- 331-353
- ISSN
- 0929-7049 (ISSN-L)
- 1744-4136
- PMC
- PMC4240749
- OpenAlex
- W2050064860
- Semantic Scholar
- b4df69df1ca1f97898603b482c6857af66c78454
- Cited by
- 58
- References
- 81
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 7 · 2019: 9 · 2018: 7 · 2017: 7 · 2016: 6 · 2015: 2 · 2014: 2
- FWCI
- 5.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (K23HD071971, UL1 RR025744)
- Society for Developmental-Behavioral Pediatrics
- Lucile Packard Foundation for Children's Health
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- executive function, preterm birth, preschool children, parent report, performance-based assessment, working memory, response inhibition, idea generation, cognitive flexibility, adaptive behavior, full-term children
- MeSH terms
- Analysis of Variance, Attention, Developmental Disabilities, Child, Preschool, Female, Humans, Infant, Newborn, Male, Memory, Short-Term, Neuropsychological Tests, Parents, Case-Control Studies, Executive Function
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