Confirmatory factor analysis of the BRIEF2 in a sample of youth with Down syndrome.

BACKGROUND: The factor structure of the Behavior Rating Inventory of Executive Function, second edition (BRIEF2) has been widely examined in both typically developing children and specific clinical samples. Despite the frequent use of the BRIEF2 for measuring executive functioning in individuals with Down syndrome, no study has investigated the factorial validity or dimensionality of the BRIEF2 in this population. This study aimed to address this notable gap in the literature. METHODS: Parents of 407 children and youth with Down syndrome aged 6-18 years completed the BRIEF2 as part of different studies led by six sites. Three competing models proposed by previous studies were analysed using Confirmatory Factor Analysis: the theoretical structure of the BRIEF2 where the scales were constrained to load on three factors labelled as Cognitive, Behavioral, and Emotional Regulation, a two-factor correlated model with the merged Behavioral and Emotional regulation, and a single-factor model. RESULTS: The three-factor model provided a better fit than the one- and two-factor models, yet a large correlation was observed between Behavioural and Emotional regulation factors. The results provide meaningful explanatory value for the theoretical structure of the BRIEF2. However, the Behavioral and Emotional regulation factors might be less differentiated and the two-factor structure of the BRIEF2 may also make theoretical and empirical sense. CONCLUSIONS: Although more studies are needed to further examine the factor structure of the BRIEF2 in youth with Down syndrome, this investigation provides preliminary support for the interpretation of the three executive function index scores provided by the BRIEF2: Cognitive, Behavioral, and Emotional Regulation.

Sustained attention to response task performance trajectories in Down syndrome.

BACKGROUND: Sustained attention (SA) has been reported to be a unitary construct in youth with Down syndrome (DS), but additional analyses of how auditory and visual SA change over task presentation time are warranted. METHOD: The current study was a secondary data analysis employing multilevel modeling. Specifically, we compared auditory and visual sustained attention to response task (SART) performance trajectories within a group of 42 youth with DS aged 10 to 22 years. RESULTS: We found that auditory omission errors increased at a faster rate than visual omission errors over increasing SART block presentations in youth with DS. CONCLUSIONS: Youth with DS experience more SA lapses over time in the auditory than visual modality. Results have implications for academic instruction and assessment.