The Behavior Rating Inventory of Executive Function-Preschool Version in Nepali Children With Poor Growth in Infancy

Abstract

Objectives: To describe psychometric properties of the Behavior Rating Inventory of Executive Function-Preschool (BRIEF-P) and its discriminatory ability for risk groups for executive dysfunction (low birth weight (LBW), stunting and low maternal education) among children with poor growth in infancy. Introduction: BRIEF-P is widely used to measure executive functions, but knowledge on its psychometric properties in low-and-middle-income countries is limited. Method: The sample consisted of 529 parents of children (30-35 months). BRIEF-P was subject to confirmatory factor analysis, and internal consistency by alpha calculations and inter-correlations. Results: A good fit for a bifactor-model with 5 subscales and a general factor. BRIEF-P subscales were higher when mothers had low versus high education. Children born with LBW compared to normal birth weight had poorer Shift and Flexibility scores. Conclusion: BRIEF-P is feasible and reliable tool to measure executive functions in Nepali children and is associated with key risk factors for executive dysfunction.