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Journal of Psychoeducational Assessment

http://jpa.sagepub.com Test Review: Bayley, N. (2006). Bayley Scales of Infant and Toddler Development Third Edition. San Antonio, TX: Harcourt Assessment
Craig A. Albers and Adam J. Grieve Journal of Psychoeducational Assessment 2007; 25; 180 DOI: 10.1177/0734282906297199 The online version of this article can be found at: http://jpa.sagepub.com

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Test Reviews
Bayley, N. (2006). Bayley Scales of Infant and Toddler Development Third Edition. San Antonio, TX: Harcourt Assessment.
DOI: 10.1177/0734282906297199

Journal of Psychoeducational Assessment Volume 25 Number 2 June 2007 180-198 2007 Sage Publications http://jpa.sagepub.com hosted at http://online.sagepub.com

The Bayley Scales of Infant and Toddler DevelopmentThird Edition (Bayley-III) is a revision of the frequently used and well-known Bayley Scales of Infant DevelopmentSecond Edition (BSID-II; Bayley, 1993). Like its prior editions, the Bayley-III is an individually administered instrument designed to measure the developmental functioning of infants and toddlers. Other specific purposes of the Bayley-III are to identify possible developmental delay, inform professionals about specific areas of strength or weakness when planning a comprehensive intervention, and provide a method of monitoring a childs developmental progress. The Bayley-III is appropriate for administration to children between the ages of 1 month and 42 months (although norms extend downward to age 16 days). The revision of the Bayley was specifically driven by eight goals: (a) update the normative data, (b) develop additional scales to fulfill requirements by federal (i.e., the Individuals with Disabilities Education Improvement Act of 2004) and state laws regarding the five major areas of development for early childhood assessment from birth through 3 years of age, (c) strengthen the instruments psychometric properties, (d) improve the treatment utility of the instrument, (e) simplify administration procedures, (f) update item administration, (g) update administration materials, and (h) maintain the qualities of previous Bayley editions (Bayley, 2006b).

Description of the Bayley-III


Scales
The most significant revision to the Bayley-III is the development of five distinct scales (as compared to three scales in the BSID-II) to be consistent with areas of appropriate developmental assessment for children from birth to age 3. Whereas the BSID-II provided Mental, Motor, and Behavior scales, the Bayley-III revision includes Cognitive, Language, Motor, Social-Emotional, and Adaptive Behavior scales. Cognitive. The Cognitive scale of the Bayley-III contains 72 out of the 178 items that were previously included in the Mental scale of the BSID-II. Additionally, 19 new items were added to the Cognitive scale, resulting in a total of 91 items. Forty-five of the items from the Mental scale were completely removed from the Bayley-III, whereas the remaining items either remained the same or were slightly modified and moved to a different scale (i.e., 27 items were moved to the Expressive Communication subtest of the Language scale, 23 items were moved to the Fine Motor subtest of the Motor scale, and 11 items were moved to the Receptive Communication subtest of the Language scale). Language. Recognizing the significance of assessing a childs language development, the Bayley-III added a Language scale consisting of Receptive and Expressive Communication
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subtests. Items in the Receptive Communication subtest are designed to provide information regarding the childs auditory acuity and ability to understand and respond to verbal stimuli. This subtest includes 11 items (some slightly modified) from the BSID-II Mental scale and an additional 38 new items. The Expressive Communication subtest assesses the individuals ability to vocalize, name pictures and objects, and communicate with others. This subtest contains 27 items from the BSID-II (some slightly modified) and 21 new items. Motor. The Bayley-III Motor scale, consisting of Fine Motor and Gross Motor subtests, is similar to the Motor scale of the BSID-II. The Fine Motor subtest contains 66 items (18 items are new) and is purported to measure skills associated with eye movements, perceptual-motor integration, motor planning, and motor speed. The Gross Motor subtest contains 72 items (4 items are new) and is designed to measure movements of the limbs and torso. Social-Emotional. The Behavior Rating scale in the BSID-II was replaced by the Greenspan Social-Emotional Growth Chart: A Screening Questionnaire for Infants and Young Children (Greenspan, 2004) and is intended to be completed by the childs primary caregiver. For each of the 35 items, which measure emotional development and related behaviors, the respondent selects one of six ratings: 0 (cant tell), 1 (none of the time), 2 (some of the time), 3 (half of the time), 4 (most of the time), or 5 (all of the time). Adaptive Behavior. A significant addition to the Bayley-III is the inclusion of the Adaptive Behavior Assessment SystemSecond Edition (ABAS-II; Harrison & Oakland, 2003; see Burns, Meikamp, & Suppa, 2005, and Rust & Wallace, 2004, for reviews of the ABAS-II) as a measure of adaptive skills. By having the childs primary caregiver complete the ABAS-II, estimates of the childs functioning in the areas of Communication, Community Use, Health and Safety, Leisure, Self-Care, Self-Direction, Functional PreAcademics, Home Living, Social, and Motor can be obtained. (Children younger than 1 year do not receive scores in the areas of Community Use, Functional Pre-Academics, or Home Living.) Within the ABAS-II, caregivers indicate the extent to which the child performs the adaptive skills when needed. Response options include 0 (is not able), 1 (never when needed), 2 (sometimes when needed), or 3 (always when needed). The inclusion of the ABAS-II facilitates a more comprehensive assessment as caregivers are more involved in completing the ABAS-II than they would be in completing the BSID-II.

Materials
Whereas many of the Bayley-III stimulus materials will look familiar to a user of the BSID-II, the current edition contains additional items such as a bank, a bear, a bracelet, a connecting block set, a lacing card, memory cards, a set of seven ducks, and a wider stepping path. Some notable items not contained in this edition include the map, sugar pellets, jumping rope, pull toy, and separate visual stimulus cards. Examiners must provide more materials than were required for a BSID-II administration, including facial tissue, five small coins, food pellets, several blank 3 5 in. index cards, safety scissors, and blank unlined white paper. The stimulus book of this edition is more user-friendly in that it contains a built-in

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easel that folds low to the table, which aids in assessing an examinees responses and allows for ease in switching between tasks. A wider stepping path is included and is considered an improvement over the previous edition, providing a more developmentally appropriate guide for assessing gross motor skills. As with the BSID-II, the stimulus materials of this edition are bright, colorful, and engaging for infants and toddlers. The test kit is less bulky and more portable than its predecessor, with all stimulus items and manuals fitting into a suitcase with wheels and a pull handle. However, the kit does not contain the plastic dividing sections for the stimulus materials, and some examiners may find it more difficult to navigate through the materials efficiently. The Bayley-III includes the option of using a Windows-based scoring software and a PDA administration product. This allows an examiner to administer and score the BayleyIII with an electronic handheld device and eliminates the need for a record form and manual for administration. Although this option may increase efficiency and decrease bulkiness, examiners should be very familiar with the operation of the software so that standardized administration is not violated.

Administration and Scoring Procedures


Examiners who administer the Bayley-III should be familiar with and have training in developmental assessment and interpretation. The age range for which the measure is designed requires that the examiner have the ability to establish and maintain rapport with infants, toddlers, and caregivers. Because of these factors, examiners should have completed relevant graduate training or professional experiences that include formal individual assessment preparation and supervision so that the measures can be administered consistent with the Standards for Educational and Psychological Testing (American Educational Research Association, American Psychological Association, & National Council on Measurement in Education, 1999). To gain an accurate impression of an infant or toddlers optimal performance and to avoid negative behavioral reactions to separation, a caregiver (generally a parent) is encouraged to remain in the testing room for the duration of the Bayley-III administration. However, caregivers should not encourage, influence, or interfere with item administration to the point that standardization procedures are violated. Administration times range from approximately 50 min for children aged 12 months and younger to 90 min for children aged 13 months and older. Consistent with the BSID-II, the examinees chronological age (adjusted for prematurity if necessary) corresponds to a starting point, designated by a letter A through Q. This letter should be used to determine the starting item for the Cognitive, Language, and Motor scales. Each scale has an identical requirement for establishing basal and ceiling levels: The first three items administered must be correct (examinees receive credit for unadministered items below the basal), and scoring of the scale should discontinue when the examinee receives no credit on five consecutive items. In the event that a basal is not established with the first three items administered, the examiner must reverse to the previous starting point and continue administration until the ceiling criterion is met. Although it may be necessary to reverse to an earlier starting point on one scale, the examiner should use the original age-determined starting letter to determine the starting point for subsequent scales. No items should be readministered during the course of

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a testing session; however, if a correct response was not initially elicited but is observed later in a session (e.g., during the Gross Motor subtest or some items on the Expressive Communication subtest), some items may then be scored as correct. Scoring for every item is either 1 (credit) or 0 (no credit). The item scoring in this edition is more straightforward and manageable than in the previous edition, and it allows for a more efficient method of calculating a total raw score. Additionally, examiners should be aware of specific behaviors that are indicative of delayed or atypical development (referred to as developmental risk indicators) within the areas of social behavior, attention, motor and movement, hearing, and vision. Explained in detail in the technical manual (Bayley, 2006b), these indicators suggest the need for additional assessment. The examiners record form contains items for the Cognitive, Language, and Motor scales, with a separate questionnaire that contains items for both the Social-Emotional and Adaptive Behavior scales. This questionnaire is to be completed by the primary caregiver. The examiners record form provides item titles, materials needed for each item, scoring criteria, and space for noting additional comments about an examinees responses. Similar to the BSID-II, some items are part of a series that use the same materials, and the examinee can demonstrate varying levels of proficiency. For example, for the pegboard series, Item 47 requires the child to place at least one peg two or more times in the same or different hole or holes. The pegboard should also then be used to administer Item 55, in which the child receives credit for placing all six pegs in the pegboard within 70s. Examiners should score such series items concurrently, so that it is not necessary to switch away from and back to a stimulus material. However, a child may pass a series item that falls beyond an established ceiling. In this case, the series item should not be included in the total raw score, but it should be qualitatively noted. Series items are specified as such, and the additional items contained in the series are specified on the far left side of each page of the record form. The record form is quite colorful, with each color corresponding to a specific scale. The colors not only are aesthetically pleasing but also function to separate the Cognitive, Language, and Motor scales for the examiner who may need to switch between scales while administering the complete test. Item materials and scoring criteria are specified in the record form, but examiners should closely reference the administration manual (Bayley, 2006a). The administration manual provides clear guidelines for item instructions, stimulus layout, child positioning, and so on. The format for referencing the administration manual in this edition is similar to that in the BSID-II, but pictures of the necessary item materials are not provided with the corresponding items in the administration section of the manual. Therefore, examiners must be able to differentiate the proper stimuli without the aid of a picture included with the administration procedures. The manual does, however, provide a page with pictures of the test items and their corresponding names, so that an examiner can familiarize himself or herself with the names of the stimulus materials prior to administering the test. One notable improvement in the Bayley-III administration manual is that it is ring bound, which allows examiners to remain on a desired page without concern that the manual might accidentally close. Although the length of the administration section may seem daunting, the instructions to the examiner are necessary for proper administration of this measure, and the apparent complexity reduces with increased familiarity with and experience in administering the Bayley-III to infants and toddlers of various ages.

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A variety of scores across scales and subtests are available. Raw scores from the Cognitive scale, which does not contain separate subtests, can be converted to a scaled score (M = 10, SD = 3), which can then additionally be converted to a composite score equivalent (M = 100, SD = 15). Scaled scores are available for the Receptive and Expressive Communication subtests of the Language scale, which when combined form the Language scale composite score (M = 100, SD = 15). The same procedure holds for the Fine and Gross Motor subtests of the Motor scale. Across all three of these primary domains, the normative sample is divided into 10-day increments (e.g., 2 months 6 days through 2 months 15 days). Raw scores for Cognitive, Language, and Motor subtests translate to scaled scores based on 10-day increments up to age 5 months 16 days, at which point norms are based on 1-month intervals (e.g., 5 months 16 days to 6 months 15 days, 35 months 16 days to 36 months 15 days). The highest two age ranges are normed on the basis of 3-month intervals (36 months 16 days to 39 months 15 days). Thus, depending on the age of the child, normative scaled scores are derived on the basis of 10-day, 1-month, or 3-month intervals. Percentile ranks, confidence intervals (90% and 95% levels), growth score equivalents, and developmental age scores in months and days are available. The scoring for the Social-Emotional Scale is straightforward. The summed raw score is converted to a scaled score (M = 10, SD = 3), which can additionally be converted to a composite score equivalent (M = 100, SD = 15). The normative sample for the Social-Emotional domain is divided into nine age categories (by months: 0-3, 4-5, 6-9, 10-14, 15-18, 19-24, 2530, and 31-40). A Sensory Processing score can also be calculated. The administration manual provides additional guidance regarding conducting supplemental analyses within this scale. The Adaptive Behavior scale follows the scoring criteria of the ABAS-II. Raw scores for each of the 10 skill areas are converted to scaled scores (M = 10, SD = 3). From these scaled scores, a General Adaptive Composite (GAC) score (M = 100, SD = 15) can be obtained. Additional composite scores are available for a Conceptual Adaptive domain (Communication, Functional Pre-Academics, and Self-Direction skill areas), Social Adaptive domain (Leisure and Social skill areas), and Practical Adaptive domain (Community Use, Home Living, Health and Safety, and Self-Care skill areas). The normative sample for the Adaptive Behavior scale is in 1-month increments for children aged 11 months and younger, 2-month increments for children aged 13 months to 23 months, and 3-month increments for children aged 24 months to 42 months. Percentile ranks and confidence intervals (90% and 95% levels) are available to assist in interpretation.

Technical Adequacy
Test Construction
Bayley (2006b) describes the construction of the Bayley-III as being informed by the body of research in child development conducted since the publication of the BSID-II in 1993. However, many concepts of early cognition have been retained in child development and are still very much applicable to the current revision; these include play (e.g., Bruner, 1972; Piaget, 1952; Singer, 1973; Vygotsky, 1978), information processing (e.g., Bornstein & Sigman, 1986; Fagan, 1970), and number concepts (e.g., Gelman & Tucker, 1975; Wynn,

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1990). Consequently, the Bayley-III retains such activities as pretend play, novelty preference, habituation, and number ordering. Given that these older concepts are combined with concepts derived from relatively recent studies of information processing and preverbal intelligence (e.g., Colombo & Frick, 1999; Dougherty & Haith, 1997; Kail, 2000; Schatz, Kramer, Ablin, & Matthay, 2000), it is clear that the Bayley-III is based on an eclectic theoretical foundation. As indicated earlier, a significant number of items from the BSID-II were either removed or modified for the current version. Bayleys (2006b) justification for these changes includes a desire to remove items that were (a) difficult to administer or score, (b) unpleasant for the child, (c) redundant with other items, (d) potentially biased toward a racial or ethnic group, and (e) lacking in value. To create new and suitable items, a comprehensive process was undertaken that included development and feedback by content experts to ensure appropriateness of the items, tryout phases, and numerous input points from experts in their respective areas. This process, which is outlined in the technical manual, included (a) a conceptual development phase, which included reviews by an advisory panel, measurement consultants, and international experts, followed by focus groups and surveys of experts and examiners; (b) a pilot phase; (c) a national tryout phase; (d) a minipilot; (e) a standardization phase; and (f) an assembly and evaluation phase. Considering that the primary intent of the Bayley-III is to identify children experiencing developmental delay and not to specifically diagnose a disorder, the floor and ceiling of the subtest and total test appear to be adequate. As would be expected from an adaptive behavior measure (i.e., ABAS-II) that was developed independently of the Bayley-III, the floor for the Adaptive Behavior scale extends downward to a composite score of 40 (extending upwards to a score of 160), whereas the remaining Bayley-III floor composite scores are relatively higher (Cognitive, 55-145; Language, 47-153; Motor, 46-154; Social-Emotional, 55-145). One area that was not improved, however, are the subtest floor scores for the youngest children in the sample (i.e., those aged 16 to 25 days). Bell and Allen (2000) indicated that in the BSID-II, a 1-month-old child would need to receive only one raw score point to earn a standard score of 60 on the Mental scale. This same child would have earned a standard score of 65 on the Bayley-III Cognitive scale.

Standardization Sample
The standardization sample for the Cognitive, Language, and Motor scales included 1,700 children aged 1 month to 42 months, divided into 17 separate age groups, with 100 individuals in each group. This sample was reported to be representative of the October 2000 U.S. Bureau of the Census population survey data in terms of parent education level, race or ethnicity, and geographic region. Only children who were born at 36 to 42 weeks gestation and who were considered to be typically developing were included in the standardization sample, although children with mental, physical, or behavioral difficulties were later added to constitute approximately 10% of the total sample. The standardization sample for the Social-Emotional scale was collected during an earlier tryout phase of the Bayley-III and included 456 children. Although a relatively small sample, it appears to be sufficiently representative of the U.S. population. Finally, the standardization of the

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Adaptive Behavior scale (i.e., ABAS-II) occurred during the development and standardization of the ABAS-II, independently of the Bayley-III standardization process. According to information included in the Bayley-III technical manual, the standardization sample of the ABAS-II included 1,350 children aged 0 months through 71 months. To account for the extended age range, norms were truncated to reflect the 42-month age limit of the Bayley-III.

Reliability
Cognitive, Language, and Motor. Evidence for internal consistency reliability for the Cognitive, Language, and Motor composites and subtest scales was obtained on the normative sample using the split-half method corrected by the Spearman-Brown formula correction. It was not specified how test halves were divided. The average reliability coefficients were calculated using Fishers z transformation. Scale composite average reliability coefficients ranged from .91 (Cognitive) to .93 (Language), whereas subtest average reliability coefficients ranged from .86 (Fine Motor subtest) to .91 (Expressive Communication and Gross Motor subtests). Within specific subtests, the lowest reliability coefficients (e.g., .71) were obtained in the younger age groups (e.g., 1-5 months) within the Receptive and Expressive Communication subtests. The average reliability coefficients for the special groups included in the sample were all greater than .94. Test-retest stability was determined by readministering the Bayley-III to 197 children, who were tested on two occasions separated by anywhere from 2 to 15 days, with a mean retest interval of 6 days. Corrected correlation coefficients ranged from .67 (Fine Motor subtest) to .80 (Expressive Communication subtest) with the group aged 2 to 4 months and from .83 (Gross Motor subtest) to .94 (Expressive Communication subtest and Language composite) for the group aged 33 to 42 months. Across all ages, average stability coefficients were .80 or higher. Social-Emotional. Reliability indices from the Greenspan Social-Emotional Growth Chart standardization process are included in the Bayley-III technical manual. Internal consistency was estimated using coefficient alpha, with coefficients ranging from .83 to .94 for social-emotional items and .76 to .91 for the sensory processing items. No stability or interrater reliability indices for the Greenspan Social-Emotional Growth Chart were provided. Adaptive Behavior. Evidence for internal consistency reliability for the Adaptive Behavior scale was obtained during the ABAS-II standardization process. Internal consistency was estimated using coefficient alpha, with average reliability coefficients being calculated using Fishers z transformation. Average reliability coefficients across each of the skill areas, adaptive domains, and the GAC ranged from .79 to .98. Test-retest stability was estimated using a sample of 207 children, with intervals ranging from 2 days to 5 weeks (M = 12 days). The mean stability coefficients for the GAC and Adaptive Behavior domains generally were .80 or higher, whereas coefficients were slightly lower for specific skill areas. Overall, stability increased as the age of the child increased. Interrater reliability was estimated with a sample of 56 children who were each rated by their two parents. The GAC interrater reliability coefficient was .82, adaptive domain coefficients averaged .79, and the adaptive skill area coefficients averaged .73.

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Validity
Confirmatory factor analysis of the subtests of the Cognitive, Language, and Motor scales supported a three-factor model across all ages of the 1,700-child standardization sample, except for the youngest age group (0-6 months), in which a two-factor model was also supported. The technical manual suggests that the applicability of both a two-factor and a three-factor model to the youngest group is likely an indicator that language and cognition are undifferentiated at that age. No factor analysis data regarding the SocialEmotional or Adaptive Behavior scales are provided in the Bayley-III technical manual. The technical manual also describes a series of validity-related studies conducted with other cognitive, intellectual, language, motor, social-emotional, and adaptive behavior measures. The correlation between the Bayley-III Cognitive composite and BSID-II Mental Index score was .60, which was also the correlation between the Motor composite scores on both measures. The correlation between the BSID-II Behavior Rating Scale and the Bayley-III Social-Emotional composite was only .38, which was attributed to the new format and items that were added. The relatively moderate correlations between other composite and subtest scores were attributed to new scoring criteria, clarifications of previous scoring ambiguities, and changes to the floor and ceiling. Relatively high correlations were obtained between the Wechsler Preschool and Primary Scale of IntelligenceThird Edition (Wechsler, 2002) Verbal, Performance, and Full-Scale scores and the Bayley-III Cognitive (.72-.79) and Language composites (.71-.83). The Preschool Language ScaleFourth Edition (Zimmerman, Steiner, & Pond, 2002) Auditory Comprehension and Expressive Communication subscales were moderately correlated with the Bayley-III Language composite (.51-.71). Moderate correlations were obtained between the Bayley-III Motor composite and the Peabody Developmental Motor SkillsSecond Edition (Folio & Fewell, 2000) Motor quotients (.49-.57) and between the ABAS-II and the Vineland Adaptive Behavior ScaleInterview Edition (Sparrow, Balla, & Cicchetti, 1984) domain scores and composite score (.58-.70). The technical manual also details numerous special group studies, including studies examining the Bayley-III with children with Down syndrome, pervasive developmental disorders, cerebral palsy, specific language impairment, developmental delay, asphyxiation at birth, and prenatal alcohol exposure; children small for gestational age; and children born premature or with low birth weight.

Commentary and Recommendations


As part of a comprehensive evaluation, the Bayley-III appears to continue setting the standard for early childhood assessment, as the majority of the stated goals of the revision process appear to have been attained. The first goal was to update the normative data, which was accomplished with a representative standardization sample of 1,700 students. The second goal was to develop additional scales so that the areas of cognitive, communication, physical, social-emotional, and adaptive behavior development are examined. In this regard, the Bayley-III contains some necessary and needed improvements over the BSID-II. Specifically, the inclusion of a separate Language scale provides helpful information to a professional in assessing the development of a child. Although it does not completely remove the demand

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for language in the Cognitive scale, this edition does a commendable job of separating cognitive ability from expressive and expressive language development. The addition of the ABAS-II enhances the quality of information provided by the Bayley-III and also increases the role of the primary caregiver in the assessment process. Finally, specification of fine and gross motor assessment can be more useful to a professional in formulating intervention strategies than was the inclusive Motor scale of the BSID-II. The third goal was to strengthen the instruments psychometric properties. Although the reliability of scores could be improved for younger children (i.e., those aged 0 to 6 months), this is typical of all instruments intended to be used with a population in which developmental scores tend to be highly variable. Even with this relative weakness, all of the psychometric properties meet minimal criteria, with the majority of scores being strong. Questions remain, however, regarding floor appropriateness, particularly for lower performing and extremely young children. This presents difficulties if classification based on specific cutoff scores is the ultimate outcome of the childs performance on the Bayley-III; however, if the instrument is being used as one component of a multifaceted evaluation or as an indicator to determine whether additional evaluation is warranted, the potential floor inadequacy is not as problematic. Whether the treatment utility of the Bayley-III is enhanced, which is the fourth goal, has yet to be determined. Within an early intervention model, the Bayley-III would appear to have utility for identifying individuals in need of additional assessment and, likely, intervention; however, no evidence is presented to show predictive validity and accuracy or how intervention provision is improved as a result of a Bayley-III administration. This is clearly an area in need of additional research, relating not only to the Bayley-III but also across all areas connected to assessment (e.g., Nelson-Gray, 2003). The next three goals related to the simplification of administration procedures, updated item administration, and updated administration materials; all appear to have been met as the test materials are as engaging as, if not slightly more appealing than, the materials in the BSID-II, with some more developmentally appropriate items (i.e., wider walking tape, different-sized balls) and more realistic picture stimuli. Whereas the administration and technical materials were in one manual and described as a weakness in the BSID-II (e.g., Nellis & Gridley, 1994), the Bayley-III divides these into two separate manuals. The test kit is no longer a hindrance to transport, and scoring procedures (i.e., 1 vs. 0) are much more user-friendly and less ambiguous than in the BSID-II. Although materials are not as clearly divided within the kit and pictures are not provided alongside administration procedures in the manual, the overall construction and usability of the Bayley-III is an improvement over the previous edition. The final goal was to maintain the qualities of previous Bayley editions. By maintaining a variety of age-appropriate tasks, establishing the psychometric properties of the revision, and incorporating new developmental realms that were in need of improvement in prior editions, the Bayley-III will likely maintain its status as the most frequently used individually administered measure of infant and toddler development.
Craig A. Albers Adam J. Grieve University of WisconsinMadison

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References
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Wechsler, D. (2002). Wechsler Preschool and Primary Scale of IntelligenceThird Edition. San Antonio, TX: The Psychological Corporation. Wynn, K. (1990). Childrens understanding of counting. Cognition, 36, 155-193. Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool Language ScaleFourth Edition. San Antonio, TX: The Psychological Corporation.

Swerdlik, M. E., Swerdlik, P., Kahn, J. H., & Thomas, T. (2003). Psychological Processing Checklist. North Tonawanda, NY: Multi-Health Systems.
DOI: 10.1177/0734282906295403

The Psychological Processing Checklist (PPC) is a teacher-completed rating scale published by Multi-Health Systems in North Tonawanda, New York. The checklist was published in 2003 along with a technical manual (Swerdlik, Swerdlik, & Kahn, 2003). The 35-item PPC purports to measure difficulties with psychological processing among children in kindergarten through fifth grade. More specifically, the scale represents the authors attempt to provide a norm-referenced measure of behaviors associated with psychological processing deficits that is consistent with the Individuals with Disabilities Education Act Amendments of 1997 definition of a learning disability. Thus, the scale attempts to provide information useful in distinguishing learning disabilities from other conditions and to provide ideas relevant to the design of interventions and modifications to address difficulties associated with processing and learning. PPC items are based on information processing theory and neuropsychological theories, which propose that learning difficulties and disabilities are associated with deficits in psychological processing. The PPC provides scores that are based on the teachers observations of the students processing abilities. The PPC can be completed by the students general education teacher, special education teacher, and other qualified professionals (e.g., reading specialist, speechlanguage pathologist, educational diagnostician) who spend time with the student on a regular basis. The authors encourage the use of multiple raters to gather more than one perspective. The authors also suggest that appropriate raters are those professionals who have known the student for at least 6 weeks and who have had sufficient opportunities to observe the student in the classroom. As is typical with normative rating scales, greater familiarity with the student will likely result in more meaningful and reliable ratings. The PPC includes 35 items, each describing a student behavior. The teacher responds to the items by choosing one of four labels (never, seldom, sometimes, often) based on the frequency with which the teacher observes the behavior. The administration and scoring format is similar to that of the familiar Conners Rating ScalesRevised (Conners, 1997). Raters write directly on the form, and then the examiner opens the carbon copy form to reveal the scoring grid, onto which the examiner transfers numeric responses to the different columns representing the PPC scales. The numbers in each column are then summed to obtain raw scores for each of the six scales, and these six raw scores are summed to obtain the total score. Raw scores are transferred to a profile form, which provides the corresponding T-scores (mean of 50, standard deviation of 10) and percentiles for the six scales and total score. Separate profiles and score conversions are provided for male and female students because of

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