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Bayley Scales of Infant Development

The Bayley Scales of Infant and Toddler Development is a standard series of measurements originally developed by psychologist Nancy Bayley used primarily to assess the development of infants and toddlers, ages 1–42 months. This measure consists of a series of developmental play tasks and takes between 45 – 60 minutes to administer and derives a developmental quotient (DQ) rather than an intelligence quotient (IQ). Raw scores of successfully completed items are converted to scale scores and to composite scores. These scores are used to determine the child's performance compared with norms taken from typically developing children of their age. The Bayley-III has three main subtests; the Cognitive Scale, which includes items such as attention to familiar and unfamiliar objects, looking for a fallen object, and pretend play, the Language Scale, which taps understanding and expression of language, for example, recognition of objects and people, following directions, and naming objects and pictures, and the Motor Scale, which assesses gross and fine motor skills such as grasping, sitting, stacking blocks, and climbing stairs. There are two additional Bayley-II Scales depend on parental report, including the Social-Emotional scale, which asks caregivers about such behaviors as ease of calming, social responsiveness, and imitation play, and the Adaptive Behavior scale which asks about adaptions to the demands of daily life, including communication, self-control, following rules, and getting along with others. The Bayley-III Cognitive and Language scales are good predictors of preschool mental test performance. These scores are largely used for screening, helping to identify the need for further observation and intervention, as infants who score very low are at risk for future developmental problems.

Development
Prior to the first official scale by Nancy Bayley, research was conducted to determine which important variables should be included in a cumulative developmental test for infants. In 1965, Nancy Bayley conducted an experiment examining mental and motor test scores for infants aged 1 to 15 months, comparing sex, birth order, race, geographical location, and parental education. No differences in scores were found for either scale between boys and girls, first-born and later-born, education of either father or mother, or geographic residence. These findings implicated early diagnosis of neural malfunctioning. == Second Edition (1993–2006) ==
Second Edition (1993–2006)
Application While applying the Bayley Scales of Infant Development (BSID-II), it was found that scales may lead to under-estimates of cognitive abilities in infants with Down syndrome. Researchers excluded a number of items that implicated language, motor, attentional and social functioning from the original measures the modified form was administered to 17 infants with Down syndrome and to 41 typically developing infants. Data was studied from the BSID-II tests of 344 ELBW infants admitted to the neonatal intensive care unit at the Rainbow Infants and Children's Hospital in Cleveland, OH from 1992 to 1995. It was found that the predictive validity of a subnormal MDI for cognitive function at school age is poor but better for ELBW children who have neurosensory impairments. This brought on concern that decisions to provide intensive care for ELBW infants in the delivery room might be biased because of reported high rates of cognitive impairments. == Third Edition (2006–2019) ==
Third Edition (2006–2019)
Improvements The Bayley Scales of Infant and Toddler Development–Third Edition (Bayley-III) is a revision of the frequently used and well-known Bayley Scales of Infant Development–Second Edition (BSID-II; Bayley, 1993). Application The relationship between abnormal feeding patterns and language patterns and language performance on the BSID-III at 18–22 months among extremely premature infants was evaluated. 1477 preterm infants born at <26 weeks gestation completed an 18-month neurodevelopmental follow-up assessment including the Receptive and Expressive Language Subscales of the BSID-III. It assessed if the BSID-III was predictive of a referral for further developmental therapy. Independent sample t-tests were conducted to compare motor performance to recommendations for motor therapy found there was a significant difference in the gross motor scores for those who were and were not recommended for motor therapy. Findings indicated that the factors that influence follow-up recommendations are complex and the test scores alone were not indicative of whether or not a referral was given. ==Fourth Edition (2019–present)==
Fourth Edition (2019–present)
The most current version of the BSID is the BSID 4, released in 2019. == References ==
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