BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment

Cognitive assessment is a fundamental step in diagnosing intellectual and developmental disabilities, designing interventions, and evaluating their impact. However, developed and developing countries have different access to tools designed for these purposes. Our goal was to develop a battery for co...

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Main Authors: Marcela Tenorio, Paulina S. Arango, Andrés Aparicio
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/12/1923
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author Marcela Tenorio
Paulina S. Arango
Andrés Aparicio
author_facet Marcela Tenorio
Paulina S. Arango
Andrés Aparicio
author_sort Marcela Tenorio
collection DOAJ
description Cognitive assessment is a fundamental step in diagnosing intellectual and developmental disabilities, designing interventions, and evaluating their impact. However, developed and developing countries have different access to tools designed for these purposes. Our goal was to develop a battery for cognitive assessment mediated by digital technology that allows the exploration of cognitive domains (inhibitory control, attention, motor ability, and context memory) in children with Down Syndrome (DS) in Chile. Four tasks, based on established experimental paradigms modified to provide a game-like experience, were tested in 68 children with DS from 20 months to 12 years of age. We present evidence of reliability based on internal consistency and split-half analyses, with results ranging from adequate to excellent. Regarding validity, factorial and correlational analyses show evidence consistent with what was theoretically expected of internal structure, convergence, and divergence with other measures. Expected age trajectories were observed as well. Our data offer evidence that supports the use of tasks based on touch-screen devices for cognitive assessment in the population with DS. The tasks also have a low cultural load, so they could be validated and used in other contexts without the need for an adaptation process.
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spelling doaj.art-9654cf9b0efc4bf18fb92dc6dafd889a2023-12-22T14:00:31ZengMDPI AGChildren2227-90672023-12-011012192310.3390/children10121923BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth AssessmentMarcela Tenorio0Paulina S. Arango1Andrés Aparicio2Universidad de los Andes, Santiago 7620001, ChileUniversidad de los Andes, Santiago 7620001, ChileMillennium Institute for Care Research (MICARE), Santiago 8370146, ChileCognitive assessment is a fundamental step in diagnosing intellectual and developmental disabilities, designing interventions, and evaluating their impact. However, developed and developing countries have different access to tools designed for these purposes. Our goal was to develop a battery for cognitive assessment mediated by digital technology that allows the exploration of cognitive domains (inhibitory control, attention, motor ability, and context memory) in children with Down Syndrome (DS) in Chile. Four tasks, based on established experimental paradigms modified to provide a game-like experience, were tested in 68 children with DS from 20 months to 12 years of age. We present evidence of reliability based on internal consistency and split-half analyses, with results ranging from adequate to excellent. Regarding validity, factorial and correlational analyses show evidence consistent with what was theoretically expected of internal structure, convergence, and divergence with other measures. Expected age trajectories were observed as well. Our data offer evidence that supports the use of tasks based on touch-screen devices for cognitive assessment in the population with DS. The tasks also have a low cultural load, so they could be validated and used in other contexts without the need for an adaptation process.https://www.mdpi.com/2227-9067/10/12/1923tabletsgamesdown syndromecognitionassessment
spellingShingle Marcela Tenorio
Paulina S. Arango
Andrés Aparicio
BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment
Children
tablets
games
down syndrome
cognition
assessment
title BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment
title_full BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment
title_fullStr BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment
title_full_unstemmed BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment
title_short BENDI: Improving Cognitive Assessments in Toddlers and Children with Down Syndrome Using Stealth Assessment
title_sort bendi improving cognitive assessments in toddlers and children with down syndrome using stealth assessment
topic tablets
games
down syndrome
cognition
assessment
url https://www.mdpi.com/2227-9067/10/12/1923
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