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Brief Report: Psychometric Properties of the Brief Problem Monitor-Parent (BPM-P) 6-18 in a Sample of Children
Linnea A Lampinen1,2, Shuting Zheng3, Lindsay Olson3
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 675 18th St, San Francisco, CA, 94107, USA. linnea.lampinen@rutgers.edu.
Insights
The Brief Problem Monitor Parent Report (BPM-P) shows promise for monitoring emotional and behavior problems in children with autism spectrum disorder (ASD) and neurodevelopmental disorders (NDDs). It offers comparable information to the CBCL with less caregiver burden.
Area of Science:
- Child psychology and psychiatry
- Clinical assessment tools
- Neurodevelopmental disorders research
Background:
- Emotional and behavioral problems are critical to monitor in children with autism spectrum disorder (ASD) and other neurodevelopmental disorders (NDDs).
- The Child Behavior Checklist (CBCL) is a standard tool, but its length can be burdensome for caregivers.
- The Brief Problem Monitor Parent Report (BPM-P) is a shorter alternative, but its validity in ASD/NDD populations was unexamined.
Purpose of the Study:
- To evaluate the validity and utility of the BPM-P for monitoring emotional and behavior problems in children with ASD and NDDs.
- To compare the BPM-P's performance against the established CBCL in a clinical sample.
- To assess the BPM-P's internal consistency, factor structure, and agreement with CBCL clinical cutoffs.
Main Methods:
- Utilized data from 302 children (ages 6-18) whose caregivers completed both the CBCL and BPM-P.
- Conducted confirmatory factor analysis on the BPM-P's three-factor structure.
- Assessed internal consistency of BPM-P scales and agreement between BPM-P and CBCL clinical cutoffs.
Main Results:
- Confirmatory factor analysis yielded mixed results for the BPM-P's three-factor structure.
- All BPM-P scales demonstrated acceptable internal consistency.
- Agreement between BPM-P and CBCL broad problem scales was acceptable; the Attention scale showed high sensitivity but poor specificity.
Conclusions:
- The BPM-P may serve as a time-efficient alternative to the CBCL for assessing broad emotional and behavior problems in children with ASD/NDDs.
- Caregivers may benefit from the reduced time commitment associated with the BPM-P.
- Further research with larger samples and independent administrations is needed to confirm these findings, particularly regarding the Attention scale's specificity.
Abstract:
Detection and monitoring of emotional and behavior problems is a critical part of clinical care for children diagnosed with autism spectrum disorder (ASD) and other neurodevelopmental disorders (NDDs), as well as a common focus of research. The Child Behavior Checklist (CBCL) is a well-established caregiver-report instrument that is used for screening and monitoring of emotional and behavior problems in individuals diagnosed with ASD and NDDs. However, it has over 100 items and can be time-consuming to complete. The Brief Problem Monitor Parent Report (BPM-P; Achenbach et al. 2011) includes a subset of the CBCL items and is intended for monitoring emotional and behavior problems. However, its validity has not been examined in ASD or NDD samples. Data from 302 children ages 6-18 years whose caregivers had completed the CBCL were drawn from a clinical research databank. Confirmatory factor analysis of the BPM-P three-factor structure had mixed findings. All BPM-P scales had acceptable internal consistency, and agreement between the BPM-P cutoffs and the corresponding CBCL clinical cutoffs was acceptable for the broad problem scales. The Attention scale demonstrated high sensitivity, but poor specificity. Results provide initial evidence that the BPM-P may be a useful alternative to the CBCL, producing comparable information for broad problems, while requiring much less time from caregivers. BPM-P users may want to consider the Attention scale separately due to poor specificity compared to the CBCL. These results will need to be replicated using larger samples and independent administrations of the BPM-P and the CBCL.
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