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

## TL;DR

This study evaluates the BRIEF-P tool for measuring executive functions in Nepali preschool children with poor growth and finds it reliable and associated with risk factors like low birth weight and low maternal education.

## Contribution

The study provides the first psychometric validation of BRIEF-P in Nepali children and identifies its association with specific risk factors for executive dysfunction.

## Key findings

- BRIEF-P showed good psychometric properties in a bifactor model with a general factor and five subscales.
- Children with low birth weight and low maternal education had higher BRIEF-P scores, indicating greater executive dysfunction.
- The tool is feasible and reliable for use in low-and-middle-income settings like Nepal.

## Abstract

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.

BRIEF-P is widely used to measure executive functions, but knowledge on its psychometric properties in low-and-middle-income countries is limited.

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.

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.

BRIEF-P is feasible and reliable tool to measure executive functions in Nepali children and is associated with key risk factors for executive dysfunction.