Neonatal Behavioral Assessment Scale (NBAS): Difference between revisions
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== Objective == | == Objective == | ||
* An infants behavioural repertoire.<ref name=":0">Brazelton Institute. [https://www.childrenshospital.org/research/centers/brazelton-institute-research/nbas Neonatal Behavioral Assessment Scale (NBAS)]. Available from: <nowiki>https://www.childrenshospital.org/research/centers/brazelton-institute-research/nbas</nowiki> (accessed 27 November 2023)</ref> | # The NBAS is used as an '''assessment tool''' to assess: | ||
* The competencies in both healthy and at-risk infants.<ref name=":2" /> | #* An infants behavioural repertoire.<ref name=":0">Brazelton Institute. [https://www.childrenshospital.org/research/centers/brazelton-institute-research/nbas Neonatal Behavioral Assessment Scale (NBAS)]. Available from: <nowiki>https://www.childrenshospital.org/research/centers/brazelton-institute-research/nbas</nowiki> (accessed 27 November 2023)</ref> | ||
#* The competencies in both healthy and at-risk infants.<ref name=":2" /> | |||
The NBAS is used | The NBAS does not simply detect abnormalities, but highlights an infants strengths and individualities.<ref name=":0" /> | ||
2. It is also used as an '''identifier''' of prenatal and neonatal factors which influence development and behaviour. <ref name=":2" /> | |||
3. The NBAS has also been increasingly used as an '''intervention tool''', to improve the sensitivity and quality of the caregiver-infant relationship. This includes improving the bonding relationship of caregivers and infants born blind, infants with Down Syndrome and infants born into low socioeconomic status<ref name=":2" /> | |||
With a series of examinations, the NBAS allows those examining to observe the integration of discrete behaviours of the infant into coherent patterns of behaviour and development.<ref name=":0" /> | With a series of examinations, the NBAS allows those examining to observe the integration of discrete behaviours of the infant into coherent patterns of behaviour and development.<ref name=":0" /> | ||
== Intended Population == | == Intended Population == | ||
The intended population for the NBAS is from birth up to 2 weeks after birth.<ref name=":0" /> | The intended age population for the NBAS is from birth up to 2 weeks after birth.<ref name=":0" /> | ||
It can be used in term and preterm infants. | It can be used in term and preterm infants. | ||
== | While infants need to be medically stable, those with known and suspected disabilities/ difficulties can also have the NBAS administered. | ||
== Administration == | |||
=== Environment/ Setting === | |||
=== Duration of assessment === | |||
=== Frequency of administration === | |||
=== Content === | |||
The NBAS consists of: | |||
28 behavioural items | |||
18 reflex items | |||
These items are clustered into 4 developmental domains: | |||
# Autonomic regulation | |||
# Motor development | |||
# State regulation | |||
# Social engagement | |||
=== Scoring === | |||
A single score is not calculated, rather the infants capabilities across different developmental domains is recorded together with their integration of behaviour in response to the environment.<ref name=":0" /> | |||
== Reference == | == Reference == | ||
Revision as of 21:35, 30 November 2023
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Original Editor - Lauren Heydenrych
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Introduction[edit | edit source]
The first 3 years of life in a child's life are described as a "key period of physical, physiological, cognitive and social development" by Barlow et al (2018)[1] The Neonatal Behavioral Assessment Scale (NBAS) is a neurobehavioral assessment. It is a tool used to describe an infant's interaction with their extrauterine environment. Furthermore, it highlights the emerging relationship between caregiver and infant, ultimately presenting a holistic picture of clinical conditions of both term and preterm infants. [2][3]
Constructed by Brazelton in 1973, the NBAS underwent revision in 1984 and 1995. In 2000 the Newborn Behavioural Observation System (NBO) was constructed as a new flexible shortform version of the NBAS.[2]
Objective[edit | edit source]
- The NBAS is used as an assessment tool to assess:
The NBAS does not simply detect abnormalities, but highlights an infants strengths and individualities.[4]
2. It is also used as an identifier of prenatal and neonatal factors which influence development and behaviour. [3]
3. The NBAS has also been increasingly used as an intervention tool, to improve the sensitivity and quality of the caregiver-infant relationship. This includes improving the bonding relationship of caregivers and infants born blind, infants with Down Syndrome and infants born into low socioeconomic status[3]
With a series of examinations, the NBAS allows those examining to observe the integration of discrete behaviours of the infant into coherent patterns of behaviour and development.[4]
Intended Population[edit | edit source]
The intended age population for the NBAS is from birth up to 2 weeks after birth.[4]
It can be used in term and preterm infants.
While infants need to be medically stable, those with known and suspected disabilities/ difficulties can also have the NBAS administered.
Administration[edit | edit source]
Environment/ Setting[edit | edit source]
Duration of assessment[edit | edit source]
Frequency of administration[edit | edit source]
Content[edit | edit source]
The NBAS consists of:
28 behavioural items
18 reflex items
These items are clustered into 4 developmental domains:
- Autonomic regulation
- Motor development
- State regulation
- Social engagement
Scoring[edit | edit source]
A single score is not calculated, rather the infants capabilities across different developmental domains is recorded together with their integration of behaviour in response to the environment.[4]
Reference[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous
[edit | edit source]
Links[edit | edit source]
References[edit | edit source]
- ↑ Barlow J, Herath NI, Torrance CB, Bennett C, Wei Y. The Neonatal Behavioral Assessment Scale (NBAS) and Newborn Behavioral Observations (NBO) system for supporting caregivers and improving outcomes in caregivers and their infants. Cochrane Database of Systematic Reviews. 2018(3).
- ↑ 2.0 2.1 Canals J, Fernández-Ballart J, Esparó G. Evolution of neonatal behavior assessment scale scores in the first month of life. Infant Behavior and Development. 2003 Apr 1;26(2):227-37.
- ↑ 3.0 3.1 3.2 3.3 Malak R, Fechner B, Sikorska D, Rosołek M, Mojs E, Samborski W, Baum E. Application of the neonatal behavioral assessment scale to evaluate the neurobehavior of preterm neonates. Brain sciences. 2021 Sep 28;11(10):1285.[1]
- ↑ 4.0 4.1 4.2 4.3 4.4 Brazelton Institute. Neonatal Behavioral Assessment Scale (NBAS). Available from: https://www.childrenshospital.org/research/centers/brazelton-institute-research/nbas (accessed 27 November 2023)
