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Adbb Scale

This document presents the M-ADBB scale for assessing infant social engagement and communication. The scale contains 5 items rated from 0-2: facial expression, eye contact, vocalizations, activity, and relationship. For each item, the observer rates the infant's behaviors during a clinical interview on categories of satisfactory (0), possible problem (1), or definite problem (2). The scale is intended to be completed by an observer to evaluate an infant's social engagement skills through observations of facial expressions, eye contact, vocalizations, activity level, and ability to engage in relationships.

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115 views2 pages

Adbb Scale

This document presents the M-ADBB scale for assessing infant social engagement and communication. The scale contains 5 items rated from 0-2: facial expression, eye contact, vocalizations, activity, and relationship. For each item, the observer rates the infant's behaviors during a clinical interview on categories of satisfactory (0), possible problem (1), or definite problem (2). The scale is intended to be completed by an observer to evaluate an infant's social engagement skills through observations of facial expressions, eye contact, vocalizations, activity level, and ability to engage in relationships.

Uploaded by

Ana Paula
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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M-ADBB SCALE (v.

12)
MATTHEY,

CRNCEC, & GUEDENEY (2005).

Each item is rated according to the following categories:


0: Satisfactory
1: Possible problem
2: Definite problem
This scale is best rated by the observer on the basis of his/her observations during the clinical
interview. The clinician should try and socially engage the infant by smiling, chatting & touching
him/her.

1. FACIAL EXPRESSION:
Observer assesses the extent of facial expressiveness throughout the examination
0: Satisfactory:

Face shows some clear expressiveness, whether positive (e.g. smiling) or


negative (e.g. grimacing)
1: Possible problem: Face shows limited expressiveness but there is at least a
hint of this (positive or negative).
2: Definite problem: No facial expressiveness; face appears fixed, frozen, or sad for the whole
period.
2. EYE CONTACT:
Observer assesses the nature of eye contact towards him/herself
0: Satisfactory:

At least one episode of moderate duration eye contact together with


several episodes of brief eye contact
1: Possible problem: Only 2 brief eye contact episodes, or just 1 moderate episode
2: Definite problem: If only 1 brief eye contact episode, or eye contact is vague,
elusive or completely absent.

3. VOCALISATIONS:
Observer assesses the amount of vocalisation expressing pleasure (cooing, laughing, babbling
with consonant sounds, squealing with pleasure), but also lack of vocalisation expressing
displeasure or pain (screaming or crying) throughout the examination.
0: Satisfactory:

At least a few brief vocalisations (non-crying), or one or two long


non-crying vocalisations.
1: Possible problem: Only a very few brief non-crying vocalisations; or if none of
these, at least some screaming or crying in response to stimulation; or
some substantial whimpers.
2: Definite problem: Infant only occasionally whimpers only in response to stimulation, or
there is a total absence of vocalisation.

4. ACTIVITY:
Assess head, torso, and limb movement of the infant without taking into account hands and
fingers activity, both spontaneously and in response to pleasant or unpleasant stimulation:
1: Satisfactory:

At least a moderate level of spontaneous activity, with a few head,


torso, and limb motions.
2: Possible problem: Very reduced level of spontaneous activity, very few head and
limb movements; but responds to stimulation.
3: Definite problem: No spontaneous activity, or very low level in response to
stimulation.

5. RELATIONSHIP:
Observer assesses the infants ability to engage in a relationship with him/her, or with anyone
present in the room other than the infants caretaker. Relationship is assessed through the
infants attitude towards others, visual contact, and reaction to stimulation and interaction.
0: Satisfactory:
Relationship at least moderately evident either positive or negative
1: Possible problem: Relationship seems tenuous or doubtful, or only seems to be
evident when the infant is crying, struggling etc.
2: Definite problem: No relationship evident either positive or negative.

Total:

DATE:

INFANTS AGE:

EXAMINER:

VENUE:

INFANTS NAME:

(Derived from the Full ADBB Scale: Guedeney & Fermanian, 2001).
Reference as: Matthey, S., rn ec, R., & Guedeney, A. (2005). The Modified ADBB Scale (MADBB).
Sydney South West Area Health Service, Sydney, Australia.

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