Young children's performance on a design fluency task: longitudinal data on total number of designs, clustering and switching, and regression-based norms

J Clin Exp Neuropsychol. 2024 Jul;46(5):449-465. doi: 10.1080/13803395.2024.2359744. Epub 2024 Jun 5.

Abstract

Introduction: Design fluency (DF) tasks are commonly used to assess executive functions such as attentional control, cognitive flexibility, self-monitoring and strategy use. Next to the total number of correct designs, the standard outcome of a DF task, clustering and switching can help disentangle the processes underlying DF performance. We present the first longitudinal study of 4-8-year-old children's developmental DF trajectories.

Method: At initial enrollment, children (n = 228) were aged between 4.05 and 6.88 years (M = 5.18, SD = 0.59) and attended Dutch primary schools. The DF task was administered at three time points, each time point separated by approximately 1 year. Data were analyzed using mixed regression for total number of correct designs and switching, and mixed logistic regression analysis for clustering.

Results: The total number of correct designs increased linearly across the three time points. Across all time points, children made very few clusters, and most clusters consisted of only 3 designs. Clustering only increased at the third assessment compared to the two previous assessments. Switching increased up to the second assessment, but not after that. The number of switches was highly correlated with the total number of correct designs at all time points (r = 0.78 to r = 0.85). These developmental trajectories were similar for all children regardless of their baseline age. Normative data are given for the total number of correct designs and switching.

Conclusions: Children as of age 4 onwards can perform a DF task. For children as young as 4-8 years old, computing clustering, and switching measures is of limited value to study cognitive processes underlying DF performance, next to the total number of correct designs. There were no sex differences on any of the DF outcomes. Level of parental education (LPE) was positively associated with the total number of correct designs and switching.

Keywords: Strategies; executive functions; five-point test; level of parental education; preschool.

MeSH terms

  • Attention / physiology
  • Child
  • Child Development / physiology
  • Child, Preschool
  • Cluster Analysis
  • Executive Function* / physiology
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Neuropsychological Tests* / standards
  • Neuropsychological Tests* / statistics & numerical data
  • Reference Values