Ecological validity of the screening module and the Daily Living tests of the Neuropsychological Assessment Battery using the Mayo-Portland Adaptability Inventory-4 in postacute brain injury rehabilitation.

2011 ◽  
Vol 56 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Dennis J. Zgaljardic ◽  
Sybil Yancy ◽  
Richard O. Temple ◽  
Monica F. Watford ◽  
Rebekah Miller
Keyword(s):  
Brain Injury ◽  
Neuropsychological Assessment ◽  
Daily Living ◽  
Ecological Validity ◽  
Injury Rehabilitation ◽  
Assessment Battery ◽  
Neuropsychological Assessment Battery

scholarly journals Ecological validity of the neuropsychological assessment battery screening module in post-acute brain injury rehabilitation

Brain Injury ◽  
2009 ◽  
Vol 23 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Richard O. Temple ◽  
Dennis J. Zgaljardic ◽  
Beatriz C. Abreu ◽  
Gary S. Seale ◽  
Glenn V. Ostir ◽  
...  
Keyword(s):  
Brain Injury ◽  
Neuropsychological Assessment ◽  
Ecological Validity ◽  
Acute Brain Injury ◽  
Injury Rehabilitation ◽  
Assessment Battery ◽  
Neuropsychological Assessment Battery

A-186 Preliminary Development of an Embedded Measure of Effort on the Memory Module of the Neuropsychological Assessment Battery (NAB)

2021 ◽  
Vol 36 (6) ◽  
pp. 1241-1241
Author(s):  
Alexandra Rodriguez ◽  
Alicia Carrillo ◽  
Lisa Fasnacht-Hill ◽  
Sierra Iwanicki ◽  
David Lechuga
Keyword(s):  
Neuropsychological Assessment ◽  
Roc Curve ◽  
Daily Living ◽  
Performance Validity ◽  
Memory Module ◽  
Delayed Recall ◽  
Assessment Battery ◽  
Immediate Recall ◽  
List Learning ◽  
Neuropsychological Assessment Battery

Abstract Objective The Neuropsychological Assessment Battery (NAB) is an integrated neuropsychological battery for assessing cognitive skills in adults. The current study utilizes performance validity tests (PVTs) to interpret poor effort for scores on the NAB. Method Sample consisted of 306 adult civil litigants referred for a neuropsychological evaluation aged 18 to 85 years with a mean age of 43 years. Education ranged from 8 to 20 years with a mean of 14 years of education. Poor effort was denoted by “failing” 2 or more PVTs versus individuals who did not fail any PVTs (“pass”). Results Independent-samples t-tests were run to determine if there were differences in NAB Memory Module scores between the “pass” and “fail” groups. Multiple scores on NAB Memory Module yielded statistically significant differences. Scores were then used in subsequent ROC curve analyses to determine appropriate cutoff scores with an intent to maximally balance sensitivity and specificity. ROC curve analyses were favorable (i.e., AUC > 0.70) and yielded cut scores for List Learning A Immediate Recall (≤ 18), List Learning A Short Delayed Recall (≤ 6), List Learning A Long Delayed Recall (≤ 4), Shape Learning Immediate Recognition (≤ 15), Daily Living Memory Immediate Recall (≤ 39), Daily Living Memory Delayed Recall (≤ 11), List Learning A Discriminability (≤ 7), and Name/Address/Phone Delayed Recall (≤ 4) with sensitivity values ranging from 0.70 to 0.78 and specificity values ranging from 0.70 to 0.84. Conclusion Results provide preliminary evidence of suggested cutoffs to identify suspected poor effort for various scores in the NAB Memory Module.

scholarly journals The Screening Utility and Ecological Validity of the Neuropsychological Assessment Battery Bill Payment Subtest in Older Adults with and without Dementia

2019 ◽  
Vol 34 (7) ◽  
pp. 1156-1164 ◽  
Author(s):  
Lauren E Kenney ◽  
Seth A Margolis ◽  
Jennifer D Davis ◽  
Geoffrey Tremont
Keyword(s):  
Cognitive Impairment ◽  
Neuropsychological Assessment ◽  
Ecological Validity ◽  
Functional Decline ◽  
Roc Curves ◽  
Preliminary Evidence ◽  
Money Management ◽  
Financial Independence ◽  
Assessment Battery ◽  
Neuropsychological Assessment Battery

Abstract Objective The Neuropsychological Assessment Battery Bill Payment subtest has shown strong diagnostic accuracy in dementia due to Alzheimer’s disease (AD) versus non-AD. Its relationship to mild cognitive impairment (MCI) or all-cause dementia has not been fully examined nor has its ecological validity as a proxy of financial independence. Method We describe 270 women (63%) and men (age = 72 ± 8.39) who completed Bill Payment during outpatient neuropsychological evaluation. Seventy-one were cognitively normal (CN), 160 had MCI, and 39 had Dementia. Two hundred fourteen were independent in money management, 31 were assisted (had oversight/some help), and 25 were dependent (relied on others). Receiver operating characteristic (ROC) curves tested Bill Payment’s utility as a dementia screen. Kruskal–Wallis tests examined whether Bill Payment differed by levels of financial independence. Results At a cutoff of 17, Bill Payment had strong sensitivity (0.87) and specificity (0.80) for dementia versus CN cases. A cutoff of 15 distinguished dementia from MCI (Sn = 0.64, Sp = 0.85), whereas a cutoff of 16 distinguished dementia from functionally unimpaired cases (MCI + CN) with greater sensitivity and similar specificity (Sn = 0.74, Sp = 0.81). Sensitivity attenuated in MCI versus CN cases (Sn = 0.46, Sp = 0.83). Those who were independent in money management had higher scores than assisted and dependent cases (p ≤ 0.046). Assisted and dependent cases were no different (p > 0.05). Conclusions Bill Payment is a valid screen of all-cause dementia. Lower Bill Payment scores may mark subtle functional decline beyond cognitive impairment alone. Specifically, results provide preliminary evidence of Bill Payment’s ecological validity as a measure related to financial independence. It may prove useful when impaired financial abilities are suspected but unreported.

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