A battery approach for measuring neuropsychological change

Steven Paul Woods; Meredith Childers; Ronald J. Ellis; Stephanie Guaman; Igor Grant; Robert K. Heaton; J. Hampton Atkinson; J. Allen McCutchan; Thomas D. Marcotte; Mark R. Wallace; Scott Letendre; Rachel Schrier; Mariana Cherner; Sharron Dawes; Lei Lu; Corinna Young; Terry Jernigan; Michael J. Taylor; John Hesselink; Eliezer Masliah; Dianne Langford; Michelle Frybarger; Ian Abramson; Deborah Lazzaretto

doi:10.1016/j.acn.2005.07.008

A battery approach for measuring neuropsychological change

Steven Paul Woods, Meredith Childers, Ronald J. Ellis, Stephanie Guaman, Igor Grant, Robert K. Heaton, J. Hampton Atkinson, J. Allen McCutchan, Thomas D. Marcotte, Mark R. Wallace, Scott Letendre, Rachel Schrier, Mariana Cherner, Sharron Dawes, Lei Lu, Corinna Young, Terry Jernigan, Michael J. Taylor, John Hesselink, Eliezer MasliahDianne Langford, Michelle Frybarger, Ian Abramson, Deborah Lazzaretto

Research output: Contribution to journal › Article › peer-review

50 Scopus citations

Abstract

The accurate interpretation of serial neuropsychological testing is a fundamental activity of neuropsychologists in clinical and research settings. Although prior research supports the construct validity of several individual tests for the reliable measurement of cognitive change, neuropsychologists are often interested in detecting changes in cognitive functioning across a battery of tests. In the present study, we examined the specificity of a modified Reliable Change Index (RCI) methodology applied across a focused battery of commonly used neuropsychological tests. Fifty-seven healthy controls underwent neuropsychological assessment at two time points separated by approximately 1 year. Test-retest reliability coefficients and standard RCI confidence intervals for the individual tests were broadly comparable with prior research in healthy populations. Battery change scores were generated by calculating z-scores of change for each individual test, which were summed across the entire test battery. The RCI methodology was applied to the summed z-score to provide a 90% confidence interval as an indicator of overall cognitive stability. These battery RCI normative standards demonstrated adequate specificity when applied to 29 persons with HIV-1 infection who were classified as medically and neurologically stable. Findings from this study may be useful for both clinicians and researchers seeking normative standards for determining reliable changes in performance across a commonly used battery of neuropsychological tests.

Original language	English (US)
Pages (from-to)	83-89
Number of pages	7
Journal	Archives of Clinical Neuropsychology
Volume	21
Issue number	1
DOIs	https://doi.org/10.1016/j.acn.2005.07.008
State	Published - Jan 2006
Externally published	Yes

Keywords

Neuropsychological assessment
Quantitative methods
Test reliability

ASJC Scopus subject areas

Neuropsychology and Physiological Psychology
Clinical Psychology
Psychiatry and Mental health

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10.1016/j.acn.2005.07.008

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Woods, S. P., Childers, M., Ellis, R. J., Guaman, S., Grant, I., Heaton, R. K., Atkinson, J. H., McCutchan, J. A., Marcotte, T. D., Wallace, M. R., Letendre, S., Schrier, R., Cherner, M., Dawes, S., Lu, L., Young, C., Jernigan, T., Taylor, M. J., Hesselink, J., ... Lazzaretto, D. (2006). A battery approach for measuring neuropsychological change. Archives of Clinical Neuropsychology, 21(1), 83-89. https://doi.org/10.1016/j.acn.2005.07.008

Woods, SP, Childers, M, Ellis, RJ, Guaman, S, Grant, I, Heaton, RK, Atkinson, JH, McCutchan, JA, Marcotte, TD, Wallace, MR, Letendre, S, Schrier, R, Cherner, M, Dawes, S, Lu, L, Young, C, Jernigan, T, Taylor, MJ, Hesselink, J, Masliah, E, Langford, D, Frybarger, M, Abramson, I & Lazzaretto, D 2006, 'A battery approach for measuring neuropsychological change', Archives of Clinical Neuropsychology, vol. 21, no. 1, pp. 83-89. https://doi.org/10.1016/j.acn.2005.07.008

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title = "A battery approach for measuring neuropsychological change",

abstract = "The accurate interpretation of serial neuropsychological testing is a fundamental activity of neuropsychologists in clinical and research settings. Although prior research supports the construct validity of several individual tests for the reliable measurement of cognitive change, neuropsychologists are often interested in detecting changes in cognitive functioning across a battery of tests. In the present study, we examined the specificity of a modified Reliable Change Index (RCI) methodology applied across a focused battery of commonly used neuropsychological tests. Fifty-seven healthy controls underwent neuropsychological assessment at two time points separated by approximately 1 year. Test-retest reliability coefficients and standard RCI confidence intervals for the individual tests were broadly comparable with prior research in healthy populations. Battery change scores were generated by calculating z-scores of change for each individual test, which were summed across the entire test battery. The RCI methodology was applied to the summed z-score to provide a 90% confidence interval as an indicator of overall cognitive stability. These battery RCI normative standards demonstrated adequate specificity when applied to 29 persons with HIV-1 infection who were classified as medically and neurologically stable. Findings from this study may be useful for both clinicians and researchers seeking normative standards for determining reliable changes in performance across a commonly used battery of neuropsychological tests.",

keywords = "Neuropsychological assessment, Quantitative methods, Test reliability",

author = "Woods, {Steven Paul} and Meredith Childers and Ellis, {Ronald J.} and Stephanie Guaman and Igor Grant and Heaton, {Robert K.} and Atkinson, {J. Hampton} and McCutchan, {J. Allen} and Marcotte, {Thomas D.} and Wallace, {Mark R.} and Scott Letendre and Rachel Schrier and Mariana Cherner and Sharron Dawes and Lei Lu and Corinna Young and Terry Jernigan and Taylor, {Michael J.} and John Hesselink and Eliezer Masliah and Dianne Langford and Michelle Frybarger and Ian Abramson and Deborah Lazzaretto",

note = "Funding Information: The research described was supported by the following grants from the National Institutes of Health: MH62512, DA12065, and MH59745. The authors thank Sarah Gibson for her assistance in compiling the references and two anonymous reviewers for their helpful comments and suggestions.",

year = "2006",

month = jan,

doi = "10.1016/j.acn.2005.07.008",

language = "English (US)",

volume = "21",

pages = "83--89",

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AU - Woods, Steven Paul

AU - Childers, Meredith

AU - Ellis, Ronald J.

AU - Guaman, Stephanie

AU - Grant, Igor

AU - Heaton, Robert K.

AU - Atkinson, J. Hampton

AU - McCutchan, J. Allen

AU - Marcotte, Thomas D.

AU - Wallace, Mark R.

AU - Letendre, Scott

AU - Schrier, Rachel

AU - Cherner, Mariana

AU - Dawes, Sharron

AU - Lu, Lei

AU - Young, Corinna

AU - Jernigan, Terry

AU - Taylor, Michael J.

AU - Hesselink, John

AU - Masliah, Eliezer

AU - Langford, Dianne

AU - Frybarger, Michelle

AU - Abramson, Ian

AU - Lazzaretto, Deborah

N1 - Funding Information: The research described was supported by the following grants from the National Institutes of Health: MH62512, DA12065, and MH59745. The authors thank Sarah Gibson for her assistance in compiling the references and two anonymous reviewers for their helpful comments and suggestions.

PY - 2006/1

Y1 - 2006/1

N2 - The accurate interpretation of serial neuropsychological testing is a fundamental activity of neuropsychologists in clinical and research settings. Although prior research supports the construct validity of several individual tests for the reliable measurement of cognitive change, neuropsychologists are often interested in detecting changes in cognitive functioning across a battery of tests. In the present study, we examined the specificity of a modified Reliable Change Index (RCI) methodology applied across a focused battery of commonly used neuropsychological tests. Fifty-seven healthy controls underwent neuropsychological assessment at two time points separated by approximately 1 year. Test-retest reliability coefficients and standard RCI confidence intervals for the individual tests were broadly comparable with prior research in healthy populations. Battery change scores were generated by calculating z-scores of change for each individual test, which were summed across the entire test battery. The RCI methodology was applied to the summed z-score to provide a 90% confidence interval as an indicator of overall cognitive stability. These battery RCI normative standards demonstrated adequate specificity when applied to 29 persons with HIV-1 infection who were classified as medically and neurologically stable. Findings from this study may be useful for both clinicians and researchers seeking normative standards for determining reliable changes in performance across a commonly used battery of neuropsychological tests.

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A battery approach for measuring neuropsychological change

Abstract

Keywords

ASJC Scopus subject areas

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