Predicting change with the RBANS in a community dwelling elderly sample
Repeated neuropsychological assessments are common with older adults, and the determination of clinically significant change across time is an important issue. Regression-based prediction formulas have been utilized with other patient and healthy control samples to predict follow-up test performance based on initial performance and demographic variables. Comparisons between predicted and observed follow-up performances can assist clinicians in determining the significance of change in the individual patient. In the current study, multiple regression-based prediction equations for the 5 Indexes and Total Score of the RBANS were developed for a sample of 223 community dwelling older adults. These algorithms were then validated on a separate elderly sample (N = 222). Minimal differences were present between observed and predicted follow-up scores in the validation sample, suggesting that the prediction formulas are clinically useful for practitioners who assess older adults. A case example is presented that illustrates how the algorithms can be used clinically. (JINS, 2004, 10, 828–834.)(Received September 29 2003)
(Revised February 6 2004)
(Accepted March 29 2004)
Key Words: Predicting cognitive change; RBANS; Older adults; Neuropsychology.
c1 Reprint requests to: Kevin Duff, Ph.D., University of Iowa, Department of Psychiatry, MEB 1-308, Iowa City, IA 52242-1000. E-mail: email@example.com