Journal of the International Neuropsychological Society

Research Articles

Construct validity of the Neuropsychological Screening Battery for Hispanics (NeSBHIS) in a neurological sample

H. ALLISON BENDERa1 c1, JEFFREY R. COLEa2, MYRELIS APONTE-SAMALOTa1a3, DANIEL CRUZ-LAUREANOa1a3, LORNA MYERSa4, BLANCA R. VAZQUEZa1 and WILLIAM B. BARRa1

a1 Department of Neurology, Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York

a2 Department of Neurology, Comprehensive Epilepsy Center, Columbia University Medical Center, New York, New York

a3 Ponce School of Medicine, Ponce, Puerto Rico

a4 Northeast Regional Epilepsy Group, New York, New York

Abstract

Epidemiological studies suggest that the Hispanic population is at increased risk for neurological disorders. Yet, few assessment measures have been developed for, adapted to, or normalized with Spanish-speakers. The Neuropsychological Screening Battery for Hispanics (NeSBHIS) was developed to address the lack of resources available to this underserved community. Although the NeSBHIS possesses robust construct validity and clinical utility in a community-based sample, these properties remain largely untested in neurological populations. One hundred and twenty-seven Spanish-speaking Hispanic patients with confirmed epilepsy (mean age = 37.8, SD = 13.3) were evaluated using the NeSBHIS. All participants self-identified as “Hispanic” and immigrated from Spanish-speaking countries. Data were analyzed using confirmatory factor analysis with the a priori assumption that variables would load according to theoretical expectations reported by Pontón and colleagues (2000). The overall model fit indices were in the desired range: Comparative Fit Index = 0.936, Tucker Lewis Index = 0.915, RMSEA = 0.090, and SRMR = 0.069. All NeSBHIS subtests loaded significantly (p < .001) on their respective factors; the standardized loadings were high, ranging from 0.562 to 0.995, with the exception of Block Design (–0.308). Overall, findings suggest that the NeSBHIS has robust construct validity in a neurological sample. (JINS, 2009, 15, 217–224.)

(Received April 21 2008)

(Reviewed October 17 2008)

(Accepted October 20 2008)

Correspondence:

c1 Correspondence and reprint requests to: H. Allison Bender, Ph.D., New York University Langone Medical Center, Comprehensive Epilepsy Center, Neuropsychology Service, 223 East 34th Street, New York, NY 10016. E-mail: Heidi.Bender@nyumc.org