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

Published online by Cambridge University Press:  01 March 2009

H. ALLISON BENDER*
Affiliation:
Department of Neurology, Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York
JEFFREY R. COLE
Affiliation:
Department of Neurology, Comprehensive Epilepsy Center, Columbia University Medical Center, New York, New York
MYRELIS APONTE-SAMALOT
Affiliation:
Department of Neurology, Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York Ponce School of Medicine, Ponce, Puerto Rico
DANIEL CRUZ-LAUREANO
Affiliation:
Department of Neurology, Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York Ponce School of Medicine, Ponce, Puerto Rico
LORNA MYERS
Affiliation:
Northeast Regional Epilepsy Group, New York, New York
BLANCA R. VAZQUEZ
Affiliation:
Department of Neurology, Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York
WILLIAM B. BARR
Affiliation:
Department of Neurology, Comprehensive Epilepsy Center, New York University Langone Medical Center, New York, New York
*
*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

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.)

Type
Research Articles
Copyright
Copyright © INS 2009

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