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Reliable Change on the Boston Naming Test

Published online by Cambridge University Press:  23 January 2012

Bonnie C. Sachs ,
John A. Lucas ,
Glenn E. Smith ,
Robert J. Ivnik ,
Ronald C. Petersen ,
Neill R. Graff-Radford  and
Otto Pedraza
Bonnie C. Sachs*
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, Florida
John A. Lucas
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, Florida
Glenn E. Smith
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota
Robert J. Ivnik
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota
Ronald C. Petersen
Affiliation:
Department of Neurology, Mayo Clinic, Rochester, Minnesota
Neill R. Graff-Radford
Affiliation:
Department of Neurology, Mayo Clinic, Jacksonville, Florida
Otto Pedraza
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, Florida
*
Correspondence and reprint requests to: Bonnie C. Sachs, Department of Neurology, Virginia Commonwealth University, Richmond, VA 23298. E-mail: bsachs@vcu.edu
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Abstract

Serial assessments are commonplace in neuropsychological practice and used to document cognitive trajectory for many clinical conditions. However, true change scores may be distorted by measurement error, repeated exposure to the assessment instrument, or person variables. The present study provides reliable change indices (RCI) for the Boston Naming Test, derived from a sample of 844 cognitively normal adults aged 56 years and older. All participants were retested between 9 and 24 months after their baseline exam. Results showed that a 4-point decline during a 9–15 month retest period or a 6-point decline during a 16–24 month retest period represents reliable change. These cutoff values were further characterized as a function of a person's age and family history of dementia. These findings may help clinicians and researchers to characterize with greater precision the temporal changes in confrontation naming ability. (JINS, 2012, 18, 375–378)

Keywords

BNTRCIAgingDementiaSerial Assessment
Type
Brief Communications
Information
Journal of the International Neuropsychological Society , Volume 18 , Issue 2 , March 2012 , pp. 375 - 378
Copyright
Copyright © The International Neuropsychological Society 2012

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