Construct and predictive validity of the repeatable battery for the assessment of neuropsychological status in the evaluation of stroke patients

Eric B. Larson*, Kristi Kirschner, Rita Bode, Allen Heinemann, Rebecca Goodman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

75 Scopus citations

Abstract

To evaluate the construct and predictive validity of a brief neuropsychological assessment battery, consecutive admissions to a hospital receiving inpatient treatment for stroke were tested with the Repeatable Battery for Assessment of Neuropsychological Status (RBANS) and other neuropsychological measures. Discriminant and convergent validity were adequate for the Language, Visuospatial/Constructional, Immediate Memory and Delayed Memory indices in the RBANS, but weaker for the Attention Index. Twelve months later, 36 discharged patients were contacted by telephone and interviewed using a battery of functional outcome measures. RBANS Total Score predicted cognitive disability as measured by the Functional Independence Measure. Individual indices from the RBANS also predicted instrumental activities of daily living (IADLs) as measured by the Frenchay Activity Index and participation restrictions as measured by the Craig Handicap Assessment and Reporting Technique. The present findings suggest that the RBANS can be a useful tool in the neuropsychological evaluation of inpatients with stroke.

Original languageEnglish (US)
Pages (from-to)16-32
Number of pages17
JournalJournal of Clinical and Experimental Neuropsychology
Volume27
Issue number1
DOIs
StatePublished - Jan 2005

Funding

The Repeatable Battery for Assessment of Neuropsychological Status (RBANS, Randolph, 1998) has particularly good utility for inpatient evaluations because of its brevity (administration requires about 20–30 minutes) and its portability (the small booklet of test stimuli can be easily used at bedside). Unlike screening instruments that provide a single summary score such as the Mini Mental State Exam (Folstein, Folstein, & McHugh, 1975), the RBANS yields separate scores for several cognitive domains. There are five indices measured by 12 subtests: 1) an Immediate Memory Index measured by list learning and story Thanks to Brooke Donnelley, Jeremy Clorfene and Michael Ostrom for their extensive assistance in this project. Thanks also to Christopher Randolph for his assistance with this manuscript. Supported by the US Department of Education, National Institute on Disability and Rehabilitation Research, grant H133B30024 through the Rehabilitation Research and Training Center on Enhancing Quality of Life of Stroke Survivors.

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Clinical Psychology

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