Rating scale analysis of the neurobehavioral cognitive status examination

Nicholas A. Doninger*, K. Bode Rita, Allen Walter Heinemann, Christa Ambrose

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Objective: Evaluate the measurement properties of the Neurobehavioral Cognitive Status Examination (NCSE) using rating scale analysis. Design: Calibration of item responses collected as part of a study examining characteristics of case-management programs and treatment outcomes. Setting: Three outpatient rehabilitation facilities. Participants: Convenience sample of 186 community-dwelling adults with TBI. Results: Several rating scale analyses were performed to construct a unidimensional measure. Deletion of easy and misfitting items created a better targeted test (generated more spread among individuals) without increased error. Conclusions: If used with a community-based sample, three strata can be differentiated despite a skewed distribution. Recommended applications are with samples with considerably more cognitive impairment.

Original languageEnglish (US)
Pages (from-to)683-695
Number of pages13
JournalJournal of Head Trauma Rehabilitation
Issue number1
StatePublished - Jan 1 2000


  • Brain injury
  • Cognition
  • Neuropsychological tests
  • Psychometrics
  • Rating scale analysis

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology


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