Leiter-3 generalizability in Scandinavia.

The Leiter-3 is a nonverbal assessment that evaluates cognitive abilities and has been adapted for use in Scandinavia. Generalizability of United States-based normative scoring for use with the Scandinavian population was evaluated. Leiter-3 scores from a sample of Scandinavian students were compared with scores obtained from the Leiter-3 standardization sample, controlling for confounding variables, across ages, using mixed-methods analysis. A Scandinavian-population-based sample was created from Leiter-3 standardization data and norms were constructed and were used to generate standardized scores from the sample data. Results suggest that overall the Scandinavian test-takers score higher than American test-takers, but that differences between groups were minimized when controlling for factors that may influence cognitive performance. Creating Scandinavian based scores was not effective at reducing gaps in performance, suggesting that differences in performance between the different populations may be attributable to factors other than those typically controlled for when constructing standardized tests. Implications of these results and recommendations for Leiter-3 adaptation are reviewed.

Unreliable block span reveals simulated intellectual disability on the stanford-binet intelligence scales-fifth edition.

Previously developed validity measures are largely lacking in their ability to accurately distinguish malingerers from individuals with genuine intellectual disabilities (ID). The purpose of the present study was to develop a validity index for the Stanford-Binet Intelligence Scales-Fifth Edition (SB-5) aimed at detecting malingered ID. Fifty-four college students were instructed to feign impairment consistent with mental retardation while completing the SB-5. Simulated malingerers performed significantly poorer on the Block Span task of the SB-5 than did individuals with genuine impairment. A Block Span Validity Index (BSVI) cutoff score of less than 10 showed perfect specificity by correctly identifying all persons with true ID and demonstrated 52% sensitivity in identifying persons feigning impairment. For the detection of malingered ID, the BSVI yielded favorable results, although more research is needed to validate the BSVI using a known-groups study design.

Development and psychometric assessment of the function-neutral health-related quality of life measure.

OBJECTIVE: The aim of this study was to determine the conceptual framework, item pool, and psychometric properties of a new function-neutral measure of health-related quality-of-life (HRQOL). DESIGN: This is an expert panel review of existing measures of HRQOL and development of a conceptual model, core constructs, and item pool and a validation by experts in specific disabilities and in cultural competence. Items were cognitively tested, pilot tested for functional bias, field tested with a national sample of adults with various limitations, and reliability tested via repeat administration. Final item selection was based on analyses of factor structure, demographic bias, variance in likelihood of endorsement, and item-total correlation. Psychometric properties were demonstrated through differential item functioning analyses, factor analyses, correlations, and item response theory analyses. RESULTS: The results supported a four-domain conceptual model of HRQOL (physical health, mental health, social health, and life satisfaction and beliefs) for a 42-item HRQOL measure with an ancillary 15-item environment scale. The measure has strong internal consistency (α = 0.88-0.97), known-groups validity, and test-retest reliability (r = 0.83-0.91). Tests of convergent and divergent validity confirmed the ability of the Function-Neutral Health-Related Quality of Life to measure health while being relatively free of content assessing function. CONCLUSIONS: A conceptually grounded four-domain, function-neutral measure of HRQOL that is appropriate for use with persons with and without various functional limitations was developed.

Development and validation of the stanford binet-5 rarely missed items-nonverbal index for the detection of malingered mental retardation.

Current research suggests that effort indices designed for the detection of malingered neurocognitive functioning do not have adequate sensitivity or specificity for use in cases where malingered mental retardation (MR) is the issue. Therefore, development and validation of reliable, objective measures for the detection of malingered MR have become imperative for both forensic and disability cases in recent years. The purpose of this study was to develop and validate an embedded malingering index for the Stanford Binet Intelligence Scales, Fifth Edition. Data from individuals in the SB5 standardization sample, who had intellectual deficits in the MR range, were used. Items that were rarely missed by the MR sample were pooled and validated using a sample of 54 college students asked to feign MR. Nonverbal items that were missed significantly more frequently by the malingering "analog MR sample" were retained and composed the Stanford Binet Rarely Missed Items-Nonverbal (SBRMI-NV) index. When only individuals who successfully malingered MR (FSIQ < 71) were included, sensitivity of 0.88 and specificity of 1.00 were obtained. Results indicate that although the SBRMI-NV needs further validation, it shows great promise in the detection of malingered MR.

Differential performance of SF-36 items in healthy adults with and without functional limitations.

OBJECTIVE: To determine whether Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) items show differential item functioning among healthy adults with various types of functional limitations as compared with a healthy sample with no identified limitations. DESIGN: Survey responses were analyzed by using partial correlations. SETTING: General community. PARTICIPANTS: Participants (N=206) included (1) adults with spinal cord injury (SCI), (2) adults who were deaf or hard of hearing, (3) adults who were legally blind, (4) adults with psychiatric or emotional conditions, and (5) adults with no reported functional limitations. Participants were screened to ensure the absence of substantial health problems. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: SF-36. RESULTS: Partial correlations showed a significant negative correlation, indicating differential item functioning (ie, apparent bias) for people with SCI on all 10 SF-36 Physical Functioning items. For people who were blind, 5 items showed a significant negative correlation. Two items had significant negative correlations for the deaf/hard-of-hearing group. One item showed significant negative performance for people with mental health conditions. CONCLUSIONS: Our data indicated a possibility for measurement bias caused by the blending of health and function concepts in the SF-36.

No evidence for ethnic and racial bias in the Tryout Edition of the Merrill-Palmer Scale-Revised.

This research examined a revised version of the Merrill-Palmer Scale, a test of childhood development, to assess the cultural validity of items, i.e., Differential Item Functioning. Archival data were used to determine the Differential Item Functioning of items for 245 African-American, Euro-American, and Hispanic children, ages 3-6 years. Subjects were gathered from all four regions of the United States. Potential bias was examined through the use of partial correlations. Statistical analyses suggest that the Tryout Edition of the Merrill-Palmer Scale-Revised was not systematically biased toward any of the three racial groups examined.