Psychometric properties of the benton visual form discrimination test

Coefficient alpha and an item analysis were calculated for the 16-item Benton Visual Form Discrimination Test (VFDT) using a heterogeneous sample (N = 293) of mostly elderly medical patients who were suspected of having cognitive impairment. The total score reliability was .74. An item analysis found that 15 of the items were within established criteria for item difficulty, however, 5 items were found to be poor discriminators. Through the use of confidence intervals around observed scores, it was shown that the current classification criterion for the VFDT demands a higher reliability coefficient than what was found. Also, evidence for the test's insufficient level of difficulty is presented. It is difficult to recommend this test for clinical use.