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RBANS Validity Indices: a Systematic Review and Meta-Analysis.

Robert D Shura^1,2,3, Timothy W Brearly^4,5,6,7, Jared A Rowland^4,5,7,8

¹VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC), Salisbury Veterans Affairs Health Care System (SVAHCS), Salisbury, NC, 28144, USA. Robert.Shura2@va.gov.

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|May 18, 2018

Summary

Embedded validity indices in the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) effectively evaluate performance validity. These indicators show adequate diagnostic accuracy across diverse populations, aiding neuropsychological assessments.

Keywords:

Effort Embedded validity indicators Meta-analysis RBANS Systematic review

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Area of Science:

Neuropsychology
Cognitive Assessment
Psychometrics

Background:

Performance validity is crucial in neuropsychological assessments.
Embedded validity indices offer a method to evaluate performance validity using existing measures.
The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) includes embedded validity indicators.

Purpose of the Study:

To synthesize the utility of RBANS embedded validity indicators for assessing performance validity.
To evaluate the diagnostic accuracy of these indicators across different populations.

Main Methods:

Systematic literature search yielding 11 studies for synthesis and 10 for meta-analysis.
Data synthesis on four indices and three subtests.
Meta-analysis focused on the Effort Index due to data availability.

Main Results:

Optimal cutoff scores for the Effort Index were identified (AUC ≥ .86).
Adequate diagnostic accuracy was observed for embedded validity indicators.
Heterogeneity and outliers suggest the influence of age and evaluation context.

Conclusions:

RBANS embedded validity indicators demonstrate adequate diagnostic accuracy for performance validity.
Interpretation should consider age and evaluation context.
Further research is recommended to refine the use of these indicators.