Abstract
Despite the importance of capturing problems with judgment and decision-making during neuropsychological evaluations of older adults, there are a limited number of validated measures and no informant rating scales. We developed an informant measure that captures compromised judgment related to safety, medical, financial, and social-ethical issues After item refinement and piloting in a memory disorders clinic, we utilized the Test of Practical Judgment-Informant (TOP-J-Informant) at two clinics in the Midwestern U.S., including 189 patient/informant dyads (mean age = 79.0, median years of education = 13, % female = 67.7) with various preclinical and clinical dementia conditions. We found psychometric support, including evidence for convergent, divergent, and criterion-related validity, and internal consistency. Importantly, we were able to discriminate between diagnostic groups in the expected direction. The TOP-J-Informant is brief (<5 minutes), easy to administer, and can reveal areas of concern related to poor judgment when administered in the context of a neuropsychological evaluation or clinic visit.
Original language | English (US) |
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Pages (from-to) | 139-157 |
Number of pages | 19 |
Journal | Aging, Neuropsychology, and Cognition |
Volume | 29 |
Issue number | 1 |
DOIs | |
State | Published - 2022 |
Keywords
- Alzheimer’s disease
- Judgment
- Test of Practical Judgment
- informant report
- instrument validation
- mild cognitive impairment
- neuropsychological assessment
- older adults
- questionnaire
ASJC Scopus subject areas
- Neuropsychology and Physiological Psychology
- Experimental and Cognitive Psychology
- Geriatrics and Gerontology
- Psychiatry and Mental health