Evidence map›Paper›PMID 33012297›Full record

ArticleJournal of the International Neuropsychological Society : JINS2021

Latent Factor Structure and Measurement Invariance of the NIH Toolbox Cognition Battery in an Alzheimer's Disease Research Sample.

Yue Ma, Cynthia M Carlsson, Michelle L Wahoske, Hanna M Blazel, Richard J Chappell, Sterling C Johnson, Sanjay Asthana, Carey E Gleason

Abstract read
In one paragraph

Article in Journal of the International Neuropsychological Society : JINS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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  6. Article
  7. Article
  8. Article
  9. Exploring symptom clusters in mild cognitive impairment and dementia with the NIH Toolbox.Journal of the International Neuropsychological Society : JINS · 2024
    Article
  10. Psychometric properties of the NIH Toolbox Cognition and Emotion Batteries among children and adolescents with congenital heart defects.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Article
  11. Validity of the NIH toolbox cognitive battery in a healthy oldest-old 85+ sample.Journal of the International Neuropsychological Society : JINS · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yue MaWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.ORCID 0000-0003-1362-3752
Cynthia M CarlssonWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.
Michelle L WahoskeWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.
Hanna M BlazelWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.
Richard J ChappellWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.
Sterling C JohnsonWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.
Sanjay AsthanaWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.
Carey E GleasonWisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, J5/1 Mezzanine, 600 Highland Avenue, Madison, WI53792, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI AMY J. KIND · 2019 to 2026
$34.5M
Wisconsin Alzheimer's Disease Research CenterP50AG033514 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CHAPPELL, RICHARD J · 2009 to 2018
$16.2M
African Americans Fighting Alzheimer’s in Midlife (AA-FAIM)R01AG054059 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CAREY E GLEASON · 2016 to 2026
$15.3M
NCATS NIH HHS UL1 TR002373NIA NIH HHS P30 AG062715NIA NIH HHS P50 AG033514NIA NIH HHS R01 AG054059
6 · The paper itself

Abstract

objectiveThis study investigated the latent factor structure of the NIH Toolbox Cognition Battery (NIHTB-CB) and its measurement invariance across clinical diagnosis and key demographic variables including sex, race/ethnicity, age, and education for a typical Alzheimer's disease (AD) research sample.

methodThe NIHTB-CB iPad English version, consisting of 7 tests, was administered to 411 participants aged 45-94 with clinical diagnosis of cognitively unimpaired, dementia, mild cognitive impairment (MCI), or impaired not MCI. The factor structure of the whole sample was first examined with exploratory factor analysis (EFA) and further refined using confirmatory factor analysis (CFA). Two groups were classified for each variable (diagnosis or demographic factors). The confirmed factor model was next tested for each group with CFA. If the factor structure was the same between the groups, measurement invariance was then tested using a hierarchical series of nested two-group CFA models.

resultsA two-factor model capturing fluid cognition (executive function, processing speed, and memory) versus crystalized cognition (language) fit well for the whole sample and each group except for those with age < 65. This model generally had measurement invariance across sex, race/ethnicity, and education, and partial invariance across diagnosis. For individuals with age < 65, the language factor remained intact while the fluid cognition was separated into two factors: (1) executive function/processing speed and (2) memory.

conclusionsThe findings mostly supported the utility of the battery in AD research, yet revealed challenges in measuring memory for AD participants and longitudinal change in fluid cognition.

Indexed as

Alzheimer DiseaseCognitionExecutive FunctionFactor Analysis, StatisticalHumansNeuropsychological TestsAlzheimer’s diseaseCognition batteryConfirmatory factor analysisExploratory factor analysisMeasurement invarianceNIH Toolbox

Identifiers

PMID33012297
PMCPMC8108547

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.