ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2025
Race/Ethnicity and the Measurement of Cognition in the National Social Life, Health, and Aging Project: Recommendations for Robustness.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Overview of "Studying Cognition in the National Social Life, Health, and Aging Project: Methodological and Analytic Considerations, Strategies and Findings From Round 4".The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- The Interplay of Race, Ethnicity, and Language in Caregiver Health: Insights from the National Social Life, Health, and Aging Project.Research square · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesIn this study, we examine the measurement of cognition in different racial/ethnic groups to move toward a less biased and more inclusive set of measures for capturing cognitive change and decline in older adulthood.
methodsWe use data from Round 2 (N = 3,377) and Round 3 (N = 4,777) of the National Social Life, Health, and Aging Project (NSHAP) and examine the study's Survey Adjusted version of the Montreal Cognitive Assessment (MoCA-SA). We employ exploratory factor analyses to explore configural invariance by racial/ethnic group. Using modification indexes, 2-parameter item response theory models, and split-sample testing, we identify items that seem robust to bias by race. We test the predictive validity of the full (18-item) and short (4-item) MoCA-SAs using self-reported dementia diagnosis, instrumental activities of daily living, proxy reports of dementia, proxy reports of dementia-related death, and National Death Index reports of dementia-related death.
resultsWe found that 4 measures out of the 18 used in NSHAP's MoCA-SA formed a scale that was more robust to racial bias. The shortened form predicted consequential outcomes as well as NSHAP's full MoCA-SA. The short form was also moderately correlated with the full form. DISCUSSION: Although sophisticated structural equation modeling techniques would be preferable for assuaging measurement invariance by race in NSHAP, the shortened form of the MoCA-SA provides a quick way for researchers to carry out robustness checks and to see if the disparities and associations by race they document are "real" or the product of artifactual bias.
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Registered trials
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.