Evidence map›Paper›PMID 40622488›Full record

SynthesisNeuropsychology review2026

A Systematic Review and Meta-Analysis of the Use of the National Institutes of Health Toolbox Cognition Battery in Clinical Populations.

Kelly H Watson, Abagail E Ciriegio, Claire F Miller, Marissa C Roth, Bruce E Compas

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Neuropsychology review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Kelly H WatsonDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN, 37232, USA. k.watson@vumc.org.ORCID 0000-0001-6700-651X
Abagail E CiriegioDepartment of Psychology & Human Development, Vanderbilt University, Nashville, TN, 37203, USA.
Claire F MillerDepartment of Pediatrics, University of Utah Health, Salt Lake City, UT, 84132, USA.
Marissa C RothDepartment of Psychology & Human Development, Vanderbilt University, Nashville, TN, 37203, USA.
Bruce E CompasDepartment of Psychology & Human Development, Vanderbilt University, Nashville, TN, 37203, USA.

Funding

Institutional Career Development CoreKL2TR002245 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$9.3M
LIFE-SPAN DEVELOPMENT OF NORMAL AND ABNORMAL BEHAVIORT32MH018921 · NIMH · VANDERBILT UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 1989 to 2024
$6.7M
Social Connectedness and Communication in Parents with Huntington''s Disease and their Offspring: Associations with Psychological and Disease ProgressionR01HD104188 · NICHD · VANDERBILT UNIVERSITY · PI Daniel Oliver Claassen, Bruce E Compas · 2022 to 2026
$3.3M
Stress, Inflammation, and Neurocognitive Functioning in Adults with Huntington’s DiseaseF31NS135926 · NINDS · VANDERBILT UNIVERSITY · PI CIRIEGIO, ABAGAIL ELIZABETH · 2024 to 2025
$86k
NCATS NIH HHS KL2 TR002245NICHD NIH HHS R01 HD104188NIMH NIH HHS T32 MH018921NINDS NIH HHS F31 NS135926
6 · The paper itself

Abstract

The National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) is an assessment tool that has been widely utilized in research with clinical populations across the lifespan. Despite its widespread use, a systematic review and meta-analysis of cognitive function utilizing this battery in clinical samples has not been reported. To address this gap, 84 studies were identified after systematically searching PsycINFO, PubMed, and ProQuest (71 peer-reviewed articles, 11 dissertations, 2 master's theses) comprising 6331 clinical participants. Study quality was assessed using the QUADAS-2 tool. Results identified significant deficits in the Fluid Cognition Composite and the associated subtests (attention, working memory, processing speed, executive function) in clinical samples when compared to both the NIHTB-CB normative data and recruited comparison samples. Unexpectedly, there was some evidence that clinical participants scored higher on Crystallized Cognition subtests than the normative data but scored significantly lower than recruited controls. There was mixed evidence for performance differences on a Total Cognition Composite measure of cognitive function. There was some evidence of publication bias, and results were moderated by study quality and participant demographics. The implications of the findings for clinical research settings are discussed and suggested future directions are provided.

Indexed as

CognitionCognition DisordersNeuropsychological TestsHumansNational Institutes of Health (U.S.)United StatesAssessmentCognitionCrystallizedFluidMeta-analysisNIH Toolbox

Identifiers

PMID40622488
PMCPMC12875090

What OpenQuestion holds

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Registered trials

None linked

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.