Judgment in older adults

Development and psychometric evaluation of the Test of Practical Judgment (TOP-J)

L. A. Rabin, M. J. Borgos, Andrew Saykin, H. A. Wishart, P. K. Crane, K. E. Nutter-Upham, L. A. Flashman

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

This article reports on the development and validation of a novel, objective test of judgment for use with older adults. The Test of Practical Judgment (TOP-J) is an open-ended measure that evaluates judgment related to safety, medical, social/ethical, and financial issues. Psychometric features were examined in a sample of 134 euthymic individuals with mild Alzheimer's disease (AD), amnestic mild cognitive impairment (MCI), or cognitive complaints but intact neuropsychological performance (CC), and demographically-matched healthy controls (HC). Measures of reliability were adequate to high, and TOP-J scores correlated with select measures of executive functioning, language, and memory. AD participants obtained impaired TOP-J scores relative to HCs, while MCI and CC participants showed an intermediate level of performance. Confirmatory factor analyses were consistent with a unidimensional structure. Results encourage further development of the TOP-J as an indicator of practical judgment skills in clinical and research settings. Longitudinal assessments are being performed to examine predictive validity of the TOP-J for cognitive progression in our clinical groups.

Original languageEnglish (US)
Pages (from-to)752-767
Number of pages16
JournalJournal of Clinical and Experimental Neuropsychology
Volume29
Issue number7
DOIs
StatePublished - Oct 2007
Externally publishedYes

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Psychometrics
Alzheimer Disease
Clinical Competence
Ethics
Statistical Factor Analysis
Language
Safety
Research

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Psychology(all)
  • Clinical Psychology

Cite this

Judgment in older adults : Development and psychometric evaluation of the Test of Practical Judgment (TOP-J). / Rabin, L. A.; Borgos, M. J.; Saykin, Andrew; Wishart, H. A.; Crane, P. K.; Nutter-Upham, K. E.; Flashman, L. A.

In: Journal of Clinical and Experimental Neuropsychology, Vol. 29, No. 7, 10.2007, p. 752-767.

Research output: Contribution to journalArticle

Rabin, L. A. ; Borgos, M. J. ; Saykin, Andrew ; Wishart, H. A. ; Crane, P. K. ; Nutter-Upham, K. E. ; Flashman, L. A. / Judgment in older adults : Development and psychometric evaluation of the Test of Practical Judgment (TOP-J). In: Journal of Clinical and Experimental Neuropsychology. 2007 ; Vol. 29, No. 7. pp. 752-767.
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