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.

 抽象的

尽管在老年人的神经心理学评估过程中捕捉判断和决策问题很重要，但经过验证的测量方法数量有限，并且没有知情人评级量表。我们开发了一种信息测量方法，捕捉与安全、医疗、财务和社会伦理问题相关的受损判断。在记忆障碍诊所进行项目细化和试点后，我们在美国中西部的两家诊所，包括 189 名患有各种临床前和临床痴呆症的患者/信息二人组（平均年龄 = 79.0，中位受教育年限 = 13，女性百分比 = 67.7）。我们找到了心理测量学的支持，包括收敛性、发散性和标准相关有效性以及内部一致性的证据。重要的是，我们能够按照预期的方向区分诊断组。 TOP-J-Informant 内容简短（<5 分钟），易于管理，并且在神经心理学评估或临床就诊时可以揭示与判断力不佳相关的关注领域。