RBANS Update Webinar Workshop Handout VOK Pearson …

1 21/05/20181 Presented by: Valorie O KeefeConsultant : Christopher Randolph, , ABPP-CNToday s Webinar will is the RBANS , and how is the updated version different than the original version? are the neurocognitive areas assessed by the RBANS and what scores are available? normative information is available, and what clinical groups have been studied with reference to dementia? I measure change over time using the parallel versions? does a case example for a dementia related assessment look like using the RBANS as part of an assessment?( RBANS ) : Original Design Goals Originally based on Dr. Randolph s work in a Dementia Clinic in 1980s, and the need for an assessment that time less than 30 of difficulty appropriate for both typical adults as well as adults with moderately severe of five neurocognitive domains, with scaled score forms for repeat for ease of bedside administrationPurpose of RBANS A core battery: to detect and describe dementia in the elderly.

2 Neuropsychological screening battery that only takes 25 minutes or less to administer Tracking change over time, including progression or recovery Repeat evaluations using alternate forms. 2012: Revision of original 1998 RBANS Now normed on adolescents and adult aged 12 to 89 years Four parallel forms: A, B, C, D Manual provides critical values for comparing index scores when comparing a client s performance over time Individual Subtest scores now available in addition to index scores Revised manual with adolescent information and RBANS -specific research conducted since original 1998 2012 Pearson Education, Inc. or its affiliates.

3 All rights 2012 Pearson Education, Inc. or its affiliates. All rights 4 parallel forms can be purchased as a combo kit or and Clinical StudiesNormative Sample N=540 ages 20-89 (6 groups of N=90)Additional sample of 150 adolescents to expand normative age range ages 12-19 (3 groups of 50) demographic normative information also provided in manual based on: Education level of the client s Parent (for ages 12-19) Education level of client (for adults)In addition to normative sample, a Clinical sample was also taken (N=404)Clinical Validity and Special Group StudiesClinical sample in manual N=404 Alzheimer s Disease Vascular Dementia HIV Dementia Huntington s Disease Parkinson s Disease Depression Schizophrenia Closed Head InjuryCopyright 2012 Pearson Education, Inc.

4 Or its affiliates. All rights DomainsAdministration and ScoringAll you need to administerStimulus & Norms21/05/20183 Domains and SubtestsImmediate Memory List Learning Story MemoryVisuospatial/Constructional Figure Copy Line OrientationLanguage Picture Naming Semantic FluencyAttention Digit Span CodingDelayed Memory List Recall List Recognition Story Recall Figure RecallImmediate Memory: a measure of initial encoding and learning of complex and simple verbal informationList Learning 10 word list, 4 learning trials words are: low age of acquisition no warning of later delayed recallImmediate MemoryList LearningTrial 1 SayI am going to read you a list of words.

5 I want you to listen carefully and, when I finish, repeat back as many words as you can. You don t have to say them in the same order that I do just repeat back as many words as you can remember, in any order. Okay?Immediate MemoryList LearningTrials 2 4 SayI am going to read the list again. When I finish, repeat back as many words as you can, even if you have already said them before. Okay?Record responses in : 1 point for each word correctly recalled on each MemoryStory MemoryTrial 1 SayI am going to read you a short story. I d like you to listen carefully and, when I finish, repeat back as much of the story as you can remember. Try and use the same wording, if you can.

6 Okay?Read the story below, then sayNow repeat back as much of that story as you MemoryStory MemoryTrial 2 SayI am going to read that same story again. When I finish, I want you to again repeat back as much of the story as you can remember. Try to repeat it as exactly as you the story below, then sayNow repeat back as much of that story as you MemoryStory MemoryScoring: 1 point for verbatim recall of bold, italic words or alternatives, shown below in colour within parentheses. Record intrusions or variations in the Responses :a measure of basic visuospatial perception and the ability to copy a design from a modelFigure CopyShow examinee a multipart geometric drawing and ask examinee to make an exact copy while the drawing remains on CopyScoring: 1 point for correctness and completeness (drawing), and 1 point for proper placement.

7 See Appendix 1 in Stimulus Booklets for complete scoring criteria and scoring Orientation 20 seconds per item Present the sample item, and sayThese two lines down here (indicate) match two of the lines on top. Can you tell me the numbers, or point to the lines that they match? Correct any errors and make sure the examinee understands the task. Continue with Items 1 10. Scoring: 1 point for each line correctly : a measure of expressive language functioning, ie semantic fluency and picture namingPicture Naming 20 seconds per item Ask examinee to name each picture. Give semantic cue only if picture obviously misperceived. Scoring: 1 point for each item named spontaneously or following semantic : a measure of simple auditory registration and visual scanning and processing speedDigit Span forward span only one trial at each string length unless failed21/05/20185 AttentionDigit Span SayI am going to say some numbers, and I want you to repeat them after me.

8 Okay? Read the numbers at the rate of 1 per second. Only read the second string in each set if the first string was failed. Discontinue after failure of both strings in any set. Scoring: 2 points for the first string correct, 1 point for the second string correct, and 0 points for both strings demonstration, practice, 90 seconds to completeDelayed Memory Index: a measure of delayed recall and recognition for verbal and visual information List Recall recall words from List Learning List Recognition read 20 words (10 targets, 10 distracters) and ask examinee to say Yesif word was on original list and Noif word was not on list. Story Recall retell story learned earlier cue given tell me that story about a fire.

9 Figure Recall draw from memory figure shown 2012 Pearson Education, Inc. or its affiliates. All rights year old56110-16 2128826-50 26521/05/20186 Copyright 2012 Pearson Education, Inc. or its affiliates. All rights year old56110-16 2128826-50 265 Copyright 2012 Pearson Education, Inc. or its affiliates. All rights Description of RBANS Index ScoresIndex ScoreClassification130 and aboveVery Superior120-129 Superior110-119 High Average90-109 Average80-89 Low Average70-79 Borderline69 and belowExtremely LowClassification Descriptors for Subtest Scaled ScoresCopyright 2012 Pearson Education, Inc. or its affiliates. All rights ScoreClassification16 and aboveVery Superior14-15 Superior12-13 High Average8-11 Average6-7 Low Average4-5 Borderline3 and belowExtremely LowClassification Descriptors for Percentile BandsPercentile BandsBand Descriptor> 75 High Average26-75 Average10-25 Low Average3-9 Borderline 2 Extremely LowCopyright 2012 Pearson Education, Inc.

10 Or its affiliates. All rights ( ) ( ) ( )s ( )s ( )s ( )ns ( )ns ( )ns ( )s ( )s ( )ns ( )s ( )ns ( )ns ( ) and Clinical Studies Manual provides critical values for comparing index scores when comparing a client s performance over 2012 Pearson Education, Inc. or its affiliates. All rights Example and Special Group Clinical StudiesCase Example: William aged 73, married, retired lawyer and businessman Is there evidence for some type of acquired impairment? What is the nature of the deficits? What is the likely associated disease process? What interventions are appropriate? WIAT III Total Reading = 120 WAIS IV Full Scale = 114 WMS IV Auditory Memory Index = 96 Boston Naming: 48/60 correct Rey Complex Figure, Copy Score 34/36 correctCopyright 2012 Pearson Education, Inc.