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Development and validation of the Uniform Data Set (v3.0) executive function composite score (UDS3-EF).

  • Author(s): Staffaroni, Adam M;
  • Asken, Breton M;
  • Casaletto, Kaitlin B;
  • Fonseca, Corrina;
  • You, Michelle;
  • Rosen, Howard J;
  • Boxer, Adam L;
  • Elahi, Fanny M;
  • Kornak, John;
  • Mungas, Dan;
  • Kramer, Joel H
  • et al.

Published Web Location

https://doi.org/10.1002/alz.12214
Abstract

Introduction

Cognitive composite scores offer a means of precisely measuring executive functioning (EF).

Methods

We developed the Uniform Data Set v3.0 EF composite score (UDS3-EF) in 3507 controls from the National Alzheimer's Coordinating Center dataset using item-response theory and applied nonlinear and linear demographic adjustments. The UDS3-EF was validated with other neuropsychological tests and brain magnetic resonance imaging from independent research cohorts using linear models.

Results

Final model fit was good-to-excellent: comparative fit index = 0.99; root mean squared error of approximation = 0.057. UDS3-EF scores differed across validation cohorts (controls > mild cognitive impairment > Alzheimer's disease-dementia ≈ behavioral variant frontotemporal dementia; P < 0.001). The UDS3-EF correlated most strongly with other EF tests (βs = 0.50 to 0.85, Ps < 0.001) and more with frontal, parietal, and temporal lobe gray matter volumes (βs = 0.18 to 0.33, Ps ≤ 0.004) than occipital gray matter (β = 0.12, P = 0.04). The total sample needed to detect a 40% reduction in UDS3-EF change (n = 286) was ≈40% of the next best measure (F-words; n = 714).

Conclusions

The UDS3-EF is well suited to quantify EF in research and clinical trials and offers psychometric and practical advantages over its component tests.

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