[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-199509-en":3,"doc-seo-199509-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},199509,2336475401981,"Chumphorn","https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694",8,"Research & Report","Psychological Test and Assessment Modeling - Development of a Cognitive Screen Item Bank","An item bank of cognitive screening items across the cognitive spectrum was developed using data from residents in long-term services and supports (LTSS), with emphasis on advanced dementia. Latent variable modeling applied item response theory and factor analyses to fifty items covering memory, orientation, naming, attention, calculation, and following directions. Factor analyses assessed essential unidimensionality, followed by a graded response IRT model with differential item functioning to test measurement equivalence. The study included 6,921 participants and produced a final 38-item bank.","Psychological Test and Assessment Modeling, 2026.68:3-31  \nDOI: [https://doi.org/10.2440/001-0024](https://doi.org/10.2440/001-0024)  \nDevelopment of a Cognitive Screen Item Bank: Assessment of Individuals Across the Cognitive Spectrum, Including Advanced Dementia  \nJeanne A. Teresi1,2,3,4, Katja Ocepek-Welikson2, Marjorie Kleinman4, Mildred Ramirez2,3, Joseph P. Eimicke2, Stephanie Silver2,  \nJose Luchsinger2, Albert Siu5, Dan Mroczek6, David Cella6  \n1 Columbia University Stroud Center, New York, NY, USA  \n2 Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA  \n3 Department of Geriatrics and Palliative Medicine, Weill Cornell Medical Center, New York, NY, USA  \n4 New York State Psychiatric Institute, New York, NY, USA  \n5 Department of Geriatrics and Palliative Medicine, General Internal Medicine, Health Evidence and Policy, Mount Sinai Medical Center, New York, NY USA  \n6 Feinberg School of Medicine, Northwestern University, Chicago, IL, USA  \nAbstract:  \nAn item bank of cognitive items targeting the spectrum of cognitive function, with a focus on advanced dementia was developed with data from residents in long term services and supports (LTSS) settings. Latent variable models, including item response theory and factor analyses were applied to fifty items from multiple cognitive screening measures assessing memory, orientation, naming, attention, calculation, and following directions. Because the intent was to use the item bank to measure overall cognition, subdomains were not modeled. Factor analyses tested for essential unidimensionality, followed by application of an item response theory-based graded response model, including differential item functioning to examine measurement equivalence. The total sample size was 6,921, with 1,874 (27.1 %) males and 5,040 (72.9 %) females. The average age was 82.5 (SD = 11.0) . There were 1,089 (16.2 %) Black, 498 (7.4 %) Hispanic, and 5,136 (76.4 %) White respondents. The average number of years of education was 9.1 (SD = 5.5) . Estimates of reliability across age, education, race, and sex subgroups were high with most > 0.96. Cognitive function of the participants in the study varied from no to minimal  \nCorrespondence:  \nJeanne A. Teresi, Columbia University Stroud Center at New York State Psychiatric Institute; [teresimeas@aol.com](teresimeas@aol.com); [jat61@cumc.columbia.edu](jat61@cumc.columbia.edu)  \nimpairment (552 or 8.0 %); mild (2,000 or 28.9 %); moderate (2,686 or 38.8 %); severe (1,328 or 19.2 %) to very severe impairment (355 or 5.1 %) . Items with low information and substantial DIF were recommended for removal. The final recommended item bank includes 38 items. Future work with this item bank may include development of computerized adaptive tests and short-forms.  \nKeywords: item bank, cognition, dementia, item response theory, factor analysis  \nSeveral health-related item banks that also contain measures of cognition exist; however, most of these efforts have been focused on applied cognition and have not included populations of advanced age with more advanced cognitive impairment or those living in long term services and supports (LTSS) settings. Examples include Neuro-QOL, (Gershon, Lai, Bode, Choi, Moy, Bleck, Miller, Peterman , & Cella, 2012), the Patient-Reported Outcomes Measurement Information System (PROMIS; Cella, Riley, Stone, Rothrock, Reeve, Yount, Amtmann, Bode, Buysse, Choi, Cook, DeVellis, DeWalt, Fries, Gershon, Hahn, Pilkonis, Revicki, Rose, Weinfurt, & Hays, 2010; Cella, Yount, Rothrock, Gershon, Cook, Reeve, Ader, Fries, Bruce, & Rose, 2007; Reeve, Hays, Bjorner, Cook, Crane, Teresi, Thissen, Revicki, Weiss, Hambleton, Liu, Gershon, Reise, Lai, & Cella, 2007), the Activity Measure for Post-Acute Care (AMPAC; Haley, Coster, Andres, Ludlow, Ni, Bond, Sinclair, & Jette, 2004) and more recently, the Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT) applied cognition item bank. The ","cbCaijUMK7Ejm0FX","https://ap.wps.com/l/cbCaijUMK7Ejm0FX","pdf",857268,2,1,29,"English","en",105,"# Abstract\n## Item bank development\n## Modeling methods\n## Differential item functioning (DIF)\n## Results and final item set\n## Future directions","[{\"question\":\"What was the primary goal of the cognitive screen item bank?\",\"answer\":\"To develop a cognitive screening item bank covering all stages of dementia, with a specific focus on advanced dementia, enabling measurement of overall cognition in LTSS settings.\"},{\"question\":\"Which statistical methods were used to build and evaluate the item bank?\",\"answer\":\"Latent variable models were used, including item response theory and factor analyses. The graded response IRT model incorporated differential item functioning to examine measurement equivalence.\"},{\"question\":\"How many items were included in the final recommended item bank?\",\"answer\":\"The final recommended item bank includes 38 items, after removing items with low information and substantial DIF.\"}]","Psychological Test and Assessment Modeling - Development of a Cognitive Screen Item Bank | PDF",1788506182,73,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":29},"psychological-test-and-assessment-modeling-development-of-a-cognitive-screen-item-bank","",{"@graph":37,"@context":86},[38,54,69],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,48,51],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":20},"https://docshare.wps.com/document/","Document",{"item":49,"name":12,"@type":44,"position":50},"https://docshare.wps.com/document/research-report/",3,{"item":52,"name":13,"@type":44,"position":53},"https://docshare.wps.com/document/psychological-test-and-assessment-modeling-development-of-a-cognitive-screen-item-bank/199509/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":24,"description":14,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":42,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-09-06","2026-09-04",true,{"@type":66,"interactionType":67,"userInteractionCount":20},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What was the primary goal of the cognitive screen item bank?","Question",{"text":76,"@type":77},"To develop a cognitive screening item bank covering all stages of dementia, with a specific focus on advanced dementia, enabling measurement of overall cognition in LTSS settings.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"Which statistical methods were used to build and evaluate the item bank?",{"text":81,"@type":77},"Latent variable models were used, including item response theory and factor analyses. The graded response IRT model incorporated differential item functioning to examine measurement equivalence.",{"name":83,"@type":74,"acceptedAnswer":84},"How many items were included in the final recommended item bank?",{"text":85,"@type":77},"The final recommended item bank includes 38 items, after removing items with low information and substantial DIF.","https://schema.org",{"og:url":52,"og:type":88,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":93},[94,98,102,106,111,116,121,124,129,132,136],{"id":21,"doc_module":4,"doc_module_name":47,"category_name":95,"show_sort_weight":96,"slug":97},"Story & Novel",90,"story-novel",{"id":20,"doc_module":4,"doc_module_name":47,"category_name":99,"show_sort_weight":100,"slug":101},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":47,"category_name":103,"show_sort_weight":104,"slug":105},"Exam",70,"exam",{"id":107,"doc_module":4,"doc_module_name":47,"category_name":108,"show_sort_weight":109,"slug":110},5,"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":47,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":117,"doc_module":4,"doc_module_name":47,"category_name":118,"show_sort_weight":119,"slug":120},7,"Healthcare",40,"healthcare",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":122,"slug":123},30,"research-report",{"id":125,"doc_module":4,"doc_module_name":47,"category_name":126,"show_sort_weight":127,"slug":128},9,"Religion & Spirituality",20,"religion-spirituality",{"id":127,"doc_module":4,"doc_module_name":47,"category_name":130,"show_sort_weight":127,"slug":131},"World Cup","world-cup",{"id":133,"doc_module":4,"doc_module_name":47,"category_name":134,"show_sort_weight":133,"slug":135},10,"Lifestyle","lifestyle",{"id":137,"doc_module":4,"doc_module_name":47,"category_name":138,"show_sort_weight":107,"slug":139},19,"General","general"]