Development and Validation of a Vocabulary Measure in the Mobile Toolbox

Author:

Young Stephanie Ruth1ORCID,Dworak Elizabeth M1,Kaat Aaron J1,Adam Hubert1,Novack Miriam A1,Slotkin Jerry2,Stoeger Jordan3,Nowinski Cindy J1,Hosseinian Zahra1,Amagai Saki1,Pila Sarah1,Diaz Maria Varela1,Correa Anyelo Almonte1,Alperin Keith4,Omberg Larsson5,Kellen Michael5,Camacho Monica R67,Landavazo Bernard67,Nosheny Rachel L67,Weiner Michael W67,Gershon Richard M1

Affiliation:

1. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL , USA

2. Center for Health Assessment Research and Translation, University of Delaware , Newark, DE , USA

3. Data Recognition Corporation , Maple Grove, MN , USA

4. Helium Foot Software, Inc , Chicago, IL , USA

5. Sage Bionetworks , Seattle, WA , USA

6. University of California San Francisco , San Francisco CA , USA

7. Northern California Institute for Research and Education, San Francisco Veteran’s Administration Medical Center , San Francisco, CA , USA

Abstract

Abstract Objective We describe the development of a new computer adaptive vocabulary test, Mobile Toolbox (MTB) Word Meaning, and validity evidence from 3 studies. Method Word Meaning was designed to be a multiple-choice synonym test optimized for self-administration on a personal smartphone. The items were first calibrated online in a sample of 7,525 participants to create the computer-adaptive test algorithm for the Word Meaning measure within the MTB app. In Study 1, 92 participants self-administered Word Meaning on study-provided smartphones in the lab and were administered external measures by trained examiners. In Study 2, 1,021 participants completed the external measures in the lab and Word Meaning was self-administered remotely on their personal smartphones. In Study 3, 141 participants self-administered Word Meaning remotely twice with a 2-week delay on personal iPhones. Results The final bank included 1363 items. Internal consistency was adequate to good across samples (ρxx = 0.78 to 0.81, p < .001). Test–retest reliability was good (ICC = 0.65, p < .001), and the mean theta score was not significantly different upon the second administration. Correlations were moderate to large with measures of similar constructs (ρ = 0.67–0.75, p < .001) and non-significant with measures of dissimilar constructs. Scores demonstrated small to moderate correlations with age (ρ = 0.35 to 0.45, p < .001) and education (ρ = 0.26, p < .001). Conclusion The MTB Word Meaning measure demonstrated evidence of reliability and validity in three samples. Further validation studies in clinical samples are necessary.

Funder

National Institute of Health award Mobile Toolbox for Monitoring Cognitive Function

Publisher

Oxford University Press (OUP)

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