1. WHAT WE LEARNED In a clinically-referred, assisted living sample: 1.NAB Judgment (NAB-JDG) scores displayed good internal consistency reliability. 2.NAB-JDG scores predicted basic and instrumental ADLs over and above a measure of general cognitive functioning (MMSE). 3.There were significant group differences on the NAB-JDG between participants with and without informed consent decisional capacity. Elizabeth E. MacDougall, Ph.D. & William E.Mansbach, Ph.D. Hood College & MedOptions Can Judgment Predict Functioning in Assisted-Living? BACKGROUND Neuropsychologists have called for better measures of judgment (Rabin et al., 2008). The NAB-JDG (Stern & White, 2003) is an orally administered test that includes 10 practical judgment questions involving home safety and health/medical concerns. There are no NAB-JDG data for dementia patients presented in the NAB manual. Although the NAB-JDG is described in the manual as a test created with ecological validity in mind, there is no empirical evidence presented to support this claim. OBJECTIVES 1.To extend the initial work done by White and Stern (2003) on the reliability and validity of NAB-JDG scores and score inferences in an assisted-living sample with a high base rate of dementia. 2.To contribute preliminary empirical evidence regarding the ecological validity of the NAB-JDG by examining the relation of the NAB-JDG with basic and instrumental ADLs. METHODS 88 participants completed the NAB-JDG as part of a flexible battery of neuropsychological tests administered to assisted- living residents referred for evaluation of cognitive dysfunction. Exclusion criteria: <60 years old <5 years of education Any medical or psychiatric symptoms that would prevent the participant from completing the evaluation RESULTS Sample Demographics: Median age – 84.5 71% female 90% Caucasian 65% widowed 82% HS or more education  NAB-JDG scores ranged from 1 to 20 and were normally distributed: - Mean =13.48; standard deviation = 4.06.  Cronbach’s α based on standardized items =.82. Diagnostic CategoryNumberPercent No Diagnosis22.3 Mild Cognitive Impairment2629.5 Mild Dementia3135.2 Moderate Dementia2528.4 Severe Dementia33.4 Other11.1 B SE Bβ Step 1 Constant16.261.79 MMSE-0.240.08-0.33* Step 2 Constant17.161.74 MMSE-0.010.11-0.01 NAB-JDG-0.460.16-0.43* Hierarchical multiple regression model with MMSE and NAB-JDG as predictors of PSMS Note: R 2 =.­11 for Step 1, ΔR 2 =.08 for Step 2 (p <.01). *p <.01. B SE Bβ Step 1 Constant-1.430.60 MMSE0.200.030.65** Step 2 Constant-1.790.56 MMSE0.110.040.35* NAB-JDG0.190.050.42** Hierarchical multiple regression model with MMSE and NAB-JDG as predictors of IADLs Note: R 2 =.­42 for Step 1, ΔR 2 =.08 for Step 2 (p <.001). *p <.01, **p <.001. References: Rabin, L.A., Borgos, M.J., & Saykin, A.J. (2008). A survey of neuropsychologists’ practices and perspectives regarding the assessment of judgment ability. Applied Neuropsychology, 15, 264-273. Stern, R.A., & White, T. (2003). Neuropsychological assessment battery. Lutz, FL: Psychological Assessment Resources. 18 – 10 – 5 – 0 - Yes No Did the participant have the capacity to consent? Error Bars: 95% CI Mean NAB Judgment Raw Score