Clinical Features of the New Edition. Copyright 2008 Pearson Education, inc. or its affiliates. All rights reserved.
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1 Clinical Features of the New Edition
2 WAIS IV / WMS IV Advisory Panel Munro Cullum, PhD Gordon Chelune, PhD Gerald Goldstein, PhD Jacques Gregoire, PhD Joel Kramer, PhD Glenn Larrabee, PhD Jennifer Manly, PhD Scott Millis, PhD Timothy Salthouse, PhD Don Saklofske, PhD
3 WMS IV Research Directors Jim Holdnack, PhD Lisa Drozdick, PhD
4 WMS IV Introduction Design Goals for Revision Subtest Details Test Structure Normative, Validity, and Clinical Studies Information
5 WMS IV Design Goals for Revision Overview Subtest Details Test Structure Normative, Validity, and Clinical Studies Information
6 WMS IV Design Goals for Revision Improve Clinical Sensitivity Decrease Testing Time for Older Adults Improve Forensic Utility of WMS IV Reduce Confounding Factors Eliminate Subtest/Construct Overlap with WAIS Improve Assessment of Working Memory Improve Ease of Administration and Scoring
7 WMS IV Design Goals for Revision Improve Clinical Sensitivity Increasing Floors for Older Subjects Increase Difficulty Level and Ceiling in Younger Age Groups Develop New subtests Screen Normative Sample for Undiagnosed Possible MCI or Mild Alzheimer s Screen Normative Sample for Possible Insufficient Effort
8 WMS IV Design Goals for Revision Improve Clinical Sensitivity Decrease Testing Time for Older Adults Improve Forensic Utility of WMS IV Reduce Confounding Factors Eliminate Subtest/Construct Overlap with WAIS Improve Assessment of Working Memory Improve Ease of Administration and Scoring
9 WMS IV Design Goals for Revision Decrease Testing Time for Older Adults Subtests Shortened Drop Subtests with Floor Problems Older Adult Battery (65 90) Reduced Number of Subtests Content Changes Where Appropriate
10 WMS IV Design Goals for Revision Improve Clinical Sensitivity Decrease Testing Time for Older Adults Improve Forensic Utility of WMS IV Reduce Confounding Factors Eliminate Subtest/Construct Overlap with WAIS Improve Assessment of Working Memory Improve Ease of Administration and Scoring
11 WMS IV Design Goals for Revision Improve Forensic Utility of WMS IV External Validity Measure Internal Validity Checks Guessing Rate Study
12 WMS IV Design Goals for Revision Improve Clinical Sensitivity Decrease Testing Time for Older Adults Improve Forensic Utility of WMS IV Reduce Confounding Factors Eliminate Subtest/Construct Overlap with WAIS Improve Assessment of Working Memory Improve Ease of Administration and Scoring
13 WMS IV Design Goals for Revision Reduce Confounding Factors Reduce or Eliminate motor requirements in administration or scoring where possible Reduce verbal processing on visual memory subtests Develop Contrast Scores to partial out confounding cognitive effects (e.g., Spatial Versus Detail; Immediate Versus Delayed) Reduce language level of verbal tasks where possible
14 WMS IV Design Goals for Revision Improve Clinical Sensitivity Decrease Testing Time for Older Adults Improve Forensic Utility of WMS IV Reduce Confounding Factors Eliminate Subtest/Construct Overlap with WAIS Improve Assessment of Working Memory Improve Ease of Administration and Scoring
15 WMS IV Design Goals for Revision Eliminate Subtest/Construct Overlap with WAIS Drop subtests appearing in both subtests Measure different modalities of working memory Improve Assessment of Working Memory Focus on visual working memory Create subtests that require mental manipulation of visual information Create subtests with minimal verbalization
16 WMS IV Design Goals for Revision Improve Clinical Sensitivity Decrease Testing Time for Older Adults Improve Forensic Utility of WMS-IV Reduce Confounding Factors Eliminate Subtest/Construct Overlap with WAIS Improve Assessment of Working Memory Improve Ease of Administration and Scoring
17 WMS IV Design Goals for Revision Improve Ease of Administration and Scoring Create new scoring rules for visual reproduction that are fast, easy, and reliable Eliminate subtests that require rapid changing of stimulus pages Reduce the amount of rapid visual processing required of the examiner
18 WMS IV Design Goals for Revision Subtest Details Dropped Revised New! Test Structure Normative, Validity, and Clinical Studies Information
19 WMS IV Subtest Details Subtests Dropped from WMS III Digit Span and Letter-Number Sequencing Subtests appear in WAIS IV Mental Control Incorporated into Brief Cognitive Status Exam Information and Orientation Incorporated into Brief Cognitive Status Exam Faces Floor and administration limitations
20 Family Pictures WMS IV Subtest Details (Subtest Dropped continued) To meet design goal of reducing verbalization of visual memory tasks Spatial Span Improved measure of mental manipulation of visual information developed Need to reduce processing speed and motor demands Improve ease of administration Word List Reduce length of testing and allow CVLT II substitution of VPA
21 WMS IV Subtest Details Subtests Revised from WMS III Logical Memory slightly modified VPA significantly modified Visual Reproduction significantly modified
22 WMS IV Subtest Details (Subtests Revised continued) Logical Memory Ages (16 69) Anna Thompson unchanged Joe Garcia city changed due to clinician feedback (e.g., San Francisco does not experience that type of weather) Joe Garcia story is not repeated since floor is not an issue in this age group Age (65 90) Ruth and Paul Story new short story more age-appropriate, less language demand is repeated Anna Thompson unchanged
23 WMS IV Subtest Details (Subtests Revised continued) Logical Memory Ages (16 69) Recognition (Yes/No) 0 30 points Age (65 90) Recognition (Yes/No) 0 23 points Scores Immediate Memory scaled score Delayed Memory scaled score Delayed Recognition cumulative percentage Contrast Scores Immediate Versus Delayed Recognition Versus Delayed
24 WMS IV Subtest Details (Subtests Revised continued) Verbal Paired Associates (VPA) Increased range of scores with inclusion of additional easy items. Added free recall condition after recognition trial
25 VPA Scores WMS IV Subtest Details (Subtests Revised continued) Immediate Learning scaled score Delayed scaled score Delayed Recognition cumulative percentage Delayed Free Recall scaled score Contrast Scores Immediate versus Delayed Recognition versus Delayed
26 WMS IV Subtest Details (Subtests Revised continued) VPA CVLT II Substitution CVLT II Total Trial 1 to Trial 5 can be substituted for VPA I in the Auditory and Immediate Indexes CVLT II Long Delay Free Recall can be substituted for VPA II in the Auditory and Delayed Indexes Substitution rules based on equating study, using equipercentile equating method
27 Visual Reproduction WMS IV Subtest Details (Subtests Revised continued) Same 5 items from WMS III VR Scoring rules based on work by Cullum, Lacritz, and colleagues are faster and easier to score and have similar reliability and clinical sensitivity as previous edition
28 Visual Reproduction WMS IV Subtest Details (Subtests Revised continued) Reproduction Recognition now uses old visual discrimination format of seven items - examinee needs to select correct design Reduces guessing and is faster but has limited number of data points. Copy Condition to control for visual/ spatial skills
29 WMS IV Subtest Details (Subtests Revised continued) Visual Reproduction Visual Reproduction scores Immediate Recall scaled score Delayed Recall scaled score Delayed Recognition cumulative percentage Contrasts scores Immediate versus Delayed Delayed Recognition versus Delayed Copy versus Immediate
30 WMS IV Subtest Details New WMS IV Subtests Brief Cognitive Status Exam Design Memory Spatial Addition Symbol Span
31 WMS IV Subtest Details (New Subtests continued) Brief Cognitive Status Exam Designed as a brief preliminary assessment for significant cognitive impairment Temporal Orientation Mental Control Clock Drawing Memory Inhibitory Control Verbal Productivity Classification Table Translates Total Scores Average, Low, Moderately Low, Very Low
32 WMS IV Subtest Details (New Subtests continued) Design Memory Developed to differentiate visual spatial from visual details. Reduce impact of motor responding on visual memory tasks Reduce guess rate Replaces Family Pictures and Faces.
33 WMS IV Subtest Details (New Subtests continued) Design Memory Examinee is presented with 4 to 8 designs on a grid (1 item with 4, 2 with 6, 1 with 8) The examinee is handed cards with designs and asked to place the correct design in the correct location. The items are scored for correct location and correct detail independent from one another and a bonus is given for a correct design in the correct location.
34 WMS IV Design Memory
35 WMS IV Subtest Details (New Subtests continued) Design Memory There are immediate and delayed recall conditions A 12 item delayed recognition trial is presented after delayed recall. Client is asked to pick which designs are both correct and in the proper location.
36 WMS IV Subtest Details (New Subtests continued) Design Memory Scores Immediate Spatial scaled score Immediate Content scaled score Immediate Total = Content + Spatial + bonus-scaled score Delayed Spatial-scaled score Delayed Content-scaled score Delayed Total = Content + Spatial + bonus scaled score Delayed Recognition Total cumulative percentage
37 WMS IV Subtest Details (New Subtests continued) Design Memory Scores Contrast Scores Immediate Spatial versus Immediate Content Delayed Content versus Delayed Spatial Immediate Total versus Delayed Total Recognition versus Delayed Total
38 Spatial Addition WMS IV Subtest Details (New Subtests continued) Developed as a measure of spatial working memory requiring both storage and manipulation of visual spatial information. Developed to replace Spatial Span 24 items with a discontinue rule of 3 Spatial Span Score Total scaled score
39 WMS IV Subtest Details (New Subtests continued) Spatial Addition Examinee is shown a grid with blue dots, red dots, or both for 5 seconds. Examinee is shown a second grid with additional dots. Examinee must add the spatial locations of the blue dots and ignore any red dots. Examinee subtracts the location of blue dots that spatially overlap. Examinee responds by placing blue or white cards in a grid (blue for location of blue, white for subtracting 2 blues in the same location).
40 Spatial Addition 1 st Stimulus
41 Spatial Addition 2 nd Stimulus
42 Spatial Addition Correct Response
43 Spatial Addition 1 st Stimulus
44 Spatial Addition 2 nd Stimulus
45 Spatial Addition Correct Answer
46 Symbol Span WMS IV Subtest Details (New Subtests continued) Developed as a visual analog to Digit Span Reliability Total Score
47 Symbol Span Stimulus
48 Symbol Span Response Correct response is A,D
49 Symbol Span WMS IV Subtest Details (New Subtests continued) Symbols that are visualized rather than read verbally from the page Examinee sees stimulus for 5 seconds Examinee must choose correct designs in the correct order. Examinee gets 2 points for correct designs and order; 1 point for correct designs, not in order. There is a forward condition only.
50 WMS IV Overview Introduction Revision Goals Subtest Details Test Structure Index Structures Scores Normative and Clinical Information
51 WMS IV Index Structures Immediate Memory Index Delayed Memory Index Logical Memory I Verbal Paired Associates I or CVLT Trials 1-5 Logical Memory II Verbal Paired Associates II or CVLT II Delayed Free Designs I Visual Reproduction I Designs II Visual Reproduction III
52 WMS IV Index Structures Visual Working Memory Index Auditory Memory Index Visual Memory Index Spatial Addition Symbol Span Logical Memory I & II Verbal Paired Associates I & II Or CVLT- II LRN and Delayed Free Designs I & II Visual Reproduction I & II
53 WMS IV Scores Index Level Contrast Scores Immediate Versus Delayed Auditory Memory Versus Visual Memory Visual Working Memory Versus WAIS IV Working Memory Auditory Memory Versus WAIS IV Working Memory
54 WAIS IV Versus WMS IV Simple and Predicted Difference Methods WAIS IV General Ability Index Vs. Immediate Memory Vs. Delayed Memory Vs. Auditory Memory Vs. Visual Memory Vs. Visual Working Memory
55 WAIS IV Versus WMS IV WAIS IV Verbal Comprehension Index Vs. Auditory Memory WAIS V Perceptual Reasoning Index Vs. Visual Memory Vs. Visual Working Memory
56 WMS IV Introduction Design Goals for Revision Subtest Details Test Structure Normative, Validity, and Clinical Studies Information
57 WMS IV Normative Sample Ages Normative sample: N = 1, examinees per age band for ages examinees per age band for ages National sample stratification Sex Education Level Ethnicity Region
58 WMS IV Validity Studies WAIS IV Co-Norming Study (2008 pub) WMS III Correlational Study (16:0 89:11) CMS Correlational Study (16:0 16:11)
59 WMS IV Clinical Studies Intellectual Disability: Mild Severity Intellectual Disability: Moderate Severity Borderline Intellectual Functioning Gifted Intellectual Functioning Autistic Disorder Asperger s Disorder Learning Disability: Reading Learning Disability: Math ADHD TBI Mild Cognitive Impairment Dementia of the Alzheimer s Type Depression
60 WAIS/WMS IV ISBNs and Pricing ISBN Description Pre-Pub Price (Effective until 8/1/08) Post-Pub Price (Effective from 8/2/08 12/31/08) WAIS IV Basic Kit $ $ WAIS IV Hard Case Kit $ $ WAIS IV Soft Case Kit $ $ WMS IV Basic Kit $ $ WMS IV Soft Case Kit $ $ WAIS IV Scoring Assistant $ $ WMS IV Scoring Assistant $ $ Upgrade from WAIS IV SA to WAIS IV Report Writer $ $ WAIS IV Report Writer $ $ WAIS IV/WMS IV Scoring Assistant Combo $ $ WAIS IV Basic Kit + WAIS IV Scoring Assistant $1, $ WAIS IV Hard Kit + WAIS IV Scoring Assistant $1, $ X WAIS IV Soft Kit + WAIS IV Scoring Assistant $1, $ WAIS IV/ WMS IV Combo Basic/Basic Kit $1, $1, WAIS IV/ WMS IV Combo Hard/Basic Kit $1, $ WAIS IV/ WMS IV Combo Soft/Basic Kit $1, $ WAIS IV/ WMS IV Combo Basic/Soft Kit $ $ WAIS IV/ WMS IV Combo Hard/Soft Kit $ $ WAIS IV/ WMS IV Combo Soft/Soft Kit $ $
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