Test-retest reliability and practice effects of a computerized neuropsychological battery: A solution-oriented approach

S.J.M. Rijnen, S.D. van der Linden, W.H.M. Emons, M.M. Sitskoorn, K. Gehring

Research output: Contribution to journalArticleScientificpeer-review

20 Citations (Scopus)


This study examined test-retest reliabilities and (predictors of) practice effects of the widely used computerized neuropsychological battery CNS Vital Signs. The sample consisted of 158 Dutch healthy adults. At 3 and 12 months follow-up, 131 and 77 participants were retested. Results revealed low to high test-retest reliability coefficients for CNS VS' test and domain scores. Participants scored significantly higher on the domains of Cognitive Flexibility, Processing Speed, and Reaction Time at the 3-month retest. No significant differences in performance were found over the second interval. Age, education, and retest-interval were not significantly associated with practice effects. These results highlight the need for methods that evaluate performance over time while accounting for imperfect test-retest reliabilities and practice effects. We provided RCI-formulae for determining reliable change, which may be possible solution for future work facing the methodological issues of retesting.

Public Significance Statement

Imperfect test-retest reliability and practice effects must be taken into account when interpreting change in neuropsychological test scores over time, for example by applying RCI-formulae for the determination of reliable change.

Original languageEnglish
Pages (from-to)1652-1662
JournalPsychological Assessment
Issue number12
Publication statusPublished - 2018


  • CNS Vital Signs
  • cognition
  • computerized neuropsychological testing
  • reliable change
  • reproducibility of results


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