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Green’s WMT, MSVT, Nonverbal-MSVT & MCI for Windows
 

 

Paul Green, Ph.D., Clinical Neuropsychologist
Fellow, National Academy of Neuropsychology

 

 

   Do you wish you could look at a simple chart and immediately

   see that case 1 failed an effort test because of genuinely severe

   impairment, whereas case 2 shows unreliable and invalid test data?  

   Can you easily see the difference between poor effort versus dementia?

Now it is possible.  Read on.

Q) Can any effort tests achieve 95% or 100% specificity in dementia?

 

A) For most effort tests, the answer is a definite "No". The outcome of such tests (e.g. B-TEST, TOMM, RDS, ASTM, WRMT, VSVT, VIP) is only a pass or a fail and many people with dementia cannot pass.  Lowering the cut-off does not solve the problem. However, the WMT, MSVT & NV-MSVT produce specific profiles in dementia, which are not the same as those arising from poor effort.  

See this:- 95%-100% specificity in dementia

WMT in 12 languages: English, German, Spanish, French, Dutch, Portuguese, Danish, Hebrew, Turkish and Russian with Mandarin and Italian as additional oral form options. In the WMT program, just choose OPTIONS, CHANGE LANGUAGE.
 
MSVT in 10 languages: English, German, Dutch, Spanish, French, Portuguese, Norwegian, Danish, Swedish and "Nonsense language".
 
NV-MSVT in any language: It is a nonverbal task and there are only images on screen (no words).
 
Newly published (January 30, 2008):    The Nonverbal-MSVT kit, including this 115-Page Test Manual

 

 

 

 

 

 

"One of my friends is a federal judge for SSDI cases.  He considers your test to be the gold standard and a must for providers who want to support impairment".
 
- In an email dated June 14 2007 from a Neuropsychologist linked with a major insurance company.  
 

THERE ARE MAJOR DIFFERENCES BETWEEN INTERPRETATION OF RESULTS FROM

OTHER EFFORT TESTS

 

versus

WMT, MSVT or Nonverbal-MSVT 

Result

Step 1

?

 

Result

Step 1

 

Step 2

 

Step 3

 

 Pass

  Good effort

There are no memory test scores to interpret

  Pass all effort subtests

 Good Effort. Scores are probably valid.

Either memory is normal range

Computer creates graph with client’s scores and 4 most similar profiles to aid interpretation

                

Clinician interprets memory scores using charts & tables in program with mean scores from up to 82 comparison groups.

The singlims.exe program from Prof. Crawford  of Aberdeen tells you if the observed Free Recall score is significantly different from a given group mean.

OR

memory impaired

Fail

 (one critical score only)

  Poor effort

Failure must be due to dementia-like impairment or poor effort but both look the same on these tests.

Hence, there is a high risk of false positives in dementia or MR

Fail any effort subtest

(There are effort subtests & memory subtests)

 

  Either poor effort

 

 

 

 

Computer creates graph with client’s scores and 4 most similar profiles to aid interpretation

              

Computer calculates whether the profile is like that of simulators (i.e. scores are invalid)

OR

OR

OR

very severe impairment equal to that seen in dementia

The person has very severe impairment, equal to that seen in dementia

..profile is like dementia. The person suffers very severe memory impairment.

The singlims.exe program aids interpretation.

REVIEWS & Comparisons with TOMM
TESTS of effort & memory
 
WARNING & $$$$ REWARD

 

Comparison between the WMT & TOMM in 1,315 cases in two countries.

Power Point Show   Lecture given by Dr. Paul Green at the National Academy of Neuropsychology annual meeting in Tampa, Florida on October 18, 2005.


Independent study: link "When the Word Memory Test (WMT) was used as the “gold standard” to which the Test of Memory Malingering (TOMM) was compared, the TOMM achieved very high PPV (.98) and acceptable NPV (.78). How to incorporate the strategy used into clinical practice is discussed".
 
2005 independent review of Green’s WMT by Wynkoop & Denney PDF

Hartman’s WMT Review PDF
  • See the shortened, simplified and highly cost-effective new computerized effort/verbal memory test called Green’s MSVT Windows in New Products

  • Also get your free uses of Green’s NV-MSVT (nonverbal), which can be given in any language, as long as the simple instructions are translated accurately.

  • If you are a WMT or MSVT user already, make sure you have the free Green’s MCI program, which measures self rated memory complaints and provides clinical comparison groups.

    Program Updates are available here


  • Warning about authenticity
    of WMT materials. Check WMT authorship very carefully.
    For details, use “ORDER INFO” button.


    Green's Publishing takes test security very seriously and, as a preventative measure, let it be known that a
    $20,000 U.S. reward
    will be given in a bank draft to the first person who gives information leading to the arrest and conviction of anyone found to be in possession of an illegal copy of a Green's Publishing WMT, MSVT, NV-MSVT or MCI (i.e. one for which Green's Publishing did not issue a registration code. Ask Dr. Paul Green for precise details drpgreen@telus.net).
    WHY TEST EFFORT?

    FEATURES

    See New Products 

    WHODUNNIT?
    In his Foreword to the manual for the Word Memory Test for Windows (Green, 2003), Dr. Paul Lees-Haley wrote "Neuropsychological assessments are no longer complete without evaluation of effort."
     
    In doing so, he was anticipating by at least two years the position paper on Symptom Validity Testing from the National Academy of Neuropsychology (Bush, Ruff, Troster, Barth, Koffler, Pliskin, Reynolds and Silver, 2005, Archives of Clinical Neuropsychology, Volume 20, pages 419-426), which stated that it is necessary to evaluate symptom validity objectively in any neuropsychological assessment. [more]

     The WMT, MSVT, NV-MSVT and MCI programs have many advanced features for your convenience, in addition to automated test administration, scoring and reporting of results. Each program allows you to compare your patient's scores with data from numerous comparison groups, using flexible charts or tables.

    The WMT graph automatically selects the four comparison groups whose profiles are most similar to your client's. This will soon be a feature of all our tests.

    Technical support for test users includes frequent program updates and inclusion in a private internet users’ discussion group (WMT USER group) that allows users to stay current with test administration and research, and help interpreting WMT results via email by Dr. Green. The program automatically do a safe back-up of all test data each time they close. Results and demographics are easily saved as an Excel file.

    Who did the WMT, MSVT, NV-MSVT & MCI research?
     
    Dr. Paul Green, a practicing Clinical Neuropsychologist for over 30 years, invented the WMT, the MSVT, the nonverbal MSVT and the MCI. 
     
     
     
     
    Many colleagues around the world have freely contributed to the validation of these tests.
     
    Thank you.   [more]
     
     

     

    Is the WMT Free Recall score in a single case significantly different from the mean score from a particular group of interest?

    Find out using SINGLIMS.EXE

    Professor Crawford from the University of Aberdeen has kindly allowed me to list the link to his program called SINGLIMS.EXE. 

    Click here to download and run SINGLIMS.EXE (452KB).  

     

    NEW:  See the abstract of this paper in press, showing a very low false positive rate on MSVT in dementia because of profile analysis.

    Note that MSVT data do not just yield 'pass' or 'fail' but that there is a specific "dementia profile", which is unlike that from simulators.

    Characterization of the Medical Symptom Validity Test in evaluation of clinically referred memory disorders clinic patients

    Laura L.S. Howea, Corresponding Author Contact Information, E-mail The Corresponding Author, Ashton M. Andersona, David A.S. Kaufmana, Bonnie C. Sachsa and David W. Loringb, a
    Available online 24 July 2007.

    Abstract
    We prospectively evaluated performance of 63 referrals to a memory disorders clinic who received the Medical Symptom Validity Test (MSVT) as part of their standard neuropsychological evaluation. The patients were grouped based on independent medical diagnoses and presence or absence of a potential financial incentive to under-perform. Twenty-seven patients (42.9%) scored below cutoffs on the MSVT symptom validity indices. Two individuals in the potential financial incentive group showed clear signs of invalid responding (18.2%). Twenty-two of the remaining 25 patients who failed the symptom validity indices corresponded to the dementia profile. Three individuals did not correspond to the dementia profile but are thought to have performed validly representing a 4.8% false positive rate. When considering all MSVT indices, the base rate of invalid responding in the potential financial incentive to under-perform group increased to 27.3%. Combining all groups our base rate of invalid responding was 4.8%. Specific performances are presented.
    I
    These findings were replicated by Robert Frerichs (Glenrose Hospital) in a NAN poster, which will hopefully lead to publication soon.
       

    See the abstract in this paper on effort in children:- WMT/Effort_in_Children_2006.pdf

     

     

     

    To hear H.M., click this link and then choose "LISTEN".

    http://www.npr.org/templates/story/story.php?storyId=7584970

     (Photo taken in St. Maarten Heineken Regatta, March 2008)

     

     

    DO YOU USE THE FBS & RBS?  If so, see Roger Gervais, P. Lees-Haley & Y. Ben Porath's poster on jointly using FBS and RBS to get better prediction of cognitive symptom exaggeration.  For the poster click links.   

    http://wordmemorytest.com/MMPI-RBS/FBS_RBS_SVT_poster_NAN_2007_handout_GERVAIS.ppt

    http://wordmemorytest.com/MMPI-RBS/FBS-r_RBS_MCI_NAN_2007_poster_NAN_GERVAIS.ppt

     http://wordmemorytest.com/MMPI-RBS/FBS_RBS_Fs_SVT__NAN_2007_Handout.doc

    http://wordmemorytest.com/MMPI-RBS/FBS_RBS_memory_complaints_NAN_2007_Handout.doc

    In the graph, bars show percent failing SVTs. Bar 2 is "High FBS/Low RBS" and bar 4 is "High FBS/High RBS".  Note the difference in SVT failures in these two groups.  The first group is "Low FBS/Low RBS" and the fourth group is "High FBS/High RBS".  

     

     

    DISCUSSIONS/FSIQ_YEARS_EDUCATION.pptx

     

     


    Note on copyright: As the inventor, first author and main researcher of the WMT, MSVT, NV-MSVT & MCI, Dr. Green is the legally registered owner of copyright of the WMT, MSVT, NV-MSVT & MCI internationally. Legitimate copies of the CDs and test manuals and the licenses to use the WMT, MSVT, NV-MSVT or MCI in any format are sold only by Green’s Publishing.