title: Using the NIH Toolbox in special populations: considerations for assessment of pediatric, geriatric, culturally diverse, non-English-speaking, and disabled individuals.
abstract: BACKGROUND
  In order to develop health outcomes measures that are relevant and applicable to the general population, it is essential to consider the needs and requirements of special subgroups, such as the young, elderly, disabled, and people of different ethnic and cultural backgrounds, within that population.
  
  
  METHODS
  The NIH Toolbox project convened several working groups to address assessment issues for the following subgroups: pediatric, geriatric, cultural, non-English-speaking, and disabled. Each group reviewed all NIH Toolbox instruments in their entirety.
  
  
  RESULTS
  Each working group provided recommendations to the scientific study teams regarding instrument content, presentation, and administration. When feasible and appropriate, instruments and administration procedures have been modified in accordance with these recommendations.
  
  
  CONCLUSIONS
  Health outcome measurement can benefit from expert input regarding assessment considerations for special subgroups.
authors.affiliation: Northwestern University Feinberg School of Medicine, Chicago, IL, USA. d-victorson@northwestern.edu
authors.forename: David
authors.initials: D
authors.lastname: Victorson
authors.forename: Jennifer
authors.initials: J
authors.lastname: Manly
authors.forename: Kathleen
authors.initials: K
authors.lastname: Wallner-Allen
authors.forename: Nathan
authors.initials: N
authors.lastname: Fox
authors.forename: Christy
authors.initials: C
authors.lastname: Purnell
authors.forename: Hugh
authors.initials: H
authors.lastname: Hendrie
authors.forename: Richard
authors.initials: R
authors.lastname: Havlik
authors.forename: Mark
authors.initials: M
authors.lastname: Harniss
authors.forename: Susan
authors.initials: S
authors.lastname: Magasi
authors.forename: Helena
authors.initials: H
authors.lastname: Correia
authors.forename: Richard
authors.initials: R
authors.lastname: Gershon
mesh_terms: D018864:Cultural Diversity; D003469:Culture; D006233:Persons with Disabilities; D005853:Geriatrics / Q000379:methods / Q000592:standards*; D006801:Humans; D007802:Language; D009316:National Institutes of Health (U.S.); D010372:Pediatrics / Q000379:methods / Q000592:standards*; D014481:United States