title: Evaluation of performance validity using a Rey Auditory Verbal Learning Test forced-choice trial.
abstract: OBJECTIVE
  Forced-choice (FC) recognition memory is a common performance validity assessment methodology. This study introduces and evaluates the classification accuracy of a FC recognition trial for the Rey Auditory Verbal Learning Test (RAVLT).
  
  
  METHODS
  The present sample of 122 military veterans (Mean age = 35.4, SD = 9.3) were all administered the RAVLT along with the FC procedure as part of a full neuropsychological protocol. Veterans were assigned to valid (n = 94) or invalid (n = 28) groups based on outcomes of performance validity measures.
  
  
  RESULTS
  The FC procedure was found to have strong sensitivity (67.9%) and specificity (92.6%) in predicting validity group status based on a cutoff score of ≤ 13. The FC trial outperformed RAVLT recognition hits (sensitivity = 46.4%, specificity = 91.5%) as a predictor of invalid performance.
  
  
  CONCLUSIONS
  The RAVLT FC is demonstrated to be an effective measure of performance validity and is recommended for use as an adjunctive trial for the RAVLT.
authors.affiliation: a Edith Nourse Rogers Memorial Veterans Hospital , Bedford , MA , USA.|b Boston University School of Medicine , Boston , MA , USA.
authors.forename: Lee
authors.initials: L
authors.lastname: Ashendorf
authors.affiliation: a Edith Nourse Rogers Memorial Veterans Hospital , Bedford , MA , USA.|c Wayne State University , Detroit , MI , USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Sugarman
mesh_terms: D000161:Acoustic Stimulation; D000328:Adult; D000368:Aged; D002755:Choice Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011597:Psychomotor Performance; D021641:Recognition, Psychology; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014706:Verbal Learning; D014728:Veterans; D055815:Young Adult
keywords: RAVLT; Validity; effort; memory; veterans