Validation of the Sinhala version of the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)

Abstract

Introduction Only the Mini mental state examination (MMSE) and Montreal Cognitive Assessment scale have been validated in a Sri Lankan population for the assessment of cognitive functions. Both tests are deficient in the number of domains assessed. Therefore validation of Repeatable Battery for Assessment of Neuropsychological Status is important as it assesses most of the cognitive domains. Objectives To culturally adapt RBANS and investigate the validity and reliability of culturally adapted RBANS (RBANS-S). Methods Fifty four participants with major neurocognitive disorder and 60 normal controls aged >50 were administered with RBANS-S at the Cognitive Assessment Unit, Faculty of Medicine, Colombo and National Hospital of Sri Lanka. The participants were selected after a detailed clinical assessment according to Diagnostic and Statistical Manual - 5 criteria. Data were analysed using SPSS data package. Results The mean age of the sample was 69.5 years. RBANS-S total scale correlated highly with MMSE total score,(Pearson correlational coefficient = 0.793 p=0.01). Criterion validity was assessed using receiver operating curve characteristic analysis and the area under the curve was 0.937. RBANS-S showed strong concurrent validity us indicated by its significant correlations with the MMSE. All of the RBANS-S subtests demonstrated significant correlations with the MMSE subsets. The sensitivity and specificity for RBANS-S was 89\% and 85\% respectively at a totals score of 80.5. The RBANS-S yielded a reliability coefficient of 0.929. Conclusions Culturally adapted RBANS-S is a valid and reliable instrument which can be used in assessment of cognitive functions.