A-256 Literacy Level May Mediate the Relationship Between an Individual’s Ethnicity and Letter Fluency Ability

Abstract Objective: Previous research suggests that literacy level may be a better predictor of cognitive performance than years of education in minoritized groups. Although literacy tests remain a mainstay in the context of neuropsychological evaluations due to their role in the estimation of premo...

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Veröffentlicht in:Archives of clinical neuropsychology 2022-08, Vol.37 (6), p.1400-1400
Hauptverfasser: Khan, Humza, Bing-Canar, Hanaan, Stocks, Jane K, Lapitan-Moore, Franchezka, DeBoer, Adam B, Durkin, Nicole M, Cerny, Brian M, Jennett, Kyle J, Soble, Jason R, Resch, Zachary J
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container_end_page 1400
container_issue 6
container_start_page 1400
container_title Archives of clinical neuropsychology
container_volume 37
creator Khan, Humza
Bing-Canar, Hanaan
Stocks, Jane K
Lapitan-Moore, Franchezka
DeBoer, Adam B
Durkin, Nicole M
Cerny, Brian M
Jennett, Kyle J
Soble, Jason R
Resch, Zachary J
description Abstract Objective: Previous research suggests that literacy level may be a better predictor of cognitive performance than years of education in minoritized groups. Although literacy tests remain a mainstay in the context of neuropsychological evaluations due to their role in the estimation of premorbid intellectual functioning, there is relatively little research examining the role of literacy in the relationship between ethnicity and cognitive performance. This study examined whether literacy level influences the relationship between ethnicity and letter fluency ability. Method: This cross-sectional study included 64 adult patients consecutively referred for outpatient neuropsychological evaluation within a large, Midwestern academic medical center. The sample was 54.7% male, 43.8% White, 56.3% Black, with Mage of 57.8 years (SD=11.7) and Meducation of 12.6 years (SD=2.5). A mediation analysis was performed using Hayes’ PROCESS macro within SPSS to evaluate whether literacy, as measured by the Test of Premorbid Functioning (TOPF), mediated the association between ethnicity (dichotomized as Black/White) and letter fluency via raw scores from the F/A/S trials. Results: The main model of the mediation analysis was significant, F (4, 51) = 13.89, p
doi_str_mv 10.1093/arclin/acac060.256
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Although literacy tests remain a mainstay in the context of neuropsychological evaluations due to their role in the estimation of premorbid intellectual functioning, there is relatively little research examining the role of literacy in the relationship between ethnicity and cognitive performance. This study examined whether literacy level influences the relationship between ethnicity and letter fluency ability. Method: This cross-sectional study included 64 adult patients consecutively referred for outpatient neuropsychological evaluation within a large, Midwestern academic medical center. The sample was 54.7% male, 43.8% White, 56.3% Black, with Mage of 57.8 years (SD=11.7) and Meducation of 12.6 years (SD=2.5). A mediation analysis was performed using Hayes’ PROCESS macro within SPSS to evaluate whether literacy, as measured by the Test of Premorbid Functioning (TOPF), mediated the association between ethnicity (dichotomized as Black/White) and letter fluency via raw scores from the F/A/S trials. Results: The main model of the mediation analysis was significant, F (4, 51) = 13.89, p &lt;.001, R2 = .521. After accounting for age and years of education, there was a significant mediation effect of literacy on the relationship between ethnicity and letter fluency (B = .740, SE = .143, t = 5.19, p &lt;.001). Conclusion(s): In sum, this study provided evidence that literacy level helps explain the letter fluency performance differences observed between Black and White patients.</description><identifier>ISSN: 1873-5843</identifier><identifier>EISSN: 1873-5843</identifier><identifier>DOI: 10.1093/arclin/acac060.256</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>Archives of clinical neuropsychology, 2022-08, Vol.37 (6), p.1400-1400</ispartof><rights>The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Khan, Humza</creatorcontrib><creatorcontrib>Bing-Canar, Hanaan</creatorcontrib><creatorcontrib>Stocks, Jane K</creatorcontrib><creatorcontrib>Lapitan-Moore, Franchezka</creatorcontrib><creatorcontrib>DeBoer, Adam B</creatorcontrib><creatorcontrib>Durkin, Nicole M</creatorcontrib><creatorcontrib>Cerny, Brian M</creatorcontrib><creatorcontrib>Jennett, Kyle J</creatorcontrib><creatorcontrib>Soble, Jason R</creatorcontrib><creatorcontrib>Resch, Zachary J</creatorcontrib><title>A-256 Literacy Level May Mediate the Relationship Between an Individual’s Ethnicity and Letter Fluency Ability</title><title>Archives of clinical neuropsychology</title><description>Abstract Objective: Previous research suggests that literacy level may be a better predictor of cognitive performance than years of education in minoritized groups. Although literacy tests remain a mainstay in the context of neuropsychological evaluations due to their role in the estimation of premorbid intellectual functioning, there is relatively little research examining the role of literacy in the relationship between ethnicity and cognitive performance. This study examined whether literacy level influences the relationship between ethnicity and letter fluency ability. Method: This cross-sectional study included 64 adult patients consecutively referred for outpatient neuropsychological evaluation within a large, Midwestern academic medical center. The sample was 54.7% male, 43.8% White, 56.3% Black, with Mage of 57.8 years (SD=11.7) and Meducation of 12.6 years (SD=2.5). A mediation analysis was performed using Hayes’ PROCESS macro within SPSS to evaluate whether literacy, as measured by the Test of Premorbid Functioning (TOPF), mediated the association between ethnicity (dichotomized as Black/White) and letter fluency via raw scores from the F/A/S trials. Results: The main model of the mediation analysis was significant, F (4, 51) = 13.89, p &lt;.001, R2 = .521. After accounting for age and years of education, there was a significant mediation effect of literacy on the relationship between ethnicity and letter fluency (B = .740, SE = .143, t = 5.19, p &lt;.001). 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A mediation analysis was performed using Hayes’ PROCESS macro within SPSS to evaluate whether literacy, as measured by the Test of Premorbid Functioning (TOPF), mediated the association between ethnicity (dichotomized as Black/White) and letter fluency via raw scores from the F/A/S trials. Results: The main model of the mediation analysis was significant, F (4, 51) = 13.89, p &lt;.001, R2 = .521. After accounting for age and years of education, there was a significant mediation effect of literacy on the relationship between ethnicity and letter fluency (B = .740, SE = .143, t = 5.19, p &lt;.001). Conclusion(s): In sum, this study provided evidence that literacy level helps explain the letter fluency performance differences observed between Black and White patients.</abstract><pub>Oxford University Press</pub><doi>10.1093/arclin/acac060.256</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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title A-256 Literacy Level May Mediate the Relationship Between an Individual’s Ethnicity and Letter Fluency Ability
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