Albert's Test

Overview

 For the purposes of this review, we conducted a literature search to identify all relevant publications on the psychometric properties of Albert’s Test.

Reliability

Internal consistency:
No evidence.

Test-retest:
Chen-Sea and Henderson (1994) reported that Albert’s Test has an excellent test-retest reliability of r = 0.79.

Validity

Construct

Convergent:
Agrell, Dehlin, and Dahlgren (1997) compared the performance of 57 elderly patients with stroke on 5 different tests for visuo-spatial neglect (Star Cancellation, Line Crossing, Line Bisection, Clock Drawing Task and Copy A Cross). Albert’s Test had an excellent correlation with the Line Bisection Test (r = 0.85) and correlated adequately with the Star Cancellation Test (r = 0.63).

Massironi, Antonucci, Pizzamiglio, Vitale, Zoccolotti (1988) found an excellent correlation between the Wundt-Jastrow Area Illusion test and Albert’s Test (r = 0.64).

Deloche et al. (1996) reported an excellent correlation between the Catherine Bergego Scale and Albert’s Test (Spearman’s r = 0.73).

Known groups:
Potter, Deighton, Patel, Fairhurst, Guest, and Donnelly (2000) examined a computer-based method of administering the Albert’s Test in 30 patients with stroke and neglect, 57 patients with stroke and without neglect, and 13 age-matched control subjects. Significant differences were found between subjects with neglect and those without neglect, as well as subjects with neglect and age-matched controls. No difference between patients without neglect and age-matched controls was observed.

Criterion

Predictive:
Fullerton, McSherry, and Stout (1986) found that test scores on Albert’s Test administered to 205 patients with stroke within 48 hours of hospital admission significantly predicted functional outcome at 6 months post-stroke (as measured by a 4-point crude scale). This study specifically found that 56.8% of individuals identified with visual neglect using the Albert’s Test were true cases of neglect (true positives). Approximately 4.3% of individuals without neglect were also screened negative on the Albert’s Test (true negatives). However, more than 35% of the individuals were unable to comply with the test because of an altered state of consciousness or dysphasia during this early phase of recovery.

Responsiveness

Not applicable.

References
  • Agrell, B. M., Dehlin, O. I., Dahlgren, C. J. (1997). Neglect
    in elderly stroke patients: a comparison of five tests.
    Psychiatry Clin Neurosci, 51(5), 295-300.
  • Albert, M. L. (1973). A simple test of visual neglect.
    Neurology, 23, 658 664.
  • Chen-Sea, M. J., Henderson, A. (1994). The reliability and
    validity of visuospatial inattention tests with stroke patients.
    Occup Ther Int, 1, 36-48.
  • Deloche, G., Azouvi, P., Bergego, C., Marchal, F., Samuel, C.,
    Morin, L., Renard, C., Louis-Dreyfus, A., Jokic, C., Wiart, L.,
    Pradat-Diehl, P. (1996). Functional consequences and awareness of
    unilateral neglect: Study of an evaluation scale. Neuropsychol
    Rehabil
    , 6, 133 150.
  • Fullerton, K. J., McSherry, D., Stout, R. W. (1986). Albert’s
    Test: A neglected test of perceptual neglect. The Lancet,
    1(8478), 430-432.
  • Massironi, M., Antonucci, G., Pizzamiglio, L., Vitale, M. V.,
    Zoccolotti, P. (1988). The Wundt-Jastrow illusion in the study of
    spatial hemi-inattention. Neuropsychologia, 26(1),
    161-166.
  • McSherry, D., Fullerton, K. (1985). Preceptor: A shell for
    medical expert systems and its applications in a study of prognostic
    indices in stroke. Expert Systems, 2, 140-145.
  • Menon, A., Korner-Bitensky, N. (2004). Evaluating unilateral
    spatial neglect post stroke: Working your way through the maze of
    assessment choices. Topics in Stroke Rehabilitation, 11(3),
    41-66.
  • Plummer, P., Morris, M. E., Dunai, J. (2003). Assessment of
    unilateral neglect. Phys Ther, 83(8), 732-740.
  • Potter, J., Deighton, T., Patel, M., Fairhurst, M., Guest, R.,
    Donnelly, N. (2000). Computer recording of standard tests of visual
    neglect in stroke patients. Clinical Rehabilitation, 14(4),
    441-446.
  • Na, D. L., Adair, J. C., Kang, Y., Chung, C. S., Lee, K. H.,
    Heilman, K. M. (1999). Motor perseverative behavior on a line
    cancellation task. Neurology, 52, 1569-1576