Saturday, October 22, 2016

WMS-IV iPad administration – part 2

Part 3 of the series on Q-interactive by Debbie Anderson

Welcome back to the second half of the WMS-IV administration.  

Verbal Paired Associates I
The administration screen starts with the test instructions, then lists the pairs for you to read out.  A little trap is that you have to scroll the pairs up to find all fourteen (for the adult version, they are all in view for the older adult version) to read out.  Then the pairs are presented individually, and you simply have to indicate if the response is correct or not.  You have the option of writing down incorrect responses (or transcribing them later as it is also recorded – but that will take a lot of extra time, so I would encourage you to do it during administration).   It tallies them up, and keeps presenting them to you to read out, until they are all done.  Once again you know immediately how your client is going, with a total score and age scaled score in the screen at the end of the subtests.

Designs I
So to what I believe is probably the least popular test to administer – designs.  Luckily, it is much easier on Q-interactive.  Once again the stimuli are presented on the client’s ipad, and they respond using the grid and the design cards. 

Now the great part is that you don’t have to deal with the confusing grid on the form to record the answers, nor pull your hair out trying to score them – this little treasure does it for you.  So, after the stimuli are presented (it removes it from the client’s screen after the correct exposure time) their screen is blank.  The examiner’s screen has a grid in the same orientation as you are viewing it (i.e. looking down on it).  When the client puts a card in place, you touch that spot on your grid.  A set of cards comes onto the screen, and you just tap on the design that they have put down.  Continue this for the number of cards.  It won’t let you record more than the correct number of responses (i.e. you know immediately if there is a rule violation, in case you weren’t counting along…). If you really like lifting up the grid and recording the numbers (or checking if you are doing it correctly) the program has a button you can press to convert what you have recorded into numbers.  This is SOOOOO much easier!  I, personally, transcribe those numbers to input into the scoring program, but you aren’t obliged to, because at the end it gives you the age scaled score! No more headaches with scoring this!

Spatial Span
Administration is so much easier on the iPad, the clients see the symbols (it counts the time, so the exposure is exact) then the choices.  They just have to touch on their answers in order.

Here’s the beautiful part, it tells you, the examiner, what responses they have chosen, and in what order.  So much easier than trying to watch what the person does and remember the order to write it down etc.  You then need to check if it’s a 0,1 or 2 point answer, and press on the appropriate button.  It does the rest – again keeping score, and stopping at the correct discontinue point. 

Verbal Paired Associates II
To avoid getting boring, I’m pretty sure you are getting the idea now. 
The item comes on the screen for you to read, and you record the client’s response, and whether it was right or wrong.  Recognition is done in the same way.

Designs II
No surprises here, you record the recall responses in exactly the same manner as for Designs I.  And the recognition is nice and easy – clients just touch on their responses.

So there it is – the WMS-IV on Q-interactive.

The advantages as I see them are:
1)     Much easier to administer
2)     Exact timing on the exposure of the visual items, so no errors
3)     Exact administration i.e. verbatim instructions are integrated and easy to use
4)     Does record verbal answers so that you can check them later
5)     Much easier to record and score all of the visual items, the ones that have made my life easier are Designs, Spatial Addition and Symbol span.
6)     Immediate feedback as to how the patient is scoring
7)     Can administer either the adult or older adult version as appropriate (and it will prompt you if you make a mistake with that choice).
8)     Gives all the index scores at the end – so once you’ve fixed up the scoring on items that were missed you know the scores straight away
1)     It does cost quite a few administration credits
2)     It still takes a while to administer, and some clients still don’t like the challenging items!
3)     Whilst it does do some comparisons with the WAIS-IV, the TOPF isn’t integrated, so you need to input the data into the scoring program to use this.

Later, a recap of the WAIS-IV on iPad and some more posts about other tests I am using.
Debbie Anderson

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