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Psychometric modeling of Boston process approach data for dementia prediction in the Framingham Heart Study
Brandon E. Frank, Ashita S. Gurnani, Landon Hurley, Calvin Guan, Stacy L. Andersen, Sherral Devine, Maureen K. O’Connor, Andrew E. Budson et al.. Journal of the International Neuropsychological Society, 2026-03-01
Topic: Risk, prevention and care in population studies
Participants were older adults (mean age 71.5 ± 8.7 years), primarily female (54.2%), and non-Hispanic White (96.5%). The bifactor model was the only model with adequate fit (CFI = 0.96, RMSEA = 0.03). General and specific factors captured ability for accurate and strategic responses, test-specific variance, and nuanced executive and semantic processes distributed across tests. Higher general ability and stronger verbatim story recall were associated with a reduced likelihood of developing all-cause dementia (general: OR = 0.15, 95% CI [0.12-0.86]; recall: OR = 0.24, 95% CI [0.23-0.90]) over a median of 5.2 years. With NP/BPA data, ML models identified >99% of 222 converters. This study highlights the strengths of NP/BPA data. Multidimensional cognitive features may enhance sensitivity to early changes predictive of incipient dementia.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Frank, B. E., Gurnani, A. S., Hurley, L., Guan, C., Andersen, S. L., Devine, S., et al. (2026). Psychometric modeling of Boston process approach data for dementia prediction in the Framingham Heart Study. Journal of the International Neuropsychological Society. https://doi.org/10.1017/s1355617726101921
Vancouver
Frank BE, Gurnani AS, Hurley L, Guan C, Andersen SL, Devine S, et al. Psychometric modeling of Boston process approach data for dementia prediction in the Framingham Heart Study. Journal of the International Neuropsychological Society. 2026. doi:10.1017/s1355617726101921. PMID: 41975557.
BibTeX
@article{frank2026-41975557,
author = {Frank, Brandon E. and Gurnani, Ashita S. and Hurley, Landon and Guan, Calvin and Andersen, Stacy L. and Devine, Sherral and O’Connor, Maureen K. and Budson, Andrew E. and others},
title = {{Psychometric modeling of Boston process approach data for dementia prediction in the Framingham Heart Study}},
journal = {Journal of the International Neuropsychological Society},
year = {2026},
doi = {10.1017/s1355617726101921},
pmid = {41975557},
url = {https://doi.org/10.1017/s1355617726101921}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Participants were older adults (mean age 71.5 ± 8.7 years), primarily female (54.2%), and non-Hispanic White (96.5%).
- The bifactor model was the only model with adequate fit (CFI = 0.96, RMSEA = 0.03).
- General and specific factors captured ability for accurate and strategic responses, test-specific variance, and nuanced executive and semantic processes distributed across tests.
- Higher general ability and stronger verbatim story recall were associated with a reduced likelihood of developing all-cause dementia (general: OR = 0.15, 95% CI [0.12-0.86]; recall: OR = 0.24, 95% CI [0.23-0.90]) over a median of 5.2 years.
- With NP/BPA data, ML models identified >99% of 222 converters.
Why it matters
In this Framingham Heart Study analysis, higher general cognitive ability and stronger verbatim story recall were linked to a reduced likelihood of developing all-cause dementia, and machine learning models identified most converters. The findings concern cognitive testing for predicting dementia, not treating or preventing it.
Study details
- Effect size54.2%; 96.5%; OR = 0.15
- Evidence strengthLow
How this study scored 42/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the International Neuropsychological Society) |
| Journal's citation record | 2 / 4 | Journal of the International Neuropsychological Society: journal h-index 176 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 3 / 3 | Effect reported with a statistic (interval, p-value, ratio or similar) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.5 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 3 / 6 | Cited 4.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Rhoda Au: h-index 90 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Boston University: institution h-index 1,456 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41975557) |
| Free to read | 2 / 2 | Free to read |
| Total | 42 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1017/s1355617726101921
- PubMed: 41975557
- Original source →
- Free full text: Journal of the International Neuropsychological Society →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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