Table 5.

Global and domain-specific measures to assess cognitive skills in SCD

MeasureAge rangeDomainsAdditional considerations
Global measures    
 Bayley-III 0-3.5 y Cognitive, motor, language, social-emotional, and adaptive behavior  
 WPPSI-IV 2 y, 6 mo to 7 y, 7 mo Working memory, processing speed, fluid reasoning, and visual, spatial, and verbal comprehension Consider WPPSI cancellation (attention/processing speed) 
 WISC-V 6-16 y 11 mo Verbal comprehension, processing speed, visual spatial, working memory, and fluid reasoning Consider WPPSI cancellation (attention/processing speed) 
Domain-specific measures    
 Trails A and B; Trail Making Test, Part A 9 y and older Executive function D-KEFS tower Wisconsin card sorting 
 Children’s Memory Scale 5-16 y Working memory  
 The Digit Span Test (Forward and Backward) 16 y and older Working memory Part of the WAIS23  
 NIH Toolbox DCCS Test 3-85 y Executive function–cognitive flexibility Takes 4 min 
 NIH Toolbox Flanker Inhibitory Control and Attention Test 3-85 y Executive function and attention Takes 3 min 
 NIH Toolbox Pattern Comparison Processing Speed Test 7-85 y Processing speed Takes 3 min 
MeasureAge rangeDomainsAdditional considerations
Global measures    
 Bayley-III 0-3.5 y Cognitive, motor, language, social-emotional, and adaptive behavior  
 WPPSI-IV 2 y, 6 mo to 7 y, 7 mo Working memory, processing speed, fluid reasoning, and visual, spatial, and verbal comprehension Consider WPPSI cancellation (attention/processing speed) 
 WISC-V 6-16 y 11 mo Verbal comprehension, processing speed, visual spatial, working memory, and fluid reasoning Consider WPPSI cancellation (attention/processing speed) 
Domain-specific measures    
 Trails A and B; Trail Making Test, Part A 9 y and older Executive function D-KEFS tower Wisconsin card sorting 
 Children’s Memory Scale 5-16 y Working memory  
 The Digit Span Test (Forward and Backward) 16 y and older Working memory Part of the WAIS23  
 NIH Toolbox DCCS Test 3-85 y Executive function–cognitive flexibility Takes 4 min 
 NIH Toolbox Flanker Inhibitory Control and Attention Test 3-85 y Executive function and attention Takes 3 min 
 NIH Toolbox Pattern Comparison Processing Speed Test 7-85 y Processing speed Takes 3 min 

These tests have not been demonstrated to be superior to several other well-recognized age-specific tests for people with SCD in national and international assessments.

Bayley-III, Bayley Scales of Infant and Toddler Development, Third Edition; DCCS, Dimensional Change Card Sort Test; D-KEFS, Delis-Kaplan Executive Function System; NIH, National Institutes of Health; WAIS, Wechsler Adult Intelligence Scale; WISC-V, Wechsler Intelligence Scale for Children Fifth Edition; WPPSI-IV, Wechsler Preschool and Primary Scale of Intelligence Fourth Edition.

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