Reliability and Validity of the Spanish-Language Version of the NIH Toolbox

Rina S. Fox, Jennifer J. Manly, Jerry Slotkin, John Devin Peipert, Richard C. Gershon

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


The psychometric properties of the English-language NIH Toolbox for Assessment of Neurological and Behavioral Function (NIH Toolbox) have been examined in numerous populations. This study evaluated the reliability and validity of the Spanish-language NIH Toolbox. Participants were children aged 3 to 7 years and adults aged 18 to 85 years who took part in the NIH Toolbox norming study in Spanish. Results supported the internal consistency reliability of included measures. Test–retest reliability was strong for most tests, though it was weaker for the test of olfaction among children and the test of locomotion among adults. Spearman’s correlations and general linear models showed Spanish tests were often associated with age, sex, and education. Convergent validity for the two language measures that underwent more intensive development, evaluated via Spearman’s correlations with legacy measures, was strong. Results support using the Spanish-language NIH Toolbox to measure neurological and behavioral functioning among Spanish-speaking individuals in the United States.

Original languageEnglish (US)
Pages (from-to)457-471
Number of pages15
Issue number2
StatePublished - Mar 2021
Externally publishedYes


  • Latinx
  • NIH Toolbox
  • Spanish
  • reliability
  • validity

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology


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