Screening for More Than Level of Cognitive Functioning: The BNI Screen for Higher Cerebral Functions
Brain Injury
Prigatano, G. P., Rosenstein, L. D., et al. (2022).
Brain Injury, 36(4), 479-487.
This systematic review investigates the psychometric properties of the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) for assessing cognitive function in a variety of populations.
No funding received
1991 to 2020
The original BNIS administration manual, relevant studies published in <em>BNI Quarterly</em>, and peer-reviewed studies from the literature search (Not further specified)
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For screening cognition in individuals with stroke, the BNIS demonstrated a sensitivity of 80% and specificity of 38.9% using a cut score of 47 (1 study).<br /><br />Limitations of this review include the lack of commercial availability of the BNIS in the USA and the potential bias of the authors who assisted in the publication of the BNIS Administration manual.
For screening cognition in individuals with Alzheimer's disease, the BNIS demonstrated a sensitivity of 100% and specificity of 90% using a cut score of 40 (1 study).<br /><br />Limitations of this review include the lack of commercial availability of the BNIS in the USA and the potential bias of the authors who assisted in the publication of the BNIS Administration manual.
For screening cognition in adults older than 55, the BNIS demonstrated a sensitivity of 92.3% and a specificity of 61.5% with a cut score of 43 and a sensitivity of 92.3% and a specificity of 84.6% with a cut score of 41 (2 studies).<br /><br />Limitations of this review include the lack of commercial availability of the BNIS in the USA and the potential bias of the authors who assisted in the publication of the BNIS Administration manual.
For screening cognition in individuals with cognitive dysfunction, the BNIS demonstrated a sensitivity range from 88% to 90% and a specificity range from 56% to 78% using a cut score of 47 (3 studies) and a specificity range from 41% to 68% using a cut score of 40 (2 studies).<br /><br />Limitations of this review include the lack of commercial availability of the BNIS in the USA and the potential bias of the authors who assisted in the publication of the BNIS Administration manual.
