Neuropsychologists are increasingly being asked to apply neuropsychological test results to real world functioning; however, neuropsychological tests are not usually constructed to do so, but instead are more concerned with diagnostic accuracy than with prediction of daily functioning. Using samples of 5,460 patients that did self-ratings and 2791 patients that had family ratings plus the Meyers Neuropsychological Battery (MNB), it was found that the family ratings were better predicted by neuropsychological test data than were self-ratings on the 38 item Patient Competency Rating Scale (PCRS). The R values for family ratings on the 36 regression equations ranged from .236 to .763. The results show that the ratings given patients by family members could be predicted by the neuropsychological test results. These findings can help the clinician to make broad statements regarding likely real-life functioning and also support the ecological validity of the tests that make up the MNB.
Keywords: Ecological validity; environment; test construction; tests.