Objective: The present study was aimed at assessing the utility of a performance validity measure (Advanced Clinical Solutions [ACS] Word Choice Test) as a screening for genuine memory impairment in older adults as measured by the Total Score on the Dementia Rating Scale-2 (DRS-2), and Memory Scores on the DRS-2 and on the Texas Functional Living Scale (TFLS). The ACS Word Choice has been shown to increase predictive accuracy of participant's effort, but recent research suggests failure in forced choice recognition can indicate genuine memory impairment. Method: Participants were 262 older adults aged 56 to 95 who were seen for a neuropsychological evaluation at an outpatient neuropsychology clinic in Virginia. The mean age of patients was 74 years (SD = 10.01). The mean DRS-2 total score was 128.85 (SD = 11.34), the mean...

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