A-126 Social Determinants Measures: Dichotomous or Dimensional?

Abstract Objective: The study aimed to examine the use of dichotomous versus dimensional scores across two social determinant measures regarding their ability predict cognitive and psychiatric outcomes in a diverse, urban, clinical sample. goal was better guide clinicians selection appropriate research methodology pertaining cut-scores constructs. Method: included 215 adults referred for outpatient neuropsychological evaluation. Patients were classified into at-risk/low-risk groups based on predetermined Rapid Estimate Adult Literacy Medicine - Revised (REALM-R) Adverse Childhood Experiences (ACE) cut-scores. Nine tests self-report scales administered. A series hierarchical regression models conducted investigate predictive power alone, account incremental scores. Results: For REALM-R, alone accounted significant variance, demonstrating robust all (p < 0.001 p 0.05), but not outcomes. Dimensional provided variance five 0.001to 0.05) during which parameter estimate reduced non-significance. Regarding ACE, positively associated with symptoms 0.001), addition did significantly more variance. Conclusion: This demonstrated REALM-R ACE. Further, potent should be used enhance decision-making when applicable.