Assessing Planning Ability Across the Adult Life Span: Population-Representative and Age-Adjusted Reliability Estimates for the Tower of London (TOL-F)

Arch Clin Neuropsychol. 2016 Mar;31(2):148-64. doi: 10.1093/arclin/acv088. Epub 2015 Dec 29.

Abstract

Planning ahead the consequences of future actions is a prototypical executive function. In clinical and experimental neuropsychology, disc-transfer tasks like the Tower of London (TOL) are commonly used for the assessment of planning ability. Previous psychometric evaluations have, however, yielded a poor reliability of measuring planning performance with the TOL. Based on theory-grounded task analyses and a systematic problem selection, the computerized TOL-Freiburg version (TOL-F) was developed to improve the task's psychometric properties for diagnostic applications. Here, we report reliability estimates for the TOL-F from two large samples collected in Mainz, Germany (n = 3,770; 40-80 years) and in Vienna, Austria (n = 830; 16-84 years). Results show that planning accuracy on the TOL-F possesses an adequate internal consistency and split-half reliability (>0.7) that are stable across the adult life span while the TOL-F covers a broad range of graded difficulty even in healthy adults, making it suitable for both research and clinical application.

Keywords: Planning; Problem solving; Reliability; TOL-F; Tower of London.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Aged
  • Aged, 80 and over
  • Aging / psychology*
  • Executive Function*
  • Female
  • Humans
  • Male
  • Neuropsychological Tests / standards*
  • Problem Solving
  • Psychometrics
  • Young Adult