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medRxiv PreprintsInternational28 October 2026

The Vocabulary Test of the California Cognitive Assessment Battery (CCAB)

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Objective. We report the design and metric properties of the vocabulary test of the California Cognitive Assessment Battery (CCAB), which adaptively delivers 24 trials from a 600-word list ordered by difficulty, and describe the demographic variables associated with vocabulary test performance. Method. 2,181 English-speaking adults aged 18-89 completed 24 four-alternative synonym items administered as a 1-up/1-down staircase over 60 difficulty levels, with step sizes that started large (4 levels) and decreased after successive performance reversals. Two scores were compared: the QuickSIN estim
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