Score by hand using a Scoring Manual for self-report and proxy-report short forms
TIP: It is preferable to use the HealthMeasures Scoring Service or a HealthMeasures administration platform that calculates scores. These use the most accurate scoring method as each response to every item is used to calculate a person’s score. Scoring Manuals are a good second option for self- and proxy-report measures. They convert the raw sum on a measure to a final T-score.
TIP: All NIH Toolbox® performance tests of cognition, sensation, and motor function can only be scored by utilizing the NIH Toolbox or PROMIS iPad app for data collection. No hand scoring is possible.
The HealthMeasures Scoring Service
The HealthMeasures Scoring Service is a free, web-based application that scores an Excel file of raw participant responses and returns by email a file with calculated T-scores for all measures.
Translations of self- and proxy-report HealthMeasures use the same scoring as the English measures. Follow the same instructions for scoring using the HealthMeasures Scoring Service, an administration platform that autoscores (e.g., NIH Toolbox app in Spanish), or score by hand using the Scoring Manual.
Calculate a Confidence Interval
Use the T-score and Standard Error (SE) to calculate a confidence interval. A 95% confidence interval is common. A 95% confidence interval means there is a 95% probability that the true T-score is within this range. The formula for a 95% confidence interval is:
T-score + (1.96*SE)
For example, if T=52 and SE=2, the lower boundary of the confidence interval is (52 – (1.96*2) = 48 and the upper bound is (52 + (1.96*2) = 56.
NIH Toolbox measures are automatically scored when administered in the NIH Toolbox iPad app. The Scoring and Interpretation Guide for NIH Toolbox provides more information about available scores and their uses.