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Psychometric validation protocol — preprint

Concurrent Validity, Test-Retest Reliability, and Preliminary Minimal Clinically Important Difference of PinnacleAI AbilityScore: A Cross-Sectional Psychometric Validation Study Protocol

Saripalli, Koti Reddy · Ramtenki, Raghupathi · Boini, Srikanth Yadav

Version 2.1DOI 10.5281/zenodo.19482476

Planned comparator validation, n=300 plus 60 retest. This record does not report completed validation results.

The original abstract contains conflicting statements about OSF registration. Completed registration is not established by the reviewed source.

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Background: AbilityScore is a standardized composite developmental index (0–1000) that quantifies child developmental performance relative to age-normed expectations. Operational data from more than 18.6 million therapy sessions show inter-rater reliability r = 0.91 and ICC = 0.88. However, formal concurrent validity against established reference instruments, controlled test-retest reliability, and minimal clinically important difference (MCID) have not been published.

Objective: To determine the concurrent validity of AbilityScore against Vineland-3, CARS-2, Bayley-4, and ABAS-3; to assess the reliability of the 7-day test-retest; and to estimate a preliminary MCID.

Methods: Cross-sectional multi-center psychometric validation study with a nested prospective test-retest substudy. Component A: n = 300 children aged 7 months to 7 years assessed with AbilityScore and comparator instruments in the same session by blinded raters in 6 Pinnacle Blooms Network centers. Component B: n = 60 subset, reassessed at 7 days. Primary analysis: Pearson correlation (Bonferroni-adjusted α = 0.017). Pre-registered SAP on OSF.

Discussion: This study addresses the single most important evidence gap for AbilityScore. It will determine whether the instrument meets the accepted thresholds for concurrent validity (r ≥ 0.50) and reliability (ICC ≥ 0.80), allowing the progression from operational evidence to formal psychometric validation.

Trial registration: CTRI (to be registered prior to first enrollment). OSF pre-registration of SAP (to be completed prior to data collection).

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Bibliographic source checked 2026-09-19. Publication status and author statements are retained as attributed source content.

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