Peabody Picture Vocabulary Test-Third Edition Research Articles

Differential effects of gender and ethnicity on children’s receptive language scores after a Canadian two-generation preschool program: follow-up to adolescence

ABSTRACT Preschool programs for socially vulnerable children are believed to affect school readiness and language development but infrequently include follow-up to adolescence; observational measurement of receptive vocabulary is rare. The purpose of this longitudinal cohort study (55 children and 41 parents) was to report the trajectory of receptive vocabulary development for socially vulnerable children of diverse ethnicities (Indigenous, other Canadian-born, and Immigrant) who participated in a two-generation preschool program. English receptive vocabulary scores were measured at 5-time points: (a) program intake, (b) program exit, (c) age 7 years, (d) age 10 years, and (e) adolescence, using the Peabody Picture Vocabulary Test – Third Edition (PPVT-III). For all children, PPVT-III scores increased the most between program intake and exit and positive changes were sustained until adolescence. When the sample was examined by gender, PPVT-III scores were higher for boys than girls at all time points. When the sample was examined by ethnicity, other Canadian-born children scored higher than Indigenous and Immigrant children at all time points. Immigrant children scored lowest until age 7 years, and at age 10 years and adolescence scored higher than Indigenous children. Using mixed-effects modeling, PPVT-III scores increased when English was the primary language spoken at home at intake. PPVT-III scores increased slightly as caregiver age and caregiver Adverse Childhood Experiences score increased. PPVT-III scores were lower for Immigrant girls and Indigenous boys than other sub-groups of children. Differential effects of the two-generation preschool program by gender and ethnicity suggest tailoring programming to increase equitability of receptive vocabulary development for immigrant girls and Indigenous boys. Children with intergenerational adversity may require additional support.

Vocabulary comprehension in adults with fragile X syndrome (FXS)

BackgroundReceptive and expressive vocabulary in adult and adolescent males with fragile X syndrome (FXS) have been shown as significantly lower than their chronological age; however, receptive vocabulary has been considered a strength relative to mental age. This has not been formally examined, however, and data are needed to compare receptive vocabulary with other language skills and with mental age in individuals with FXS. This is especially important as vocabulary measures are sometimes used as a proxy to estimate language ability.MethodsThis preliminary study examined receptive vocabulary, global language, and cognitive skills in 42 adults (33 males and 9 females) with FXS as a portion of the baseline evaluation prior to randomization in a clinical trial of ampakine CX516. The battery of standardized tests addressed receptive vocabulary with the Peabody Picture Vocabulary Test, Third Edition (PPVT-III), receptive and expressive language (termed henceforth as global language) via the Preschool Language Scale, Fourth Edition or the Clinical Evaluation of Language Fundamentals, Third Edition, and non-verbal cognition via the Stanford-Binet Intelligence Scales, Fourth Edition (SB-IV).ResultsResults showed (1) significantly higher receptive vocabulary than global language, (2) significantly better receptive vocabulary than non-verbal cognition, (3) equivalent non-verbal cognition and global language, and (4) severity of autism symptomatology was not correlated to receptive vocabulary or global language once non-verbal cognition was removed as factor. The scores from the PPVT-III did not represent the global language skills in our sample of adults with FXS.ConclusionsFindings from this investigation strongly suggest that the PPVT-III should not be used as a screening tool for language levels or cognitive function in clinical studies since the scores from the PPVT-III were not representative of global language or non-verbal cognitive skills in adults with intellectual disabilities. This finding is critical in order to understand how to evaluate, as well as to treat, language in individuals with FXS. Development of efficient and appropriate tools to measure language, cognition, and behavior in individuals with FXS is essential.

Cognate identification methods: Impacts on the cognate advantage in adult and child Spanish-English bilinguals.

The purpose of this study was to determine whether four different cognate identification methods resulted in notably different classifications of cognate status for Peabody Picture Vocabulary Test-Third Edition (PPVT-III) test items and to investigate whether differences across criteria would impact findings of cognate effects in adult and preschool-aged Spanish-English bilingual speakers. We compared four cognate identification methods: an objective criterion based on phonological overlap; two subjective criteria based on a translation elicitation task; and a hybrid criterion integrating objective and subjective standards. We then used each criterion to investigate cognate effects on the PPVT-III in 26 adult and 73 child Spanish-English bilinguals. The test items identified as cognates by each criterion were compared (Experiment 1). Then, cognate advantage magnitudes, cognate accuracy rates, non-cognate accuracy rates, and number of individuals demonstrating the cognate advantage were investigated in both adult (Experiment 2) and child bilinguals (Experiment 3). Objective and subjective cognate identification methods were found to select notably different subsets of test items as cognates. Further, the methods led to differences in cognate effects, as well as in cognate and non-cognate accuracy rates, for both child and adult bilinguals. Although the cognate advantage has been widely studied in adult bilinguals, research on the cognate advantage in child bilinguals is limited and methods of identifying cognates are inconsistent across studies. The present study provides information about cognate effects in a young population and is the first comparison of objective and subjective approaches to cognate identification. This study extends previous work on cognate word processing in both child and adult bilinguals. Further, results offer an evaluation of methodologies that are critical for investigating the cognate advantage. This both facilitates interpretation of previous findings and can be used to guide methodological decisions in future research.

Examining the Classification Accuracy of a Vocabulary Screening Measure With Preschool Children

This study investigated the classification accuracy of the Dynamic Indicators of Vocabulary Skills (DIVS) as a preschool vocabulary screening measure. With a sample of 240 preschoolers, fall and winter DIVS scores were used to predict year-end vocabulary risk using the 25th percentile on the Peabody Picture Vocabulary Test–Third Edition (PPVT-III) to denote risk status. Results indicated that DIVS Picture Naming Fluency (PNF) and Reverse Definition Fluency (RDF) demonstrated very good accuracy in classifying students according to year-end vocabulary risk status. The DIVS measures also demonstrated stronger accuracy than demographic characteristics known to be indicators of vocabulary difficulties (socioeconomic status, English learner [EL] status, and sex). Combining PNF and RDF did not result in sufficient improvement in accuracy to justify administering both measures as opposed to just one. Further examination of predictive probability values revealed the potential for DIVS measures to improve the precision of vocabulary risk identification over considering EL status alone. Overall, results supported the use of the DIVS as a brief and inexpensive tool for preschool vocabulary screening.

Performance of a receptive language test among young children in Madagascar.

Language tests developed and validated in one country may lose their desired properties when translated for use in another, possibly resulting in misleading estimates of ability. Using Item Response Theory (IRT) methodology, we assess the performance of a test of receptive vocabulary, the U.S.-validated Peabody Picture Vocabulary Test-Third Edition (PPVT-III), when translated, adapted, and administered to children 3 to 10 years of age in Madagascar (N = 1372), in the local language (Malagasy). Though Malagasy is considered a single language, there are numerous dialects spoken in Madagascar. Our findings were that test scores were positively correlated with age and indicators of socio-economic status. However, over half (57/96) of items evidenced unexpected response variation and/or bias by local dialect spoken. We also encountered measurement error and reduced differentiation among person abilities when we used the publishers’ recommended stopping rules, largely because we lost the original item ordering by difficulty when we translated test items into Malagasy. Our results suggest that bias and testing inefficiency introduced from the translation of the PPVT can be significantly reduced with the use of methods based on IRT at both the pre-testing and analysis stages. We explore and discuss implications for cross-cultural comparisons of internationally recognized tests, such as the PPVT.

Detrimental for Some? Heterogeneous Effects of Maternal Incarceration on Child Wellbeing.

We use data from the Fragile Families and Child Wellbeing Study (N = 3,197) to consider the heterogeneous effects of maternal incarceration on 9-year-old children. We find that maternal incarceration has no average effects on child well-being (measured by caregiver-reported internalizing problem behaviors, caregiver-reported externalizing problem behaviors, Peabody Picture Vocabulary Test-Third Edition scores, and child-reported early juvenile delinquency) but that the effects vary by mothers' propensities for experiencing incarceration. Maternal incarceration is deleterious for children of mothers least likely to experience incarceration but mostly inconsequential for children of mothers more likely to experience incarceration. It is important that public policies take into account the fact that not all children experience similar effects of maternal incarceration. For children of mothers who are unlikely to experience incarceration, the negative consequences of maternal incarceration could be driven by at least three factors, all of which may be operating simultaneously and all of which potentially call for different policy interventions: (a) jail incarceration as opposed to prison incarceration, (b) incarceration for a crime that did minimal-or no-harm to their children, and (c) inadequate family supports for coping with maternal incarceration. We discuss these policy implications.

Early mathematics and phonological awareness in two child care settings

Curriculum development during early childhood is informed through an understanding of the cognitive skills that develop concurrently in the earliest years. Extending previous work, this study examined the relationship between early mathematics and phonological awareness (PA) skills for 37 children (14 girls; overall mean age = 47.6 months, SD = 11.17) attending centre or home-based child care. Assessments included the Peabody picture vocabulary test – third edition (PPVT-III), test of early mathematics ability-3 (TEMA-3), and phonological awareness literacy screening. Letter sounds (LS) and name writing (NW) significantly mediated the relationship between PPVT and TEMA, while letter awareness (LA) approached significance as a mediator (p = 0.06). These findings support LeFevre et al.’s [(2010). Pathways to mathematics: Longitudinal predictors of performance. Child Development, 81, 1753–1767] claim that the linguistic pathway is in use for certain components of mathematical performance. Our results suggest a developmental pathway with TEMA skills linked with LA and LS for three- and four-year-olds and NW for four-year-olds. As children develop new skills, changes take place in both domains.

Linguistic Mediation of Children's Performance in a New Symbolic Understanding Task

The effects of language on symbolic functioning were examined using the boxes task, a new symbolic understanding task based on DeLoache's model task. Children (N = 32; ages 2;4–3;8) observed an object being hidden in a stack of four boxes and were then asked to retrieve a similar object in the same location from a set of four target boxes. Each box was identified with a different object sitting on a small ledge in front of it. Language use was manipulated by providing linguistic scaffolding (naming vs. standard) and by using objects to identify the boxes whose names were either known or unknown to the children (familiar vs. language control). Home language environment (monolingual vs. bilingual) and verbal age (measured via the Peabody Picture Vocabulary Test-Third Edition) were also examined. Main effects were found for type of object (with familiar objects yielding better performance), home linguistic environment (with bilingualism resulting in better performance), and verbal age. There was also a verbal age × linguistic scaffolds interaction: Verbal age was related to correct retrievals only in the naming condition. These results provide further evidence that language mediates children's symbolic development and indicate that the new boxes task is an effective way of evaluating young children's symbolic competencies.

A randomized trial of DHA intake during infancy: School readiness and receptive vocabulary at 2–3.5 years of age

BackgroundStudies investigating the effects of docosahexaenoic acid (DHA) in infant formula on language development yield conflicting results. No study to date has investigated the effects of DHA in infant formula on school readiness. AimTo determine the effects of different dietary concentrations of DHA provided during the first 12months of life on language development and school readiness. DesignThis was a double-masked, randomized, controlled, prospective trial. A total of 182 infants were enrolled at 1–9days of age and assigned randomly to receive infant formula with one of four levels of DHA: control (0% DHA), 0.32% DHA, 0.64% DHA, or 0.96% DHA. All formulas with DHA also contained 0.64% arachidonic acid. One hundred forty-one children completed the 12-month feeding trial and were eligible for this study. Consent was obtained from 131 participants. School readiness was assessed at 2.5years using the Bracken Basic Concept Scale—Revised (BBCS-R) and receptive vocabulary was assessed at 2 and 3.5years using the Peabody Picture Vocabulary Test—Third Edition (PPVT-III). ResultsThere were no diet group differences on any of the BBCS-R subscales. On the PPVT-III, the control group had higher raw scores and standard scores than both the 0.32% and 0.96% groups at 2years of age. These differences were not evident at 3.5years. ConclusionsDietary DHA during the first year of life did not enhance school readiness or language development. Children who consumed infant formula with 0.32% and 0.96% DHA showed lower receptive vocabulary scores than controls at 2 but not 3.5years of age.

Intellectual, behavioral, and personality correlates of violent vs. non-violent juvenile offenders

The overall aim of this study was to examine the relationship between offender status (violent vs. nonviolent) and selected predictor variables from personality, behavioral, and intellectual domains. The two main sub goals were (a) to determine which variables from these domains were most closely associated with offender status, and (b) to construct a stepwise logistic regression model that could help identify which juveniles were more likely to be incarcerated for violent vs. nonviolent offenses. The participants for this investigation were juvenile offenders referred to the Juvenile Court Assessment Center by the Juvenile Justice Division of the Eleventh Judicial Circuit. The court-ordered assessment included the following measures: (a) The Millon Adolescent Clinical Inventory (MACI), (b) the Behavior Assessment System for Children (BASC), (c) the Peabody Picture Vocabulary Test-Third Edition (PPVT-III), (d) the Wide Range Achievement Test-Third Edition (WRAT-III), (e) the Kaufman Brief Intelligence Test (K-BIT), and (f) records of school achievement. The ten variables that had the strongest association with offender status were entered into the stepwise logistic regression analysis; five of these strategically chosen predictor variables accurately differentiated violent from nonviolent offenders 86.3% of the time. Reading Percentile (β=-.051), PPVT-III (β=-.059), MACI-Inhibition (β=-.033), MACI-Eating Dysfunction (β=.051), and BASC-Sense of Inadequacy (β=-.072). Gender differences were explored.

Neurodevelopmental Outcomes in Children With Hemifacial Microsomia

To determine whether preadolescent children with hemifacial microsomia (HFM) have higher risk of neurodevelopmental delays than unaffected control individuals. Case-control follow-up study of neurodevelopment in children with and without HFM. Case individuals were originally recruited from 26 craniofacial centers across the United States and Canada, and controls were recruited through community pediatricians. One hundred thirty-six children with HFM (cases) and 568 unaffected children (controls). Main Exposure History of HFM. The Peabody Picture Vocabulary Test-Third Edition, the Beery-Buktenica Developmental Test of Visual Motor Integration-Fifth Edition, and the Academic Competence scales from the Child Behavior Checklist and the Teacher Report Form. Children with HFM scored lower than controls on all measures (effect size=-0.27 to -0.45; P<.001 to P=.008). Compared with controls, cases were 2 to 3 times as likely to score in the at-risk range. Relative to controls, outcomes were worse for male cases and those whose mothers were 25 years or younger at the time of their birth. Cases with HFM plus other malformations had poorer outcomes, as did cases with hearing, vision, or speech impairments. This is the first study, to our knowledge, to show that children with HFM have poorer neurodevelopmental outcomes than unaffected children, but further study using more detailed assessments is indicated. Clinically, the findings suggest that early neurodevelopmental screening is warranted for all children with HFM.

Does growth rate in oral reading fluency matter in predicting reading comprehension achievement?

In this study, we examined the relationship of growth trajectories of oral reading fluency, vocabulary, phonological awareness, letter-naming fluency, and nonsense word reading fluency from 1st grade to 3rd grade with reading comprehension in 1st, 2nd, and 3rd grades. Data from 12,536 children who were followed from kindergarten to 3rd grade longitudinally were used. These children were administered Dynamic Indicators of Basic Early Literacy Skills subtests, Peabody Picture Vocabulary Test-Third Edition, and reading comprehension (Stanford Achievement Test, 10th ed.) tasks multiple times in each year. Students' initial status and rate of growth in each predictor within each grade were estimated using individual growth modeling. These estimates were then used as predictors in dominance regression analyses to examine relative contributions that the predictors made to the outcome: reading comprehension. Among the 1st-grade predictors, individual differences in growth rate in oral reading fluency in 1st grade, followed by vocabulary skills and the autoregressive effect of reading comprehension, made the most contribution to reading comprehension in 3rd grade. Among the 2nd- and 3rd-grade predictors, children's initial status in oral reading fluency had the strongest relationships with their reading comprehension skills in 3rd grade.

Language Outcomes Following Treatment for Acute Lymphoblastic Leukaemia with CNS Chemotherapy: A Two-Year Follow-Up Study

Using cross-sectional and longitudinal approaches, the current research investigated the language skills of two boys following CNS-targeted chemotherapy-only treatment for acute lymphoblastic leukaemia. A single case-multiple comparison study of each boy's general language skills, as assessed by the Clinical Evaluation of Language Fundamentals-Fourth Edition, the Peabody Picture Vocabulary Test-Third Edition Form A, and the Hundred Pictures Naming Test, and each boy's high level language skills as assessed by the Test of Language Competence-Expanded Edition, and the Test of Problem Solving-Elementary, Revised or the Test of Problem Solving-3 was undertaken. Additionally, using test norms only for comparison, the boys' language skills were assessed three times over a two-year period. The findings suggest that the language skills of both boys were generally within one standard deviation of their respective control group's mean, although one boy was experiencing moderate difficulty with high-level language tasks. Between assessment 2 and 3, the receptive language skills of both boys declined, and competence with high level language tasks declined considerably for one boy and slightly for the other. The results suggest that language skills require monitoring following CNS chemotherapy.

Hearing Experience and Receptive Vocabulary Development in Deaf Children With Cochlear Implants

This study investigated receptive vocabulary delay in deaf children with cochlear implants. Participants were 23 children with profound hearing loss, ages 6-14 years, who received a cochlear implant between ages 1.4 and 6 years. Duration of cochlear implant use ranged from 3.7 to 11.8 years. Peabody Picture Vocabulary Test, Third Edition (PPVT-III) data were analyzed first by examining children's errors for evidence of difficulty in specific lexical content areas, and second by calculating standard scores with reference to hearing age (HA) (i.e., chronological age [CA]--age at implantation) rather than CA. Participants showed evidence of vocabulary understanding across all PPVT-III content categories with no strong evidence of disproportionate numbers of errors in any specific content area despite below-average mean standard scores. However, whereas mean standard scores were below the test mean established for hearing children when based on CA, they were within the average range for hearing children when calculated based on HA. Thus, children's vocabulary knowledge was commensurate with years of cochlear implant experience, providing support for the role of spoken language experience in vocabulary acquisition.

The Impact of Perinatal HIV Infection on Older School-Aged Children's and Adolescents' Receptive Language and Word Recognition Skills

Perinatally HIV-infected youths are reaching adolescence in large numbers. Little is known about their cognitive functioning. This study aims to describe and compare the receptive language ability, word recognition skills, and school functioning of older school-aged children and adolescents perinatally HIV infected (HIV-positive) and perinatally HIV-exposed but uninfected (seroreverters; HIV-negative). Participants included 340 youths (206 HIV-positive, 134 HIV-negative), 9-16 years old, and their caregivers. Youths completed the Peabody Picture Vocabulary Test, Third Edition (PPVT-III) and the Reading Subtest of the Wide Range Achievement Test, Third Edition (WRAT-3). Caregivers were interviewed regarding demographic characteristics and school placement of youths. Medical information was abstracted from medical charts. Both groups of youths scored poorly on the PPVT-III and WRAT-3 with about one third of youths scoring in less than the 10th percentile. The HIV-positive youths scored lower than the seroreverters (M = 83.8 versus 87.6, t = 2.21, p = 0.028) on the PPVT-III and on the WRAT-3 (M = 88.2 versus 93.8, t = 2.69, p = 0.008). Among the HIV-positive youths, neither CD4+ cell count, HIV RNA viral load or Centers for Disease Control and Prevention (CDC) classification were significantly associated with either PPVT-III or WRAT-3 scores. However, youths who were taking antiretroviral medication had lower WRAT-3 scores than youths not taking medication (M = 95.03 versus 86.89, t = 2.38, p = 0.018). HIV status remained significantly associated with PPVT-III and WRAT-3 standard scores after adjusting for demographic variables. Many youths had been retained in school and attended special education classes. Findings highlight poor language ability among youths infected with and affected by HIV, and the importance of educational interventions that address this emerging need.

The MTHFR 677C→T polymorphism and behaviors in children with autism: exploratory genotype–phenotype correlations

New evidence suggests that autism may be associated with (a) varied behavioral responses to folate therapy and (b) metabolic anomalies, including those in folate metabolism, that contribute to hypomethylation of DNA. We hypothesized that children with autism who are homozygous for the MTHFR 677 T allele (TT) and, to a lesser extent those with the CT variant, would exhibit more behavioral problems and/or more severe problematic behaviors than homozygous wild-type (CC) individuals because of difficulties in effectively converting 5,10-MTHF to 5-MTHF. Data from the Autism Genetic Resource Exchange (AGRE) collection were analyzed for all children who met strict criteria for autism per the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) and who had been genotyped for the 677 C to T MTHFR polymorphism (n=147). Chi-square tests, logistic regression, and one-way ANOVAs were used to determine whether differences existed among MTHFR genotypes for specific behaviors on the ADI-R and indices for level of functioning. Exploratory results indicated four behaviors from the ADI-R that were more common and problematic (95% CI) among those with at least one copy of the T allele as compared to homozygous wild-type individuals: direct gaze, current complex body movements, a history of self-injurious behavior, and current overactivity (ORs=2.72, 2.33, 2.12, 2.47, respectively). No differences existed among genotypes for level of functioning as measured with the Peabody Picture Vocabulary Test-Third Edition, Ravens Colored Progressive Matrices, or the Vineland Adaptive Behavior Scales. Findings call for further investigation of the relationship between folate metabolism and problem behaviors among children with autism.

Level of Functioning in Autism Spectrum Disorders: Phenotypic Congruence Among Affected Siblings

Little evidence supports that siblings with autism exhibit the same behaviors; however, some findings suggest that level of functioning shows familial aggregation. We tested this notion among multiplex families participating with the Autism Genetic Resource Exchange (AGRE) Consortium, using scores on the Peabody Picture Vocabulary Test-Third Edition (N = 204 families), the Ravens Colored Progressive Matrices (N = 226 families), and the Vineland Adaptive Behavior Scales (N = 348 families). Intraclass Correlation Coefficients revealed that siblings with autism/autism spectrum disorders (ASD) were more similar on measures of verbal and nonverbal IQ and adaptive functioning than were unrelated children with autism/ASD. Preliminary twin correlations indicated strong genetic effects for some skill domains and the influence of shared environmental factors for others.

IQ and Scores on the Mini-Mental State Examination (MMSE): Controlling for Effort and Education Among Geriatric Inpatients

ABSTRACT The Mini-Mental State Examination (MMSE) and the Peabody Picture Vocabulary Test, Third Edition (PPVT-III) were administered to 76 Extended Care Center inpatients of a Veterans Affairs Medical Center, 56 of whom did not carry a diagnosis associated with brain impairment, and 20 of whom had a diagnosis associated with degenerative or cerebrovascular conditions. MMSE and PPVT-III scores, the latter of which estimates verbal IQ, were significantly correlated in both groups, even when controlling for the effects of education. This correlation was attenuated, but remained significant, in the face of varying levels of patient effort. The findings of this study support earlier findings, which also suggest that interpretation of “impaired” performance on the MMSE for those with IQ scores below 90 should be interpreted with caution. Average MMSE scores for Wechsler IQ classifications are provided.

Neurobehavioral Outcomes After Early Versus Late Childhood Traumatic Brain Injury

To examine differences in outcomes at transition age (17-21 years) between individuals who sustained complicated mild-to-severe traumatic brain injury (TBI) in early or middle childhood and those who were injured in late adolescence. Fifteen persons who sustained TBI between the ages of 6 and 12 years (early-onset) and 30 persons who sustained TBI between the ages of 16 and 20 years (late-onset). Peabody Picture Vocabulary Test-Third Edition, Trail-Making Test, Buschke Selective Reminding Test, Benton Visual Retention Test, Dysexecutive Questionnaire, Community Integration Questionnaire, Satisfaction with Life Scale. The groups did not differ in overall cognitive ability level, postinjury education or vocational accomplishments, or current living situation. However the early-onset group demonstrated worse outcomes in higher-level cognitive skills, social integration, driving, and legal guardianship. Complicated mild-to-severe TBI earlier in childhood is associated with worse long-term neurocognitive and psychosocial outcomes than injury sustained in late adolescence. Findings provide further support for theories that early brain injury onset interferes with development of immature or rapidly developing skills, and may be associated with further magnification of deficits during the course of later development.

Latent Class Analysis of Differential Item Functioning on the Peabody Picture Vocabulary Test–III

This study investigated the use of latent class analysis for the detection of differences in item functioning on the Peabody Picture Vocabulary Test—Third Edition (PPVT-III). A two-class solution for a latent class model appeared to be defined in part by ability because Class 1 was lower in ability than Class 2 on both the PPVT-III and the Expressive Vocabulary Test (EVT). This difference was much larger on the PPVT-III for the low-ability class. No difference was found for the high-ability latent class, suggesting that the difference was a result of something in the PPVT-III that was not present in the EVT. The difference on the PPVT-III for low-ability children appeared to be a result of the structure of the items on the test, which seems to encourage the overriding use of the novel name—nameless category strategy for the selection of an answer—a strategy not available on the EVT.