Quantifying variability in individual specific trajectories between NACC Lead Investigator: Jennifer Koontz Institution : UC Irvine E-Mail : jkoontz@occ.cccd.edu Proposal ID : 107 Proposal Description: This proposal will examine differences in the rates of cognitive decline in neuropsychological testing between the ADC and ADRC???s as a first step in determining whether or not learning, or retest, effects contribute to increased variability in individual level test trajectories across centers. The proposed study will address suggested topic #424: Center Differences in Rate of Decline and will use this information to examine retest effects. In addition, the study will consider additional confounding factors that may be contributing to the masking of cognitive decline through higher performance on neuropsychological tests in the UDS, including education level, neuropathology data, and APOE status.