It looks as though in the ADNIMERGE file, the ADAS13 scores are using the average of the word recall trials as you mentioned (in the ADAS-Cog file for ADNI-GO/2/3, ADAS_ADNIGO23.csv, the ADAS13 score uses the rounded mean of the word recall trials for ADNI-GO and 2, but in ADNI-3, it just uses the mean).
I believe in the total score calculation (and the individual question scores, again, looking at the ADAS_ADNIGO23.csv file), the number of not recalled words is used. The recalled words are recorded, but the number not recalled is used in scoring.
Danielle
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