P1-273: Sociolinguistic reflection on neuropsychological assessment: Insight into a selected culturally adapted battery of lebanese arabic cognitive testing

Context: Large-scale baseline cognitive assessment for individuals at risk for concussion is a common part of the protocol for concussion-surveillance programs, particularly in sports. Baseline cognitive testing is also being conducted in US military service members before deployment. Recently, the incremental validity of large-scale baseline cognitive assessment has been questioned. Objective: To examine the added value of baseline cognitive testing in computer-based neuropsychological assessment by comparing 2 methods of classifying atypical performance in a presumed healthy sample. Design: Cross-sectional study. Setting: Military base. Patients or Other Participants: Military service members who took the Automated Neuropsychological Assessment Matrix (ANAM) before and after deployment (n = 8002). Main Outcome Measure(s): Rates of atypical performance in this healthy, active-duty sample were determined first by comparing postdeployment scores with a military normative database and then with each individual's personal baseline performance using a reliable change index. Results: Overall rates of atypical performance were comparable across these 2 methods. However, these methods were highly discordant in terms of which individuals were classified as atypical. When norm-referenced methods were used, 2.6% of individuals classified as normal actually demonstrated declines from baseline. Further, 65.7% of individuals classified as atypical using norm-referenced scores showed no change from baseline (ie, potential false-positive findings). Conclusions: Knowing an individual's baseline performance is important for minimizing potential false-positive errors and reducing the risks and stresses of misdiagnosis.

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Discriminating cognitive screening and cognitive testing from neuropsychological assessment: implications for professional practice

The Clinical Neuropsychologist ◽

10.1080/13854046.2016.1267803 ◽

2016 ◽

Vol 31 (3) ◽

pp. 487-500 ◽

Cited By ~ 17

Author(s):

Cady K. Block ◽

Doug Johnson-Greene ◽

Neil Pliskin ◽

Corwin Boake

Keyword(s):

Neuropsychological Assessment ◽

Professional Practice ◽

Cognitive Testing ◽

Cognitive Screening

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Necessity of technicians for computerized neuropsychological assessment devices in multiple sclerosis

Multiple Sclerosis Journal ◽

10.1177/1352458518813287 ◽

2018 ◽

Vol 26 (1) ◽

pp. 109-113 ◽

Cited By ~ 2

Author(s):

Curtis M Wojcik ◽

Stephen M Rao ◽

Adrian J Schembri ◽

Allison S Drake ◽

Paul Maruff ◽

...

Keyword(s):

Multiple Sclerosis ◽

Neuropsychological Assessment ◽

Cleveland Clinic ◽

Cognitive Testing ◽

Computer Assisted ◽

Cognitive Tests ◽

Healthy Controls ◽

Test Results ◽

Valid Test ◽

Absent Condition

Objective: Determine the influence of technician supervision on computer-administered cognitive tests in multiple sclerosis (MS). Methods: Eighty MS patients underwent assessment using the CogState Brief Battery (CSBB) and the Cleveland Clinic Cognitive Battery (C3B). Each was administered twice, once with a technician guiding assessment, and once with technician-absent. Twenty-eight healthy controls were also evaluated. Results: The influence of technician guidance was not statistically significant for group means on either test. For CSBB, administration problems were more common in the technician-absent condition. Conclusion: In this MS sample, reliable and valid test results were obtained from computer-assisted cognitive testing without technician guidance.

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Neuropsychological assessment of dementia

Oxford Textbook of Neuropsychiatry ◽

10.1093/med/9780198757139.003.0011 ◽

2020 ◽

pp. 115-126

Author(s):

James R. Burrell ◽

John R. Hodges ◽

Olivier Piguet

Keyword(s):

Neuropsychological Assessment ◽

Mental State ◽

Dementia With Lewy Bodies ◽

Lewy Bodies ◽

Cognitive Assessments ◽

Dsm 5 ◽

The Common ◽

State Examination ◽

Insight Into ◽

Clinical Diagnostic Criteria

Dementia presents itself in many guises, from its more common forms, such as Alzheimer’s disease (AD), vascular dementia (VaD), and dementia with Lewy bodies (DLB), to the less prevalent such as frontotemporal dementia (FTD). Although clinical diagnostic criteria for dementia, such as the DSM-5, do exist, they can be difficult to implement due to the variability of clinical features at presentation of dementia. This chapter provides an insight into the common neuropsychological profiles associated with the symptoms of various forms of dementia, along with overviews of a number of cognitive assessments, from the Mini-Mental State Examination (MMSE) to the Addenbrooke’s Cognitive Examination-III (ACE-III), along with a description of the way each tests for cognitive deficits.

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Identifying culturally acceptable cognitive tests for use in remote northern Australia

BMC Psychology ◽

10.1186/s40359-019-0335-7 ◽

2019 ◽

Vol 7 (1) ◽

Cited By ~ 1

Author(s):

Deborah Rock ◽

Ian R. Price

Keyword(s):

Executive Function ◽

Aboriginal People ◽

Cognitive Testing ◽

Cognitive Tests ◽

Culturally Appropriate ◽

Consultation Process ◽

Main Trial ◽

Aboriginal Communities ◽

Memory And Attention ◽

Culturally Adapted

Abstract Background A lack of culturally appropriate tests hampers accurate assessment of cognition in remote Australian Aboriginal communities. In Arnhem Land, this study employed a community consultation process to evaluate commonly used Western tests of executive function, memory, attention, and visuospatial function. Methods An initial consultation process and a follow-up pilot study resulted in the rejection of some common tests, the development of new tests, and culturally adapted versions of others. In the subsequent 30-person main trial, adult Aboriginal volunteers were examined on nine tests, plus the Kimberly Indigenous Cognitive Assessment screen, and a brief literacy test. Results Executive function, memory, and attention tests were found to group separately after an exploratory principal components analysis. Correlations between new tests and similar Kimberly screen items were not significant, but ceiling effects may be relevant. Six of 13 test scores were found to correlate with the literacy measure. Conclusions A selection of cognitive tests were identified that Aboriginal people found culturally acceptable and engaging. In particular, Self-Ordered Pointing, Trail-Making, a verbal-switching task, and a new test “Which car?” show promise for further development. This work may contribute to the need for culturally appropriate cognitive testing in Aboriginal communities.

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Neuropsychological Assessment of the Aging Physician: A Review & Commentary

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/08919887211016063 ◽

2021 ◽

pp. 089198872110160

Author(s):

Charles E. Gaudet ◽

Victor A. Del Bene

Keyword(s):

At Risk ◽

Cognitive Functioning ◽

Neuropsychological Assessment ◽

Potential Role ◽

Cognitive Testing ◽

Test Interpretation ◽

Cognitive Screening ◽

Cognitive Changes ◽

Fitness For Duty

Late-career physicians (LCPs) are at risk for cognitive changes that may affect their ability to practice medicine. This review aggregates and discusses research that has examined cognitive functioning among physicians, typically when clinically referred for various medical and psychological reasons that may interfere with their ability to practice medicine. Special consideration is devoted to the role of approaches for examining cognitive functioning (e.g., cognitive screening, cognitive testing, & neuropsychological assessment), normative challenges, and cultural factors that should be considered when evaluating a physician. Based on published studies, there is evidence supportive of the use of cognitive testing and neuropsychological assessment among physicians in a fitness for duty setting. However, prospective studies designed to identify physicians at-risk (i.e., to prevent medical error) are lacking. Additional research is warranted to establish physician-based normative reference groups and aid in test interpretation and prognostication. Moreover, given limitations associated with cognitive testing in isolation, there is a potential role for comprehensive neuropsychological assessment to identify cognitive changes in physicians and provide a supportive pathway to preserve physicians’ ability to practice medicine.

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Calibration problems in hydrogen luminosities

Symposium - International Astronomical Union ◽

10.1017/s0074180900053626 ◽

1966 ◽

Vol 24 ◽

pp. 322-330

Author(s):

A. Beer

Keyword(s):

Galactic Structure ◽

B Stars ◽

Insight Into

The investigations which I should like to summarize in this paper concern recent photo-electric luminosity determinations of O and B stars. Their final aim has been the derivation of new stellar distances, and some insight into certain patterns of galactic structure.

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