Abstract
Objective
The Motivation Behaviors Checklist (MBC) was designed as an observational rating scale to assess effort during baseline evaluations (Rabinowitz, Merritt, and Arnett, 2016). This study aims to explore the MBC in relation to a comprehensive battery of neuropsychological tests, including paper-and-pencil tests.
Method
Participants included 291 (M = 213, F = 78) student-athletes from a Division I University sports concussion program. Seventeen neuropsychological test indices were used to create a neurocognitive composite. The 18-item MBC was scored such that higher values indicate greater motivation/effort. Across test indices, the number of impaired scores (below the 80th percentile) was also calculated. Individuals were placed into impairment groups (Impaired ≥3 impaired scores) and motivation groups based on their MBC scores (High Motivation = score greater than the median of 49).
Results
Bivariate correlations demonstrated a significant relationship (ρ = .39, p < .001) between cognitive performance and the MBC total score. Chi-square analysis demonstrated that significantly more of the 81 individuals in the Impaired group were also in the Low Motivation group (n = 56, 69%), χ2 (1, N = 291) = 18.53, p < .001, Φ = −.25.
Conclusions
Higher motivation scores on the MBC are related to better cognitive performance. Compared with cognitively intact individuals, those who were cognitively impaired were significantly more likely to score below the cut off score of 49 on the MBC. Future work will explore different cutoff values that maximize sensitivity and specificity for test performance in order to provide guidelines for clinicians wishing to utilize the MBC.