Measures of Feigned or Exaggerated Incompetence

2018 ◽  
pp. 107-112
Author(s):  
Steve Rubenzer
Keyword(s):  
Cognitive Impairment ◽  
Assessment Instrument ◽  
Screening Tests ◽  
Competency Assessment ◽  
Atypical Presentation ◽  
Legal Knowledge ◽  
Court System ◽  
Feigned Cognitive Impairment ◽  
Detection Strategies

This chapter describes and reviews the published instruments available to assess feigned incompetence to stand trial. The Inventory of Legal Knowledge has already gained considerable acceptance despite having some significant limitations. The ECST-R Atypical Presentation Scales are included as part of the ECST-R competency assessment instrument and are billed as screening tests for feigned incompetence. However, they address only feigned psychopathology, not feigned cognitive impairment or ignorance of the court system, and are billed as suitable only for screening, not diagnostic, purposes. The strengths and weaknesses of the ILK and the ECST-R are discussed in detail, as are emerging instruments and detection strategies.

A Survey of Competency to Stand Trial Examiners

2018 ◽  
pp. 169-188
Author(s):  
Steve Rubenzer
Keyword(s):  
Cognitive Impairment ◽  
Nationwide Survey ◽  
Outpatient Setting ◽  
Competency To Stand Trial ◽  
Court System ◽  
Instrument Choice ◽  
Feigned Cognitive Impairment ◽  
Different Types

This chapter reports the results from a nationwide survey of experienced CST examiners regarding their practices, preferences for instruments, and use of collateral data. These examiners also provided estimates of different types of invalid responding (feigned cognitive impairment, amnesia, psychopathology, ignorance of court system, physical infirmity, poor effort) seen in CST defendants. Desirable attributes of CST instruments were assessed, as was the standing of major instruments on each of these attributes. Moderators such as ABPP status, inpatient or outpatient setting, and defense versus prosecution orientation were assessed for their effects on other variables such as instrument choice, use of tests or collateral sources, and estimated rates of invalid responding.

Evaluation of the Response Bias Scale and Improbable Failure Scale in assessing feigned cognitive impairment.

2017 ◽  
Vol 29 (5) ◽  
pp. 531-541 ◽  
Author(s):  
Laura M. Grossi ◽  
Debbie Green ◽  
Shanah Einzig ◽  
Brian Belfi
Keyword(s):  
Cognitive Impairment ◽  
Response Bias ◽  
Feigned Cognitive Impairment

scholarly journals Cognitive Impairment in People with Diabetes-Related Foot Ulceration

2021 ◽  
Vol 10 (13) ◽  
pp. 2808
Author(s):  
Ranita Siru ◽  
Melanie S. Burkhardt ◽  
Wendy A. Davis ◽  
Jonathan Hiew ◽  
Laurens Manning ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cognitive Impairment ◽  
Sex Education ◽  
Foot Ulcer ◽  
Screening Tests ◽  
Community Settings ◽  
Foot Ulceration ◽  
Complex Diabetes ◽  
State Examination

Aims: To determine whether there is an excess of cognitive impairment in patients with type 2 diabetes and foot ulceration. Methods: 55 patients with type 2 diabetes and foot ulcers attending Multidisciplinary Diabetes Foot Ulcer clinics (MDFU cohort) were compared with 56 patients with type 2 diabetes attending Complex Diabetes clinics (CDC cohort) using commonly used screening tests for cognitive impairment (Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MOCA)), as well as foot self-care, mood and health literacy. MMSE was also compared between the MDFU cohort and a historical community-based cohort of patients with type 2 diabetes (FDS2 cohort). Results: Median MMSE scores were the same in all three groups (28/30). Median MOCA scores did not differ between the MDFU and CDC cohorts (25/30). There were no significant differences in the percentages of patients with MMSE ≤ 24 or MOCA ≤ 25 between MDFU and CDC cohorts (3.6% versus 10.7%, p = 0.27 and 56.4% versus 51.8%, p = 0.71, respectively), findings that did not change after adjustment for age, sex, education, diabetes duration, and random blood glucose. Conclusions: Using conventionally applied instruments, patients with type 2 diabetes and foot ulceration have similar cognition compared with patients without, from either hospital-based clinic or community settings.

scholarly journals A score based on screening tests to differentiate mild cognitive impairment from subjective memory complaints

2013 ◽  
Vol 5 (3) ◽  
pp. 16 ◽  
Author(s):  
Fábio Henrique De Gobbi Porto ◽  
Lívia Spíndola ◽  
Maira Okada De Oliveira ◽  
Patrícia Helena Figuerêdo Do Vale ◽  
Marco Orsini ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Characteristic Curve ◽  
Neuropsychological Testing ◽  
Area Under The Curve ◽  
Screening Tests ◽  
Elderly Subjects ◽  
Subjective Memory ◽  
Delayed Recall ◽  
Memory Complaints

It is not easy to differentiate patients with mild cognitive impairment (MCI) from subjective memory complainers (SMC). Assessments with screening cognitive tools are essential, particularly in primary care where most patients are seen. The objective of this study was to evaluate the diagnostic accuracy of screening cognitive tests and to propose a score derived from screening tests. Elderly subjects with memory complaints were evaluated using the Mini Mental State Examination (MMSE) and the Brief Cognitive Battery (BCB). We added two delayed recalls in the MMSE (a delayed recall and a late-delayed recall, LDR), and also a phonemic fluency test of letter P fluency (LPF). A score was created based on these tests. The diagnoses were made on the basis of clinical consensus and neuropsychological testing. Receiver operating characteristic curve analyses were used to determine area under the curve (AUC), the sensitivity and specificity for each test separately and for the final proposed score. MMSE, LDR, LPF and delayed recall of BCB scores reach statistically significant differences between groups (P=0.000, 0.03, 0.001 and 0.01, respectively). Sensitivity, specificity and AUC were MMSE: 64%, 79% and 0.75 (cut off <29); LDR: 56%, 62% and 0.62 (cut off <3); LPF: 71%, 71% and 0.71 (cut off <14); delayed recall of BCB: 56%, 82% and 0.68 (cut off <9). The proposed score reached a sensitivity of 88% and 76% and specificity of 62% and 75% for cut off over 1 and over 2, respectively. AUC were 0.81. In conclusion, a score created from screening tests is capable of discriminating MCI from SMC with moderate to good accurancy.

scholarly journals Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation

BMJ Open ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. e013659 ◽  
Author(s):  
Pedro Sastre-Fullana ◽  
Jose Miguel Morales-Asencio ◽  
Albert Sesé-Abad ◽  
Miquel Bennasar-Veny ◽  
Juan Carlos Fernández-Domínguez ◽  
...  
Keyword(s):  
Assessment Instrument ◽  
Advanced Practice Nursing ◽  
Competency Assessment ◽  
Advanced Practice

scholarly journals Pelatihan Pengembangan Instrumen Penilaian Numerasi untuk Peningkatan Kompetensi Guru Matematika SMP

Sarwahita ◽  
2022 ◽  
Vol 19 (01) ◽  
pp. 54-64
Author(s):  
Meiliasari ◽  
Wardani Rahayu ◽  
Ratna Maryam
Keyword(s):  
Mathematics Teachers ◽  
Junior High School ◽  
Assessment Instrument ◽  
Competency Assessment ◽  
Assessment Instruments ◽  
High School Mathematics ◽  
Cognitive Level ◽  
Training Activity ◽  
Numeracy Skills ◽  
Definition Of

Asesmen Kompetensi Minimum (AKM) or Minimum Competency Assessment has different objectives and formats compared to Ujian Nasional (National Exam), therefore teachers need to upgrade their knowledge of assessment instruments that measure students’ numeracy skills. This training aims to develop teachers' professionalism and competence in developing numeracy assessment instruments. The training was carried out online through a Zoom Meeting with participants of 29 junior high school mathematics teachers in Bogor Regency, West Java. The training was delivered in 2 sessions by 2 mathematics education lecturers from Universitas Negeri Jakarta. The first session with topics of AKM discussed the material domain, cognitive level, and the form of the questions on the AKM questions. The second session was with topics of numeracy skills discussed the benefits and the definition of numeracy skills. At the end of the training, participants were assigned to make a numeracy assessment instrument within 1 week. Participants and presenters join WhatsApp groups as a forum for discussion in the process of doing assignments. This training activity produces an output in the form of a numeracy assessment instrument that is developed based on the AKM question format. Participants are motivated and have ideas to develop numeracy assessment instruments.

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