Performance validity testing via telehealth and failure rate in veterans with moderate-to-severe traumatic brain injury: A veterans affairs TBI model systems study.
NeuroRehabilitation
; 49(2): 169-177, 2021.
Article
in English
| MEDLINE | ID: covidwho-1359154
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has led to increased utilization of teleneuropsychology (TeleNP) services. Unfortunately, investigations of performance validity tests (PVT) delivered via TeleNP are sparse.OBJECTIVE:
The purpose of this study was to examine the specificity of the Reliable Digit Span (RDS) and 21-item test administered via telephone.METHOD:
Participants were 51 veterans with moderate-to-severe traumatic brain injury (TBI). All participants completed the RDS and 21-item test in the context of a larger TeleNP battery. Specificity rates were examined across multiple cutoffs for both PVTs.RESULTS:
Consistent with research employing traditional face-to-face neuropsychological evaluations, both PVTs maintained adequate specificity (i.e., >â90%) across previously established cutoffs. Specifically, defining performance invalidity as RDSâ<â7 or 21-item test forced choice total correctâ<â11 led toâ<â10%false positive classification errors.CONCLUSIONS:
Findings add to the limited body of research examining and provide preliminary support for the use of the RDS and 21-item test in TeleNP via telephone. Both measures maintained adequate specificity in veterans with moderate-to-severe TBI. Future investigations including clinical or experimental "feigners" in a counter-balanced cross-over design (i.e., face-to-face vs. TeleNP) are recommended.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Veterans
/
Telemedicine
/
Brain Injuries, Traumatic
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
NeuroRehabilitation
Journal subject:
Neurology
/
Rehabilitation
Year:
2021
Document Type:
Article
Affiliation country:
NRE-218019
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