Journal of clinical and experimental neuropsychology最新文献

{"title":"Validity and reliability of the online useful field of view test among community-dwelling older adults.","authors":"Shannon K Runge, Elizabeth M Hudak, Jade A Sutfin, Victor R Dobrovolskiy, Jerri D Edwards","doi":"10.1080/13803395.2025.2461518","DOIUrl":"10.1080/13803395.2025.2461518","url":null,"abstract":"<p><strong>Background: </strong>The Useful Field of View Test (UFOV®) is a widely used measure of processing speed and visual attention that predicts driving performance and other functional abilities among older adults. We examined the reliability and validity of a new UFOV® version adapted for online administration.</p><p><strong>Method: </strong>Community-dwelling older adults (<i>N</i> = 69, <i>M</i> = 73 years of age) completed the personal computer (PC) and online versions of the UFOV® at baseline and approximately 4 months later (registered at https://osf.io/7utgw). Participants also completed baseline measures of cognitive, motor, and visual function (i.e. Flanker, Timed Up and Go Test, and near visual acuity). Pearson correlations were used to examine the validity and reliability for the total and subtest scores of the online UFOV® version relative to the PC version. Convergent and divergent validity was examined by comparing correlations between both the UFOV® versions and measures of cognitive, motor, and visual function.</p><p><strong>Results: </strong>UFOV® total, divided attention, and selective attention subtest scores of the online and PC versions were significantly correlated with moderate to strong effect sizes, <i>r</i>s = 0.39-0.54, <i>p</i>s < .001, supporting evidence for the validity of the online version. The online and PC versions of UFOV® were similarly related to gait speed, indicating convergent validity. Both versions of the UFOV® were distinct from near visual acuity, indicating divergent validity. The online UFOV® total and selective attention subtest scores from baseline to posttest were significantly correlated, indicating test-retest reliability, <i>r</i>s = 0.64-0.72, <i>p</i>s ≤ .006. Lack of variability among processing speed subtest scores restricted analyses, as performance was highly consistent across time.</p><p><strong>Discussion: </strong>These data support the validity and reliability of the online UFOV®, particularly for the total and selective attention subtest scores. Future research should confirm the online UFOV® similarly predicts driving and other aspects of functional performance among older adults.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"55-66"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An embedded, event-based prospective memory task administered via telephone is associated with everyday functioning in healthy younger and older adults.","authors":"Jennifer L Thompson Kamar, Michelle A Babicz Boston, Troy A Webber, Luis D Medina, Steven Paul Woods","doi":"10.1080/13803395.2025.2469867","DOIUrl":"10.1080/13803395.2025.2469867","url":null,"abstract":"<p><strong>Introduction: </strong>Prospective memory (PM) is a higher-order cognitive function that involves the ability to execute a future intention. PM is a clinically relevant construct for the neuropsychological assessment of older adults given its importance in everyday functioning and quality of life. However, there is a paucity of reliable and ecologically relevant PM tasks that are amenable to a telehealth environment. The current study examined whether an event-based PM task embedded throughout a psychological battery administered via telephone was associated with everyday functioning in healthy older and younger adults.</p><p><strong>Method: </strong>The study included 60 older (i.e. ages 50+) and 46 younger (i.e. ages 18-35) adults who completed a 90-minute telephone-based evaluation that included clinical measures of cognition, subjective cognitive symptoms, instrumental activities of daily living (ADL), and performance-based functional capacity. PM was measured by a four-trial task with focal, event-based cues embedded within the broader test battery.</p><p><strong>Results: </strong>Lower PM showed medium-to-large univariable associations with all three measures of everyday functioning in the full sample. Multiple regressions covarying for global cognitive functioning showed that PM was uniquely associated with instrumental ADL in older adults and with performance-based functional capacity in the full sample.</p><p><strong>Conclusions: </strong>These data provide preliminary support for the incremental, criterion validity of an embedded, telephone-based task of PM in relation to everyday functioning. Measurement of PM via telephone is feasible and may add value to standard neuropsychological assessment.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"40-54"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The time has come: discussing the clinical neuropsychology provider's role in cultural respect and inclusion.","authors":"Veronica Bordes Edgar, Beatriz MacDonald, April D Thames, Shawn M McClintock","doi":"10.1080/13803395.2025.2455126","DOIUrl":"https://doi.org/10.1080/13803395.2025.2455126","url":null,"abstract":"<p><p>There has been both a national and global emphasis within the past 3 years to promote diversity, equity, inclusion (DEI), and cultural respect in healthcare and academia. One discipline and healthcare arena where this has been evident is the psychology field. Indeed, there has been rampant and widespread adoption and advancement of DEI and cultural respect across most of psychology. Unfortunately, not all psychology specialties have fully embraced DEI or focused on provider factors, one of which is clinical neuropsychology. Regarding DEI efforts and emphasis in clinical neuropsychology, the majority of research and education has primarily focused on patient demographic and neuropsychological test factors. While such patient demographic and test factors are important and merit significant attention, so too does the focus on the clinical neuropsychological provider. Unfortunately, the clinical neuropsychology specialty has provided little to no focus on the provider's role in DEI and cultural respect. The purpose of this critical review is to focus on the role of the clinical neuropsychologist and how it impacts DEI and cultural respect. Specifically, the review will inform the factors that impact the practice of clinical neuropsychology on the part of the provider including unconscious/implicit bias, diagnostic threat, and microaggressions. Also, the review will inform strategies to create a DEI responsive and culturally respectful clinical neuropsychological practice with the overarching goal to uncover the clinical neuropsychological role to advance and evolve the specialty through a DEI and culturally respectful lens. With considerable work completed in other aspects of DEI and cultural respect, the clinical neuropsychology specialty is well poised to now focus on the role of the provider. This focus can provide a constructive path forward to create new knowledge to advance the role of the provider to optimize overall clinical, research, and training practices.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-18"},"PeriodicalIF":1.8,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-traumatic stress, sleep, and neurocognitive problems in children newly diagnosed with a pediatric brain tumor.","authors":"Eva A B Kremer-Hooft van Huijsduijnen, Juliette E M Greidanus-Jongejan, Martha A Grootenhuis, Raphaele R L van Litsenburg, Femke K Aarsen, Niels E Franke, Evelien de Vos-Kerkhof, Marita Partanen","doi":"10.1080/13803395.2024.2426621","DOIUrl":"10.1080/13803395.2024.2426621","url":null,"abstract":"<p><strong>Background: </strong>Children diagnosed with brain tumors are at risk to develop neurocognitive problems. Post-traumatic stress and sleep have been associated with poorer neurocognitive outcomes in the general population, and could be potential targets for intervention in brain tumor patients. Therefore, this study examined neurocognitive functioning in children newly diagnosed with a brain tumor and the associations between posttraumatic stress and sleep with neurocognitive outcomes.</p><p><strong>Methods: </strong>Children 6-16 years old who were newly diagnosed with a brain tumor completed questionnaires on post-traumatic stress and sleep, actigraphy for sleep, and tests for neurocognitive outcomes. One-sample <i>t</i>-tests and chi-square tests were used to compare neurocognitive scores with age norms. Multivariable regression examined associations between post-traumatic stress, sleep, demographics, and medical factors associated with neurocognitive functioning.</p><p><strong>Results: </strong>Of all eligible children, 60 patients with newly diagnosed brain tumors were included, at an average of 51 days after diagnosis (67% male, mean = 11.5 years at diagnosis). Compared to age norms, patients with brain tumors scored lower on measures of attention, inhibition, and verbal memory (meanZ = -0.40 to -0.98, <i>p</i> < .05). History of obstructive hydrocephalus was associated with poorer attention (<i>p</i> < .05) and processing speed (<i>p</i> < .05), posterior fossa tumor location was associated with poorer working memory (<i>p</i> < .01), and starting chemotherapy or radiotherapy treatment before the assessment was associated with poorer verbal memory (<i>p</i> < .05). Post-traumatic stress and sleep were not associated with neurocognitive outcomes at this phase (<i>p</i> > .20).</p><p><strong>Conclusion: </strong>A subgroup of children with newly diagnosed brain tumors shows deficits in neurocognitive functioning, which highlights the importance of early monitoring to identify children at-risk for problems. Hydrocephalus, posterior fossa tumor location, and starting treatment, but not post-traumatic stress and sleep, are associated with poorer neurocognitive performance at this phase. Longitudinal research will be important for identifying biopsychosocial factors that may be associated with cognition over time.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initial expressed emotion during neuropsychological assessment: investigating motivational dimensions of approach and avoidance.","authors":"Karlee Patrick, Erin Burke, John Gunstad, Mary Beth Spitznagel","doi":"10.1080/13803395.2024.2432655","DOIUrl":"10.1080/13803395.2024.2432655","url":null,"abstract":"<p><strong>Objective: </strong>Prior work indicates that discrete emotions are linked to performance across multiple domains of cognitive function and thus have the potential to impact cognitive profiles in neuropsychological assessment. However, reported presence and magnitude of the relationships between emotion and cognitive test performance are inconsistent. Variable findings in this regard could be due to failure to consider motivations associated with expressed emotion. To better understand the potential impact of expressed emotion on neuropsychological test performance, it may be beneficial to consider approach and avoidance motivation during assessment.</p><p><strong>Method: </strong>The current cross-sectional study examined associations between cognitive performance and digitally phenotyped facial expressions of discrete emotions on dimensions of approach (i.e. joy, sadness, anger) and avoidance (i.e. fear, disgust) in the context of virtual neuropsychological assessment in 104 adults (ages 55-90).</p><p><strong>Results: </strong>Initial facial expressions categorized as anger and joy predicted later reduced cognitive performance in aspects of memory and executive function within the virtual session, respectively. Test performance was associated neither with sadness nor with avoidance emotions (i.e. disgust or fear).</p><p><strong>Conclusions: </strong>Results of the current study did not strongly align with approach/avoidance explanations for links between emotion and cognitive performance; however, results might support an arousal-based explanation, as joy and anger are both high arousal emotions. Additional investigation is needed to understand the intersection of emotion motivation and physiological arousal in the context of neuropsychological assessment.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"913-922"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social cognition in acquired brain injury: adaptation and validation of the Brief Assessment of Social Skills (BASS).","authors":"Kimberley Wallis, Linda Elisabet Campbell, Skye McDonald, Michelle Kelly","doi":"10.1080/13803395.2024.2441704","DOIUrl":"10.1080/13803395.2024.2441704","url":null,"abstract":"<p><strong>Background: </strong>Acquired brain injury (ABI) is associated with social cognitive impairments, yet these impairments are often overlooked during clinical assessments. There are few validated and clinically appropriate measures of social cognition in ABI. The current study examined the validity of the Brief Assessment of Social Skills (BASS) in measuring social cognition following ABI.</p><p><strong>Method: </strong>Twenty-eight people with ABI were recruited from local brain injury rehabilitation and support services and completed measures of social cognition, general intellectual ability, and social functioning. Twenty-eight controls demographically matched for age, gender, and years of education also performed these measures.</p><p><strong>Results: </strong>A diagnosis of ABI was significantly associated with poorer performance on five subtests of the BASS. The BASS had moderate correlations with established measures of social cognition and measures characteristics that are distinguishable from general cognition. There was minimal evidence of a relationship between performance on the BASS and social functioning, with a significant relationship between a BASS subscale and informant-reported living skills and total social functioning. Using a series of case studies, the clinical utility of the BASS was emphasized by the development of unique social cognitive profiles across ABI individuals, including impairments in areas not significant at a group level.</p><p><strong>Discussion: </strong>The BASS is a brief and comprehensive measure that is able to detect social cognition impairments in ABI patients. Given the prevalence of impairment in social cognition following ABI and the implications of these abilities on social functioning, this measure can be used in comprehensive neuropsychological assessment to guide and monitor progress toward rehabilitation goals.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"923-942"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inspecting the external world: Memory capacity, but not memory self-efficacy, predicts offloading in working memory.","authors":"Sanne Böing, Antonia F Ten Brink, Carla Ruis, Zoë A Schielen, Esther Van den Berg, J Matthijs Biesbroek, Tanja C W Nijboer, Stefan Van der Stigchel","doi":"10.1080/13803395.2024.2447263","DOIUrl":"10.1080/13803395.2024.2447263","url":null,"abstract":"<p><p>Individuals with memory impairments may need to rely often on the external world (i.e. offloading). By memorizing only a fraction of the items at hand, and repeatedly looking back to the remainder of items (i.e. inspecting), they can avoid frailty or effortful memory use. However, individuals with subjective concerns may also prefer to rely on the external world even though their capacity is intact. Crucially, capacity assessment fails to recognize offloading strategies, while inspection assessment may reveal how people choose to deploy memory in everyday life. To disentangle the relative contributions of memory capacity and memory self-efficacy to offloading behavior, we recruited 29 individuals who were referred to a memory clinic and 38 age-matched individuals. We assessed memory capacity using neuropsychological measures, and memory self-efficacy using questionnaires. Inspection behavior was assessed in a copy task that allowed participants to store information to their preferred load or to rely on the external world. Referred individuals had lower capacity scores and lower memory self-efficacy. They inspected as often as controls, but used longer inspections and performed worse. Across all subjects, memory capacity - but not memory self-efficacy - explained inspection frequency and duration, with higher capacity associated with fewer and shorter inspections. Capacity measures thus translate to how people choose to deploy their memory in tasks that do not force full capacity use. However, people generally avoided remembering more than two items per inspection, and thus avoided using their full capacity. Inspection behavior was not further explained by memory self-efficacy, suggesting that inspections are not a sensitive measure of constraints experienced in everyday life. Although we provide support for the predictive value of capacity tasks in tasks with more degrees of freedom, capacity tasks overlook offloading behavior that individuals may employ to avoid using their full memory capacity in everyday life.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"943-965"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of skew, examination of intercorrelations, and determining the optimal threshold for performance invalidity when 10 performance validity tests are administered during a neuropsychological evaluation.","authors":"Mira I Leese, John-Christopher A Finley, Karen S Basurto, Hannah B VanLandingham, Justyna Piszczor, Joseph M Bianco, Matthew S Phillips, Brian M Cerny, Ryan W Schroeder, Jason R Soble","doi":"10.1080/13803395.2025.2455074","DOIUrl":"10.1080/13803395.2025.2455074","url":null,"abstract":"<p><strong>Introduction: </strong>This study cross-validates and expands upon previous research by examining the optimal number of PVT failures necessary to determine invalid performance when 10 PVTs are administered during a neuropsychological evaluation. Additionally, the study assessed the degree of skewness of individual PVTs and PVT intercorrelations for the overall sample and by validity group.</p><p><strong>Method: </strong>Participants were 283 adult neuropsychology outpatients evaluated at an academic medical center. Participants were initially classified as having valid (≤1 PVT failure; <i>n</i> = 225) or invalid (≥2 PVT failures; <i>n</i> = 58; base rate of 20% performance invalidity) performance based on four independent criterion PVTs. Failure rates of 10 additional PVTs were then compared, and sensitivity and specificity were calculated at different thresholds (e.g. ≥1, ≥2, ≥3, ≥4 PVT failures) to determine the optimal threshold for detecting invalid performance while maintaining ≥ 90% specificity.</p><p><strong>Results: </strong>Findings indicate that failing ≥ 2 PVTs yielded 86% sensitivity/76% specificity, failing ≥ 3 PVTs yielded 69% sensitivity/92% specificity, failing ≥ 4 PVTs yielded 57% sensitivity/96% specificity, failing ≥ 5 PVTs yielded 29% sensitivity/99% specificity, and failing ≥ 6 PVTs yielded 22% sensitivity/100% specificity. PVT intercorrelations were generally small for the overall sample and by validity group. As expected, data were more highly skewed for patients with valid performance.</p><p><strong>Conclusions: </strong>Findings were consistent with previous research and demonstrate that the three-failure threshold optimally detects invalid performance when 10 PVTs are administered. These findings inform the use of multiple PVTs in clinical settings and aid in the interpretation of PVT results.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"989-1000"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-language neuropsychological measures increase sensitivity of identifying language reorganization in patients with epilepsy: a pilot study.","authors":"Marielle Nagele, Zerrin Yetkin, Kenneth Chase Bailey, David Denney, Thomas O'neil, Sasha Alick, Roderick McColl, Jason A D Smith","doi":"10.1080/13803395.2025.2451320","DOIUrl":"10.1080/13803395.2025.2451320","url":null,"abstract":"<p><strong>Objective: </strong>To examine neuropsychological characteristic differences between typical and atypical language dominance in adult persons with epilepsy (PWE) and mesial temporal sclerosis (MTS), including exploring the impact of selected clinical variables on detection of atypical language and neuropsychological performance.</p><p><strong>Methods: </strong>Adults with intractable epilepsy and MTS (<i>n</i> = 39) underwent comprehensive, pre-surgical evaluation including fMRI and neuropsychological assessment. Participants with concordant lateralization of MTS and seizure onset were included. Participants were grouped by dichotomized typical or atypical language lateralization based on fMRI results. Neuropsychological performance and other relevant clinical variables of the aforementioned groups were then compared.</p><p><strong>Results: </strong>Those with atypical language demonstrated poorer performance across neuropsychological tasks as compared to those with typical language lateralization. Although, typical neuropsychological measures used to evaluate language lateralization were not among those significantly different between the groups. Differences in neuropsychological performance were particularly pronounced on TMT A, TMT B, Stroop (Color), GPB (Dominant), and GPB (Non-Dominant). ROC Curve was provided to evaluate reproducibility at different thresholds.</p><p><strong>Conclusion: </strong>This pilot study revealed those with atypical language lateralization demonstrated greater cognitive dysfunction across neuropsychological tasks than those with typical language lateralization. Neuropsychological measures outside of the domain of language tests detected subtle changes of functional neuroanatomical reorganization while language domain tasks revealed no significant differences between aforementioned groups in pre-surgical evaluation of PWE. While these preliminary results require further replication, these are important implications for diagnostic and prognostic evaluation.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"978-988"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between self-monitoring and cognitive strategy use in midlife and older adults.","authors":"Nicole Whiteley, Brooke F Beech, Maureen Schmitter-Edgecombe","doi":"10.1080/13803395.2025.2451315","DOIUrl":"10.1080/13803395.2025.2451315","url":null,"abstract":"<p><strong>Introduction: </strong>Self-monitoring abilities, both in the moment (online) and general self-knowledge (offline) of one's errors, are crucial to implementing modification to tasks to support healthy, independent aging. Cognitive strategies (CS) aid in functional, physical, and cognitive abilities, but without recognition of their need, individuals may struggle to complete daily tasks. The current study examined whether higher levels of self-monitoring would predict higher use and quality of real-world cognitive strategies in older adults.</p><p><strong>Methods: </strong>Participants included 80 community-dwelling midlife and older adults. Participants completed a remote battery of neuropsychological tasks, including a computerized go-no-go task that evaluated online self-monitoring, and a self-reported questionnaire to measure offline self-monitoring (Cognitive Self-Efficacy Questionnaire). To assess CS, a count score (CS Quantity) and utility score (CS Quality) were computed based on strategies utilized in completion of real-world prospective memory tasks.</p><p><strong>Results: </strong>Online self-monitoring was not significantly related to offline self-monitoring (<i>r</i>(77) = -.07, <i>p</i> = .52). A hierarchical regression revealed that while offline self-monitoring significantly predicted 7% of the variance in CS Quality, above and beyond age, global cognition, and premorbid functioning (Δ<i>R</i>² = .07, Δ<i>F</i> = 6.23, <i>p</i> = .02), the addition of online self-monitoring did not contribute significant incremental validity (Δ<i>R</i>² = .001, Δ<i>F</i> = 0.12, <i>p</i> = .73). The second hierarchical regression revealed that neither online nor offline self-monitoring significantly predicted CS Quantity, after controlling for sex (Δ<i>R</i>² = .004, Δ<i>F</i> = 0.29, <i>p</i> = .60).</p><p><strong>Conclusion: </strong>The results support the distinction between online and offline self-monitoring concepts and their assessment. For community-dwelling midlife and older adults without dementia, clinicians may consider an individual's perceptions of their ability to self-monitor when working to facilitate the use of cognitive strategies.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"966-977"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}