Clinical Neuropsychologist最新文献

{"title":"Would a rose by any other name smell as sweet? Complexity, context, and consequences of neuropsychology performance labels.","authors":"David W Loring, Bruce P Hermann, Kimford J Meador, James J Lah, Felicia C Goldstein, Robert M Bilder","doi":"10.1080/13854046.2025.2529530","DOIUrl":"10.1080/13854046.2025.2529530","url":null,"abstract":"<p><p><b>Objective</b>: The American Academy of Clinical Neuropsychology (AACN) has proposed standardized performance labels to enhance consistency in neuropsychological reporting. While valuable in forensic and medicolegal contexts, these guidelines may limit interpretive flexibility and clinical relevance in diverse practice settings. This manuscript examines the contextual appropriateness of AACN labels across diverse clinical and research settings, highlighting the need for diagnostic flexibility over rigid adherence to normative descriptors. <b>Methods</b>: We reviewed the historical and conceptual underpinnings of neuropsychological assessment, focusing on Ward Halstead's distinction between \"biological\" and \"psychometric\" intelligence. This framework was used to explore how interpretive models shape clinical reasoning and test interpretation. Special attention was given to the implications of score labeling in multidisciplinary team settings (e.g. dementia diagnosis, epilepsy surgery and within large-scale research initiatives, including Alzheimer's Disease Research Centers (ADRCs). <b>Conclusions</b>: Although AACN performance labels support greater transparency and consistency in select contexts, their universal implementation may obscure meaningful cognitive patterns and diminish diagnostic precision. Labels such as \"below average\" may fail to capture clinically meaningful decline in high-functioning individuals or obscure clinically relevant cognitive patterns critical for diagnosis and treatment planning. We argue for a context-sensitive approach to score interpretation that allows flexible, informed use of descriptors aligned with specific referral questions and clinical goals. Neuropsychological assessment is most effective when guided by integrative clinical reasoning rather than uncritical application of standardized labeling conventions.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconsidering cognitive outcome one year after mild traumatic brain injury: Secondary analysis of TRACK-TBI data.","authors":"Summer N Rolin, Audrie A Chavez, Jeremy J Davis","doi":"10.1080/13854046.2025.2530198","DOIUrl":"https://doi.org/10.1080/13854046.2025.2530198","url":null,"abstract":"<p><p><b>Objective:</b> Uncomplicated mild traumatic brain injury (mTBI) is time-limited with a well-documented natural course of recovery. Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) findings indicated poor cognitive outcomes 1 year after mTBI. We examined TRACK-TBI data with consideration of neuroimaging and performance validity. <b>Method:</b> TRACK-TBI data were obtained from the Federal Interagency Traumatic Brain Injury Research Informatics System. The sample (<i>N</i> = 571) included 439 cases with mTBI history and 132 orthopedic controls. One-year cognitive outcome measures included Auditory Verbal Learning Test total immediate (TOT) and delayed recall (DR), Trail Making Test (-A and -B), and WAIS-IV Processing Speed Index (PSI). Rates of low scores were examined using previously reported cutoffs and across all tests in the study. Linear regression was used to examine predictors of cognitive outcomes. <b>Results:</b> Group differences at 1-year follow-up were minimal. Although control participants scored significantly higher on TOT and DR, cognitive ability was within normal limits on all tests in both groups. Low score rates were significantly different between groups on TOT and DR. History of mTBI did not significantly contribute to prediction of overall cognitive ability. <b>Conclusions:</b> Uncomplicated mTBI is not associated with long-term cognitive impairment after accounting for performance validity. Findings highlight the importance of distinguishing complicated and uncomplicated mTBI in research and clinical settings. Future studies might examine psychological and functional outcomes with a similar design.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speech production as an artificial intelligence-based 'process' measure of cognition sensitive to mild cognitive impairment and Alzheimer's disease.","authors":"Ross Divers, Alex S Cohen, Brita Elvevåg, Chelsea Chandler, Raymond Scott Turner, Brigid Reynolds, Catherine Diaz-Asper","doi":"10.1080/13854046.2025.2519827","DOIUrl":"https://doi.org/10.1080/13854046.2025.2519827","url":null,"abstract":"<p><p><b>Objective:</b> Process scores in neuropsychological tests add incremental validity for detecting non-normative cognitive aging trajectories. However, process scores are laborious and time-consuming to derive. Using AI-driven natural language processing, we investigated objective speech markers related to speech production as a potential process score for measuring cognition, identifying mild cognitive impairment (MCI) and major neurocognitive disorder due to Alzheimer's disease (AD). <b>Method:</b> Older adults (<i>n =</i> 71; cognitively healthy; <i>n</i> = 29; MCI, <i>n</i> = 26; mild AD, <i>n</i> = 16) completed a brief battery of cognitive testing over the telephone, including a cognitive screener and four verbal memory tests. Six speech production features were extracted from the audio recordings of the verbal memory tests. <b>Results:</b> Pause times showed the highest convergence with cognitive screening performance and were best for distinguishing between people with or without MCI and with or without AD. This effect varied as a function of cognitive task. Verbal and semantic recall tasks showed the strongest effects. An \"unstructured\" autobiographical recall task showed negligible effects. <b>Conclusions:</b> AI-derived pause features in speech during verbal memory tests can serve as a process score of cognitive functioning that captures neurodegeneration, though cognitive tasks must be considered. The present findings reflect an important step forward for developing speech analysis for objectively quantifying cognitive dysfunctions in people with neurodegenerative disorders.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the BRIEF2A: Does it fit better than BRIEF-A?","authors":"Octávio Moura, Cristina P Albuquerque, Manuela Vilar, Marcelino Pereira, Maria João Seabra-Santos, Ana Filipa Lopes, Sofia Major, Alexandra Gaudêncio, Mário R Simões","doi":"10.1080/13854046.2025.2527695","DOIUrl":"https://doi.org/10.1080/13854046.2025.2527695","url":null,"abstract":"<p><strong>Objective: </strong>The Behavior Rating Inventory of Executive Function - Adult version is a rating scale that evaluates everyday behaviors associated with executive functions. The second edition (BRIEF2A) of the instrument was recently published in the USA, proposing a new factor structure in which the nine clinical scales were organized into three composite indexes (instead of two composite indexes in the previous edition [BRIEF-A]). This study aimed to investigate the psychometric properties of the new factor structure of the BRIEF2A. It is the first study that analyzed whether the changes made in BRIEF2A improved the psychometric properties of the self-report and informant report forms compared to the BRIEF-A in a non-English speaking sample.</p><p><strong>Method: </strong>Participants were 548 healthy Portuguese adults (18 to 90 years, mean age of 52.01 ± 19.27, 56.8% women) who completed the self-report form and their respective 548 informants who answered the informant report form.</p><p><strong>Results: </strong>We found a small influence of sociodemographic characteristics (sex, age, and education level) on the raw scores of the clinical scales. Confirmatory factor analysis was used to compare both factor structures, and the three-correlated-factor model of the BRIEF2A showed a slightly better model fit than the two-correlated-factor model of the BRIEF-A for both forms. The BRIEF2A also showed adequate internal consistency. The measurement invariance of the BRIEF2A across forms and sex was fully supported (configural, metric, and scalar invariance).</p><p><strong>Conclusions: </strong>The BRIEF2A demonstrated adequate psychometric properties, and our findings found support for the factor structure proposed in the second edition of the instrument.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-24"},"PeriodicalIF":3.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IOPC survey of test security practices and perspectives of licensed psychologists.","authors":"Robert A Beattey, Heidi Allison Bender, Delia M Silva, Kyle Brauer Boone, Melissa Friedman, Paul M Kaufmann, Jonathan C Woodhouse, Jerry J Sweet","doi":"10.1080/13854046.2025.2528903","DOIUrl":"https://doi.org/10.1080/13854046.2025.2528903","url":null,"abstract":"<p><p><b>Objective</b>: To evaluate the positions, policies, and practices regarding test security among psychologists and neuropsychologists who engage in clinical and forensic assessment practice. <b>Methods</b>: The Inter-Organizational Practice Committee (IOPC) undertook a survey of licensed practitioners who regularly conduct neuropsychological and psychological testing. An online survey captured respondent data between October and December 2023. <b>Results</b>: Once duplicates and individuals with non-confirmable psychology licensure were removed, 628 licensed psychologist respondents comprised the sample, which consisted primarily of individuals who identify as neuropsychologists. Respondents overwhelmingly favored keeping test materials secure and not divulging information to attorneys (≥98.%). There was near consensus (94.5%) that a protective order issued by a judge is not sufficient to ensure test security. <b>Conclusion</b>: The current survey assessing the practices and perspectives of neuropsychologists and psychologists who engage in testing represents the largest known canvas of the discipline examining test security. Findings indicate that individuals who engage in such testing expressed strong agreement regarding the necessity of protecting against release of information that would threaten future validity of test usage. Notably, even protective orders issued by a judge, which are often cited by third parties in favor of releasing information, are not viewed by practitioners as adequately protective. Rather, neuropsychologists and practitioners administering psychological testing endorse a high degree of agreement regarding the critical importance in maintaining the clinical and scientific rigor upon which psychology and neuropsychology rely.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Society for Clinical Neuropsychology's 2023 strategic plan: Charting a new path forward.","authors":"Scott A Sperling, Lynette Abrams-Silva, Franchesca Arias, Samantha DeDios-Stern, Olivia Houge, Amy J Jak, Justin E Karr, Tricia Z King, Margaret Lanca, David Lechuga, Michelle R Madore, Nymisha Mandava, Shawn M McClintock, Emily C Murriel, Becky Ready, Zachary J Resch, Paula Shear, Anthony Y Stringer, Sara L Weisenbach, Cynthia S Kubu","doi":"10.1080/13854046.2025.2524080","DOIUrl":"https://doi.org/10.1080/13854046.2025.2524080","url":null,"abstract":"<p><p><b>Objective</b>: This paper is the first in a series of three that describe the context, rationale, and results of the American Psychological Association's Division 40: Society for Clinical Neuropsychology's (SCN) strategic planning initiative. <b>Methods</b>: In this paper, we provide a review of the SCN's history, including previous organizational changes and strategic planning efforts, and discuss the rationale for undertaking the current strategic planning process. We discuss the development and work of the SCN Strategic Planning Committees (SPCs) and their multi-method approach to assessing the SCN's strengths and weaknesses, the needs and preferred organizational priorities of membership, and opportunities for improving organizational inclusivity and member benefits. We discuss how the results of extensive qualitative and quantitative data collection methods were used to develop the SCN 2023 Strategic Plan and guide organizational changes. <b>Results:</b> The SCN 2023 Strategic Plan was approved by the SCN Executive Committee in 2023. It includes six guiding principles, three operating principles, five strategic priorities, and specific organizational objectives. Based on the data collected, the plan includes a focus on strengthening professional advocacy and equity, justice, and inclusion within the SCN, increasing organizational effectiveness, and improving the SCN's membership value proposition. To align the SCN with the strategic plan, subsequent implementation efforts include changes to the SCN Bylaws, policies and procedures, and organizational structure. <b>Conclusions</b>: The SCN 2023 Strategic Plan operationalizes the values, strategies priorities, and objectives of the organization, and in doing so, enhances the SCN's capacity to optimize its value to members and societal impact.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Minnesota Conference proposed guidelines for education and training in clinical neuropsychology.","authors":"Anthony Y Stringer, Kathleen Fuchs, Veronica Bordes Edgar, Thomas Bristow, Stephen Correia, Suzanne Penna, Anny Reyes, Douglas M Whiteside, Cady Block, Douglas Bodin, Sakina Butt, Matthew Calamia, Nyaz Didehbani, Peter Dodzik, Vonetta M Dotson, Mary Fernandes, Krista Freece, Richard Fuller, Glen Getz, Lana Harder, Farzin Irani, Laura Janzen, Brick Johnstone, Erin Kaseda, Megan Kramer, Cynthia Kubu, Jose Lafosse, Jennifer Lee-DaRocha, Beatriz MacDonald, Adriana Macias Strutt, Michelle Madore, Will McBride, Luis Daniel Medina, Grace Mucci, Kritika Nayar, June Paltzer, Courtney Ray, Rebecca Ready, Taylor Rose Schmitt, Beth Rush, Shifali Singh, Scott Sperling, Lisa Stanford, William Stiers, Nikki Stricker, Allen Thornton, Ryan Van Patten, Susan Vandermorris, Kris Verroulx, Jaime Wilson, Ingram Wright, Andrea Zartman, Robert Bilder, Daryl Fujii, Amy Heffelfinger, Thomas Parsons, Antonio E Puente, Celiane Rey-Casserly, Brad Roper, Maureen Schmitter-Edgecombe","doi":"10.1080/13854046.2025.2520957","DOIUrl":"https://doi.org/10.1080/13854046.2025.2520957","url":null,"abstract":"<p><strong>Objective: </strong>The Houston Conference Guidelines (Hannay et al., 1998) provided an initial framework for North American neuropsychology training that served the specialty well for several decades. Subsequent advances in technology, increased diversity of the U.S. and Canadian populations, and the adoption of competency-based training models within Health Service Psychology have created a need to update neuropsychology training guidelines. Therefore, in 2022, the Minnesota Conference to Update Education and Training Guidelines in Clinical Neuropsychology began a two-year drafting process leading to the currently proposed update.</p><p><strong>Method: </strong>A Steering Committee worked with content experts, consultants, and delegates representing North American neuropsychological organizations and specialists. The final version of the guidelines was developed after reviewing neuropsychological training literature, gathering feedback from specialists, and making iterative revisions of earlier drafts to reach consensus.</p><p><strong>Conclusion: </strong>The resulting \"Minnesota Guidelines\" include five foundational (Neuroscience and Brain Behavior Relationships; Integration of Science and Practice; Ethics, Standards, Laws, and Policies; Diversity; and Professional Relationships) and eight functional (Assessment; Intervention; Interdisciplinary Systems and Consultation; Research and Scholarship; Technology and Innovation; Teaching, Supervision, and Mentoring; Health and Professional Advocacy; and Administration, Management, and Business) areas of competency required for entry level specialty practice. While consensus was not achieved, a majority of voting delegates recommended the Guidelines for adoption and the Guidelines have been endorsed by six neuropsychology education and board certification organizations. The American Academy of Clinical Neuropsychology has not endorsed the Minnesota Guidelines and will not make an endorsement decision until three months after online publication.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-42"},"PeriodicalIF":3.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Your clinical interview <i>is</i> data: The benefit of telehealth appointments to triage referrals made to pediatric neuropsychology.","authors":"Jonathan J Mietchen, Tayler M Cieminski, Alanna M Kessler-Jones","doi":"10.1080/13854046.2025.2456160","DOIUrl":"10.1080/13854046.2025.2456160","url":null,"abstract":"<p><p><b>Objective</b>: We conducted a project to manage a high volume of referrals to pediatric neuropsychology. We aimed to manage referrals for children and adolescents without known medical risk factors. We proposed that a clinical neurodevelopmental interview conducted <i>via</i> telehealth would reduce the number of patients on the waitlist and identify those who do not need neuropsychological evaluation. <b>Method</b>: We conducted clinical neurodevelopmental interviews <i>via</i> telehealth to assess patients' need and urgency for neuropsychological testing. These patients had no or unclear risk factors and non-specific concerns with learning, attention, and/or behavior. We monitored our waitlist over a 2-year period to determine if this service could reduce our waitlist. We measured the time to initial consultation before and after this new service. We surveyed referring providers to assess their satisfaction of this service. <b>Results</b>: Using this new triage consultation service, we found that 1 in 4 children did not require a neuropsychological evaluation. This reduced our waitlist by about 5 months, even while we had an increase in referrals during the same period. After implementation, patients were seen for consultation within a month of the referral. Referring providers were generally satisfied with this service. <b>Conclusions</b>: Implementing telehealth clinical interviews was effective in triaging healthy children with non-specific learning, attention, and/or behavior concerns. This new service effectively reduced our waitlist and offered quick access to neuropsychological consultation and recommendations. Referring providers appreciated efforts to increase access to pediatric neuropsychology services for those who were anticipated to benefit the most from such services.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1266-1285"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of direct-to-home teleneuropsychological assessment: A within-subject design study.","authors":"Elif Yildirim, Ezgi Soncu Buyukiscan, Şükriye Akça Kalem, Hakan Gürvit","doi":"10.1080/13854046.2025.2451247","DOIUrl":"10.1080/13854046.2025.2451247","url":null,"abstract":"<p><p><b>Objective:</b> During the COVID-19 pandemic, the need to continue diagnosis and treatment processes, in addition to scientific research, led to a rapid shift towards direct-to-home tele-neuropsychology administrations, the reliability and validity of which had not been clearly established then. This study, therefore, aimed to examine the reliability of direct-to-home tele-neuropsychological assessment (TNP). <b>Method:</b> The sample included 105 cognitively healthy individuals aged between 50-83 years, and 47 patients diagnosed with neurocognitive disorders (mild cognitive impairment and early-stage Alzheimer's type dementia). All participants underwent both face-to-face and teleneuropsychological assessments in a counterbalanced order. <b>Results:</b> The results revealed that performances across measures of attention, working memory, verbal fluency, verbal and visual memory, and visual perception were comparable across assessment modalities. Intraclass correlation coefficients of the tests ranged from .54 to .92. <b>Conclusions:</b> The findings of the study provide support for direct-to-home teleneuropsychological assessment among patients with neurocognitive disorders. Neuropsychological tests relying on verbal administration and independent of motor performance may represent a reliable alternative for this patient group when administered in settings where external distractions or technological limitations are controlled. For cognitively healthy individuals, on the other hand, the reliability of the TNP application is more questionable for memory and some executive function tests and therefore needs further exploration.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1097-1118"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mayo Normative Studies: Regression-based normative data for remote self-administration of the Stricker Learning Span, Symbols Test, and Mayo Test Drive Screening Battery Composite and validation in individuals with mild cognitive impairment and dementia.","authors":"Nikki H Stricker, Ryan D Frank, Elizabeth A Boots, Winnie Z Fan, Teresa J Christianson, Walter K Kremers, John L Stricker, Mary M Machulda, Julie A Fields, John A Lucas, Jason Hassenstab, Paula A Aduen, Gregory S Day, Neill R Graff-Radford, Clifford R Jack, Jonathan Graff-Radford, Ronald C Petersen","doi":"10.1080/13854046.2025.2469340","DOIUrl":"10.1080/13854046.2025.2469340","url":null,"abstract":"<p><p><b>Objective:</b> Few normative data for unsupervised, remotely-administered computerized cognitive measures are available. We examined variables to include in normative models for Mayo Test Drive (MTD, a multi-device remote cognitive assessment platform) measures, developed normative data, and validated the norms. <b>Method:</b> 1240 Cognitively Unimpaired (CU) adults ages 32-100 years (96% White) from the Mayo Clinic Study of Aging and Mayo Alzheimer's Disease Research Center with Clinical Dementia Rating^® of 0 were included. We converted raw scores to normalized scaled scores and derived regression-based normative data adjusting for age, age², sex, and education (base model); alternative norms are also provided (age + age² + sex; age + age²). We assessed additional terms using an <i>a priori</i> cut-off of 1% variance improvement above the base model. We examined low test performance rates (< -1 <i>SD</i>) in independent validation samples (<i>n</i> = 167 CU, <i>n</i> = 64 mild cognitive impairment (MCI), <i>n</i> = 14 dementia). Rates were significantly different when 95% confidence intervals (CI) did not include the expected 14.7% base rate. <b>Results:</b> No model terms met the <i>a priori</i> cut-off beyond the base model, including device type, response input source (e.g. mouse, etc.), or session interference. Norms showed expected low performance rates in CU and greater rates of low performance in MCI and dementia in independent validation samples. <b>Conclusion:</b> Typical normative models appear appropriate for remote self-administered MTD measures and are sensitive to cognitive impairment. Device type and response input source did not explain enough variance for inclusion in normative models but are important for individual-level interpretation. Future work will increase the inclusion of individuals from under-represented groups.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1206-1235"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}