Reuben N Robbins, Anthony F Santoro, Christopher Ferraris, Nana Asiedu, Jun Liu, Curtis Dolezal, Kathleen M Malee, Claude A Mellins, Robert Paul, Kulvadee Thongpibul, Thanyawee Puthanakit, Linda Aurpibul
{"title":"针对泰国感染艾滋病病毒的青少年和年轻成人，对基于平板电脑的简易神经心理测试进行改编和结构效度评估。","authors":"Reuben N Robbins, Anthony F Santoro, Christopher Ferraris, Nana Asiedu, Jun Liu, Curtis Dolezal, Kathleen M Malee, Claude A Mellins, Robert Paul, Kulvadee Thongpibul, Thanyawee Puthanakit, Linda Aurpibul","doi":"10.1037/neu0000851","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Deficits in neurocognitive functioning are common among adolescents and young adults (AYA) with perinatally acquired HIV (PHIV). Limitations of traditional neuropsychological tests hinder assessment of neurocognition in low- and middle-income countries where most AYA with PHIV reside. Computerized testing could make assessment of neurocognition more accessible in these countries. This study examined a culturally modified <i>NeuroScreen</i>, a tablet-based neurocognitive testing app, for use in Thailand. Construct validity was examined among Thai AYA (13-23 years) with and without PHIV.</p><p><strong>Method: </strong><i>NeuroScreen</i> underwent adaptation including language, content, and usability review by Thai psychologists, AYA, and clinical staff. One hundred Thai AYA (50 PHIV; 50 HIV-uninfected, matched controls) were administered the adapted <i>NeuroScreen</i> and a battery of traditional paper-and-pencil neuropsychological tests. Correlations, mean differences, and proportions with impaired performance were examined across <i>NeuroScreen</i> and the traditional tests.</p><p><strong>Results: </strong>The Thai version of <i>NeuroScreen</i> was deemed understandable and culturally appropriate. A large correlation (.82) between overall performance on the <i>NeuroScreen</i> and traditional batteries was observed. Small-to-large correlations were found between conceptually similar <i>NeuroScreen</i> and traditional tests of processing speed, working memory, motor speed, and executive functioning. Mean test performance differences between AYA with PHIV and controls were similar between test batteries. Both sets of tests identified similar rates of impaired participants.</p><p><strong>Conclusions: </strong>Results provide support for the acceptability and construct validity of the Thai <i>NeuroScreen</i> tests to assess neurocognition in Thai AYA with PHIV. An easy-to-use tool to assess neurocognition can help Thai providers provide better care for AYA with PHIV. (PsycInfo Database Record (c) 2022 APA, all rights reserved).</p>","PeriodicalId":19205,"journal":{"name":"Neuropsychology","volume":"36 8","pages":"695-708"},"PeriodicalIF":2.6000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897317/pdf/nihms-1859907.pdf","citationCount":"0","resultStr":"{\"title\":\"Adaptation and construct validity evaluation of a tablet-based, short neuropsychological test battery for use with adolescents and young adults living with HIV in Thailand.\",\"authors\":\"Reuben N Robbins, Anthony F Santoro, Christopher Ferraris, Nana Asiedu, Jun Liu, Curtis Dolezal, Kathleen M Malee, Claude A Mellins, Robert Paul, Kulvadee Thongpibul, Thanyawee Puthanakit, Linda Aurpibul\",\"doi\":\"10.1037/neu0000851\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Deficits in neurocognitive functioning are common among adolescents and young adults (AYA) with perinatally acquired HIV (PHIV). Limitations of traditional neuropsychological tests hinder assessment of neurocognition in low- and middle-income countries where most AYA with PHIV reside. Computerized testing could make assessment of neurocognition more accessible in these countries. This study examined a culturally modified <i>NeuroScreen</i>, a tablet-based neurocognitive testing app, for use in Thailand. Construct validity was examined among Thai AYA (13-23 years) with and without PHIV.</p><p><strong>Method: </strong><i>NeuroScreen</i> underwent adaptation including language, content, and usability review by Thai psychologists, AYA, and clinical staff. One hundred Thai AYA (50 PHIV; 50 HIV-uninfected, matched controls) were administered the adapted <i>NeuroScreen</i> and a battery of traditional paper-and-pencil neuropsychological tests. Correlations, mean differences, and proportions with impaired performance were examined across <i>NeuroScreen</i> and the traditional tests.</p><p><strong>Results: </strong>The Thai version of <i>NeuroScreen</i> was deemed understandable and culturally appropriate. A large correlation (.82) between overall performance on the <i>NeuroScreen</i> and traditional batteries was observed. Small-to-large correlations were found between conceptually similar <i>NeuroScreen</i> and traditional tests of processing speed, working memory, motor speed, and executive functioning. Mean test performance differences between AYA with PHIV and controls were similar between test batteries. Both sets of tests identified similar rates of impaired participants.</p><p><strong>Conclusions: </strong>Results provide support for the acceptability and construct validity of the Thai <i>NeuroScreen</i> tests to assess neurocognition in Thai AYA with PHIV. An easy-to-use tool to assess neurocognition can help Thai providers provide better care for AYA with PHIV. 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引用次数: 0
摘要
目的：围产期感染艾滋病毒（PHIV）的青少年和年轻成人（AYA）普遍存在神经认知功能缺陷。在中低收入国家，传统神经心理学测试的局限性阻碍了对神经认知功能的评估。计算机化测试可使这些国家更容易进行神经认知评估。本研究针对在泰国使用的基于平板电脑的神经认知测试应用程序 NeuroScreen 进行了文化改良。在患有和未患有 PHIV 的泰国青少年（13-23 岁）中检验了其结构有效性：方法：NeuroScreen 经过调整，包括语言、内容和可用性审查，由泰国心理学家、青少年和临床工作人员进行审查。对 100 名泰国青少年（50 名 PHIV 感染者；50 名未感染 HIV 的匹配对照者）进行了改编后的 NeuroScreen 和一系列传统的纸笔神经心理测试。研究了神经筛查和传统测试之间的相关性、平均差异以及表现受损的比例：结果：泰语版 NeuroScreen 被认为易于理解且符合文化习惯。据观察，NeuroScreen 和传统测试的总成绩之间存在很大的相关性（0.82）。在概念相似的 NeuroScreen 和传统的处理速度、工作记忆、运动速度和执行功能测试之间发现了小到大的相关性。患有 PHIV 的青少 年与对照组之间的平均测试成绩差异在不同的测试组合之间相似。两套测试都发现了相似的受损参与者比例：结果证明了泰国 NeuroScreen 测试在评估患有 PHIV 的泰国青少年神经认知能力方面的可接受性和结构有效性。一种易于使用的神经认知评估工具可以帮助泰国医疗机构更好地为患有 PHIV 的青少年提供医疗服务。(PsycInfo Database Record (c) 2022 APA, all rights reserved)。
Adaptation and construct validity evaluation of a tablet-based, short neuropsychological test battery for use with adolescents and young adults living with HIV in Thailand.
Objective: Deficits in neurocognitive functioning are common among adolescents and young adults (AYA) with perinatally acquired HIV (PHIV). Limitations of traditional neuropsychological tests hinder assessment of neurocognition in low- and middle-income countries where most AYA with PHIV reside. Computerized testing could make assessment of neurocognition more accessible in these countries. This study examined a culturally modified NeuroScreen, a tablet-based neurocognitive testing app, for use in Thailand. Construct validity was examined among Thai AYA (13-23 years) with and without PHIV.
Method: NeuroScreen underwent adaptation including language, content, and usability review by Thai psychologists, AYA, and clinical staff. One hundred Thai AYA (50 PHIV; 50 HIV-uninfected, matched controls) were administered the adapted NeuroScreen and a battery of traditional paper-and-pencil neuropsychological tests. Correlations, mean differences, and proportions with impaired performance were examined across NeuroScreen and the traditional tests.
Results: The Thai version of NeuroScreen was deemed understandable and culturally appropriate. A large correlation (.82) between overall performance on the NeuroScreen and traditional batteries was observed. Small-to-large correlations were found between conceptually similar NeuroScreen and traditional tests of processing speed, working memory, motor speed, and executive functioning. Mean test performance differences between AYA with PHIV and controls were similar between test batteries. Both sets of tests identified similar rates of impaired participants.
Conclusions: Results provide support for the acceptability and construct validity of the Thai NeuroScreen tests to assess neurocognition in Thai AYA with PHIV. An easy-to-use tool to assess neurocognition can help Thai providers provide better care for AYA with PHIV. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
期刊介绍：
Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.
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