使用NIH工具箱认知电池和Cogstate笔记本电脑电池对社区居住黑人/非裔美国老年人有和无轻度认知障碍的重测信度和信度变化。

IF 2.6 4区 心理学 Q2 CLINICAL NEUROLOGY
Taylor Rigby, Voyko Kavcic, Sarah R Shair, Tanisha G Hill-Jarrett, Sarah Garcia, Jon Reader, Carol Persad, Arijit K Bhaumik, Subhamoy Pal, Benjamin M Hampstead, Bruno Giordani
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引用次数: 0

摘要

目的:随着计算机测试在临床和研究环境中的使用增加,评估NIH工具箱认知电池(NIHTB-CB)和Cogstate简要电池(Cogstate)的重测可靠性和可靠变化是必要的。以前的研究大多使用白人样本,但为了确保可靠性,本研究必须包括黑人/非裔美国人(B/AAs)。方法:参与者为B/AA一致确认的健康对照(hc) (n = 49)或轻度认知障碍(MCI) (n = 34) 60-85岁的成年人,在4个月内的两个时间点完成NIHTB-CB和笔记本电脑Cogstate。使用了类内相关性、Bland-Altman方法、t检验和Pearson相关系数。削减分数表明提供了可靠的变化。结果:NIHTB-CB复合信度范围为0.81 ~ 0.93 (95% ci[.37 ~ .96])。流体复合材料在时间点之间表现出显著差异,并且不如结晶复合材料一致。MCIs的子测试不太一致(icc = 0.01 -)。89, ci[-1.00- 0.95])高于hcc (ICCs = 0.69 -)。[3] [j]。MCIs在时间点和总综合性能之间存在适度的相关性(r = -)。40, p = .03),流体复合材料(r = -。38, p = .03),模式比较处理速度(r = -。47, p = .006)。在Cogstate上,hcc的信度较低(ICCs = 0.47 -)。76, ci[.05-.86])高于MCIs (icc = .65-。[3] [j]。在不同样品的测试时间点之间,识别反应时间显著提高。结论:NIHTB-CB和Cogstate笔记本电脑有望用于B/ aa研究,并且在4个月内相当稳定。尽管如此,轻度认知损伤和hcc患者之间仍存在差异。建议在使用这些测量时考虑种族和认知状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retest reliability and reliable change of community-dwelling Black/African American older adults with and without mild cognitive impairment using NIH Toolbox-Cognition Battery and Cogstate Brief Battery for laptop.

Objective: With the increased use of computer-based tests in clinical and research settings, assessing retest reliability and reliable change of NIH Toolbox-Cognition Battery (NIHTB-CB) and Cogstate Brief Battery (Cogstate) is essential. Previous studies used mostly White samples, but Black/African Americans (B/AAs) must be included in this research to ensure reliability.

Method: Participants were B/AA consensus-confirmed healthy controls (HCs) (n = 49) or mild cognitive impairment (MCI) (n = 34) adults 60-85 years that completed NIHTB-CB and Cogstate for laptop at two timepoints within 4 months. Intraclass correlations, the Bland-Altman method, t-tests, and the Pearson correlation coefficient were used. Cut scores indicating reliable change provided.

Results: NIHTB-CB composite reliability ranged from .81 to .93 (95% CIs [.37-.96]). The Fluid Composite demonstrated a significant difference between timepoints and was less consistent than the Crystallized Composite. Subtests were less consistent for MCIs (ICCs = .01-.89, CIs [-1.00-.95]) than for HCs (ICCs = .69-.93, CIs [.46-.92]). A moderate correlation was found for MCIs between timepoints and performance on the Total Composite (r = -.40, p = .03), Fluid Composite (r = -.38, p = .03), and Pattern Comparison Processing Speed (r = -.47, p = .006).On Cogstate, HCs had lower reliability (ICCs = .47-.76, CIs [.05-.86]) than MCIs (ICCs = .65-.89, CIs [.29-.95]). Identification reaction time significantly improved between testing timepoints across samples.

Conclusions: The NIHTB-CB and Cogstate for laptop show promise for use in research with B/AAs and were reasonably stable up to 4 months. Still, differences were found between those with MCI and HCs. It is recommended that race and cognitive status be considered when using these measures.

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来源期刊
CiteScore
5.40
自引率
3.80%
发文量
185
审稿时长
4-8 weeks
期刊介绍: The Journal of the International Neuropsychological Society is the official journal of the International Neuropsychological Society, an organization of over 4,500 international members from a variety of disciplines. The Journal of the International Neuropsychological Society welcomes original, creative, high quality research papers covering all areas of neuropsychology. The focus of articles may be primarily experimental, applied, or clinical. Contributions will broadly reflect the interest of all areas of neuropsychology, including but not limited to: development of cognitive processes, brain-behavior relationships, adult and pediatric neuropsychology, neurobehavioral syndromes (such as aphasia or apraxia), and the interfaces of neuropsychology with related areas such as behavioral neurology, neuropsychiatry, genetics, and cognitive neuroscience. Papers that utilize behavioral, neuroimaging, and electrophysiological measures are appropriate. To assure maximum flexibility and to promote diverse mechanisms of scholarly communication, the following formats are available in addition to a Regular Research Article: Brief Communication is a shorter research article; Rapid Communication is intended for "fast breaking" new work that does not yet justify a full length article and is placed on a fast review track; Case Report is a theoretically important and unique case study; Critical Review and Short Review are thoughtful considerations of topics of importance to neuropsychology and include meta-analyses; Dialogue provides a forum for publishing two distinct positions on controversial issues in a point-counterpoint format; Special Issue and Special Section consist of several articles linked thematically; Letter to the Editor responds to recent articles published in the Journal of the International Neuropsychological Society; and Book Review, which is considered but is no longer solicited.
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