Official position of the american academy of clinical neuropsychology on serial neuropsychological assessments: the utility and challenges of repeat test administrations in clinical and forensic contexts

Heilbronner, Robert L.; Sweet, Jerry J.; Attix, Deborah K.; Krull, Kevin R.; Henry, George K.; Hart, Robert P.

doi:10.1080/13854046.2010.526785

Cited by 162 publications

(116 citation statements)

References 39 publications

Supporting

Mentioning

114

Contrasting

Order By: Relevance

“…In clinical and research contexts, longitudinal assessments are crucial to verify disease progression, help the differential diagnosis and measure possible treatment effects. Nevertheless, serial assessment also presents with several challenges, especially regarding practice effects [32]. Although not eliminating all of the carryover effects of the test-retest method -e.g.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Alternate-Form Reliability of the Montreal Cognitive Assessment Screening Test in a Clinical Setting

Costa¹,

Fimm²,

Friesen

et al. 2012

Dement Geriatr Cogn Disord

107

View full text Add to dashboard Cite

Aims: The Montreal Cognitive Assessment (MoCA) has gained recognition for its validity in detecting cognitive impairment in several clinical populations. For serial assessments, alternate forms are needed to overcome possible practice effects. Our objective was to investigate the reliability of two German MoCA alternate forms for longitudinal assessment applications. Methods: The original and one of two alternate forms of the MoCA were administered within a 60-min interval of a clinical interview in a counterbalanced order to 100 healthy elderly controls, 30 patients with mild cognitive impairment (MCI) and 30 patients with Alzheimer’s disease (AD). The diagnosis of the majority of patients was supported by in vivo AD pathology biomarkers. Results: There was a strong correlation between the alternate forms and the original MoCA in all groups, but particularly in the clinical samples. Total mean scores did not differ significantly between the MoCA versions, even taking into account the presentation order. As in previous studies, age and education influenced performance in the MoCA. The same pattern of group differences (controls > MCI > AD) was observed for each of the versions. Conclusion: All three forms can be reliably and interchangeably used in serial cognitive assessment, confirming the MoCA’s applicability in research and clinical longitudinal approaches.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Although not eliminating all of the carryover effects of the test-retest method -e.g. performance can still improve because the subject learns how to effectively approach a task -the alternate-form method reduces important confounders related to repeated exposure to a specific task [32][33][34][35].…”

Section: Discussionmentioning

confidence: 99%

Alternate-Form Reliability of the Montreal Cognitive Assessment Screening Test in a Clinical Setting

Costa¹,

Fimm²,

Friesen

et al. 2012

Dement Geriatr Cogn Disord

107

View full text Add to dashboard Cite

show abstract

“…Novelty effects (during the initial evaluation a test is novel to the subject, on repeat testing, the test becomes familiar) can increase or decrease performance (Suchy et al 2010). Test-retest reliability can also be influenced by the retest interval (Heilbronner et al 2010) and by floor and ceiling effects (Duff 2012). The applied neuropsychological tests are reported to have a comparatively high test-retest reliability (Basso et al 1999) and our subjects were familiarized with the test procedures to reduce test-retest bias.…”

Section: Discussionmentioning

confidence: 99%

Cognitive performance in high-altitude climbers: a comparative study of saccadic eye movements and neuropsychological tests

et al. 2013

View full text Add to dashboard Cite

Impairment of cognitive performance during and after high-altitude climbing has been described in numerous studies and has mostly been attributed to cerebral hypoxia and resulting functional and structural cerebral alterations. To investigate the hypothesis that highaltitude climbing leads to cognitive impairment, we used of neuropsychological tests and measurements of eye movement (EM) performance during different stimulus conditions. The study was conducted in 32 mountaineers participating in an expedition to Muztagh Ata (7,546 m). Neuropsychological tests comprised figural fluency, line bisection, letter and number cancellation, and a modified pegboard task. Saccadic performance was evaluated under three stimulus conditions with varying degrees of cortical involvement: visually guided pro-and anti-saccades, and visuo-visual interaction. Typical saccade parameters (latency, mean sequence, post-saccadic stability, and error rate) were computed off-line. Measurements were taken at a baseline level of 440 m and at altitudes of 4, 497, 5,533, 6,265, and again at 440 m. All subjects reached 5,533 m, and 28 reached 6,265 m. The neuropsychological test results did not reveal any cognitive impairment. Complete eye movement recordings for all stimulus conditions were obtained in 24 subjects at baseline and at least two altitudes and in 10 subjects at baseline and all altitudes. Measurements of saccade performances showed no dependence on any altitude-related parameter and were well within normal limits. Our data indicates that acclimatized climbers do not seem to suffer from significant cognitive deficits during or after climbs to altitudes above 7,500 m. We demonstrated that investigation of EMs is feasible during high-altitude expeditions.

show abstract

“…Despite encouraging evidence on the ability of the MoCA to detect change, an assessment of population-specific suitability is advised, as recently shown in a work on Parkinson's disease (PD) where the MoCA was not more sensitive than the MMSE in measuring cognitive deterioration [5]. Another concern deals with the various challenges longitudinal assessments denote [6]. As a way to overcome some of the obstacles related to serial assessment, in particular those related to practice effects, we recently validated two alternate forms of the German MoCA [7].…”

Section: Introductionmentioning

confidence: 99%

Evidence of the Sensitivity of the MoCA Alternate Forms in Monitoring Cognitive Change in Early Alzheimer's Disease

Costa

Reich

Fimm

et al. 2013

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Background/Aims: There is an increasing interest in using the Montreal Cognitive Assessment (MoCA) test as a monitoring tool in Alzheimer's disease (AD) in both research and clinical settings. Our aim was to investigate the utility of alternate forms of the MoCA in detecting cognitive deterioration in a sample of early AD patients followed longitudinally in an outpatient memory clinic. Method: Twenty-five patients with early-stage AD (prodromal or mild dementia) were administered the original version and one of two previously validated alternate forms of the MoCA within an interval of about 1 year. The decline over time and the rate of change of the MoCA were compared to the total score of a standardized neuropsychological assessment battery (Consortium to Establish a Registry of Alzheimer's Disease; CERAD-Plus). Responsiveness to change was determined by calculating standard response means and the respective effect sizes. Results: Sixty percent of the sample showed a clinical decline on the clinical dementia rating (CDR) scale. There was significant deterioration in the MoCA and CERAD total scores. Conclusion: The results demonstrate that the MoCA is capable of detecting change over time and seems to be a valid tool with small to moderate sensitivity for monitoring cognitive change in early AD.

show abstract

Official position of the american academy of clinical neuropsychology on serial neuropsychological assessments: the utility and challenges of repeat test administrations in clinical and forensic contexts

Cited by 162 publications

References 39 publications

Alternate-Form Reliability of the Montreal Cognitive Assessment Screening Test in a Clinical Setting

Alternate-Form Reliability of the Montreal Cognitive Assessment Screening Test in a Clinical Setting

Cognitive performance in high-altitude climbers: a comparative study of saccadic eye movements and neuropsychological tests

Evidence of the Sensitivity of the MoCA Alternate Forms in Monitoring Cognitive Change in Early Alzheimer's Disease

Contact Info

Product

Resources

About