Test-retest reliability and practice effects of a computerized neuropsychological battery: A solution-oriented approach.

Rijnen, Sophie J M; Linden, S.D. van der; Emons, Wilco H. M.; Sitskoorn, Margriet M.; Gehring, Karin

doi:10.1037/pas0000618

Cited by 21 publications

(21 citation statements)

References 34 publications

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“…Furthermore, the Digit Span Backward of the Wechsler Adult Intelligence Scale was used to assess working memory (Wechsler, 2015). Patients' scores on the neuropsychological tests were compared to representative, recently collected Dutch norms (Rijnen et al, 2017;Rijnen, Van der Linden, Emons, Sitskoorn, & Gehring, 2018; CAR study A, ClinicalTrials.gov, reference nr. NCT02953756).…”

Section: Methodsmentioning

confidence: 99%

Assessment of Executive Functioning in Patients with Meningioma and Low-Grade Glioma: A Comparison of Self-Report, Proxy-Report, and Test Performance

Linden

Gehring

Baene

et al. 2019

J Int Neuropsychol Soc

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Objective:This study aimed to examine: (1) patient–proxy agreement on executive functioning (EF) of patients with primary brain tumors, (2) the relationships between patient- and proxy-report with performance-based measures of EF, and (3) the potential influence of performance-based measures on the level of agreement.Methods:Meningioma and low-grade glioma patients and their informal caregivers completed the Behavior Rating Inventory of Executive Function (BRIEF-A) 3 months after surgery. The two index scores of the BRIEF-A, Behavioral Regulation and Metacognition, were evaluated. Mean scores of patients and proxies were compared with normative values and with each other. Patient–proxy agreement was evaluated with Lin’s concordance correlation coefficients (CCCs) and Bland–Altman plots. Pearson correlation coefficients between reported EF and performance-based measures of EF were calculated. Multiple regression analysis was used to evaluate the potential influence of test performance on differences in dyadic reports.Results:A total of 47 dyads were included. Patients reported significantly more problems on the Metacognition Index compared to norms, and also in comparison with their proxies. Effect sizes indicated small differences. Moderate to substantial agreement was observed between patients and proxies, with CCCs of 0.57 and 0.61 for Metacognition and Behavioral Regulation, respectively. Correlations between reported EF and test performance ranged between −0.37 and 0.10. Dyadic agreement was not significantly influenced by test performance.Conclusions:Patient–proxy agreement was found to be moderate. No clear associations were found between reported EF and test performance. Future studies should further explore the existing and new methods to assess everyday EF in brain tumor patients.

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Section: Methodsmentioning

confidence: 99%

Assessment of Executive Functioning in Patients with Meningioma and Low-Grade Glioma: A Comparison of Self-Report, Proxy-Report, and Test Performance

Linden

Gehring

Baene

et al. 2019

J Int Neuropsychol Soc

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“…On the basis of the normative data reported by Ponds et al, patients' CFQ total scores were converted into z scores (M = 0, SD = 1). For OCF, individual z scores were calculated based on a Dutch normative sample, corrected for age, sex, education, and practice effects . Higher z scores reflect better SCF/OCF.…”

Section: Methodsmentioning

confidence: 99%

“…For OCF, individual z scores were calculated based on a Dutch normative sample, 28 corrected for age, sex, education, and practice effects. 29 Higher z scores reflect better SCF/OCF. The cutoff for low levels of SCF and OCF was set at z ≤ −1.50; for anxiety and depression raw scores, the cutoff was set at 8 for each subscale.…”

Section: Norms and Cutoff Levelsmentioning

confidence: 99%

Subjective cognitive functioning in patients with a meningioma: Its course and association with objective cognitive functioning and psychological symptoms

et al. 2019

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Objective Although meningioma patients show deficits in objective cognitive functioning (OCF) measured with neuropsychological tests, subjective cognitive functioning (SCF) has received little attention. We investigate SCF from pre‐ to postsurgery and its associations with OCF, psychological, sociodemographic, and clinical characteristics. Methods SCF was measured using the Cognitive Failures Questionnaire (CFQ) 1 day before (T0) and 3 (T3) and 12 months (T12) after surgery. Patients' scores were compared with normative data and changes over time were assessed. The neuropsychological battery CNS Vital Signs and the Hospital Anxiety and Depression Scale were administered. Correlations of SCF with OCF, psychological, sociodemographic, and clinical characteristics were explored. Results Patients reported significantly better SCF as compared with controls at T0 (N = 54) and T3 (N = 242), but not at T12 (N = 50). A significant decrease in group level SCF was observed from T0 to T12 (n = 24, P < .001). SCF was associated with anxiety at all time points (rs = −0.543 to −0.352) and with depression at T3 and T12 (r = −0.338 and −0.574), but not with OCF, sociodemographic, or clinical characteristics (rs = −0.202 to 0.288). Conclusions Meningioma patients experienced better SCF as compared with controls before and 3 months after surgery, which might be the result of phenomena related to disease and recovery. As the findings suggest that cognitive symptoms might increase later on, future studies should further investigate the course of SCF in meningioma patients. In clinical practice, measurements of SCF should be combined with those of OCF and psychological distress in order to determine whether and which interventions are needed.

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“…Cognitive functioning was assessed using the computerized battery Central Nervous System Vital Signs (CNS VS, Dutch translation). 28 , 29 CNS VS includes 7 neuropsychological tests that reflect performance on the domains of Verbal Memory, Visual Memory, Processing Speed, Psychomotor Speed, Reaction Time, Complex Attention, and Cognitive Flexiblity. 30 Raw domain scores were converted into sociodemographically adjusted z scores, and scores at T3 were additionally corrected for effects of practice, since both sociodemographic and practice effects were demonstrated in a Dutch normative sample (age ranging from 20 to 80 yr, education ranging from 10 to 26 yr), assessed using CNS VS at baseline (n = 158), and 3-mo (n = 136) follow-up.…”

Section: Methodsmentioning

confidence: 99%

“… 30 Raw domain scores were converted into sociodemographically adjusted z scores, and scores at T3 were additionally corrected for effects of practice, since both sociodemographic and practice effects were demonstrated in a Dutch normative sample (age ranging from 20 to 80 yr, education ranging from 10 to 26 yr), assessed using CNS VS at baseline (n = 158), and 3-mo (n = 136) follow-up. 28 , 29 …”

Section: Methodsmentioning

confidence: 99%

Presurgical Identification of Patients With Glioblastoma at Risk for Cognitive Impairment at 3-Month Follow-up

et al. 2020

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BACKGROUND Pre- and postoperative cognitive deficits have repeatedly been demonstrated in patients with glioblastoma (GBM). OBJECTIVE To identify presurgical risk factors that facilitate the identification of GBM patients at risk for postoperative cognitive impairment. METHODS Patients underwent neuropsychological assessment using Central Nervous System Vital Signs 1 d before (T0) and 3 mo after surgery (T3). Patients’ standardized scores on 7 cognitive domains were compared to a normative sample using one-sample z tests. Reliable change indices with correction for practice effects were calculated to assess cognitive changes in individual patients over time. Logistic regression models were performed to assess presurgical sociodemographic, clinical, psychological, and cognitive risk factors for postoperative cognitive impairments. RESULTS At T0, 208 patients were assessed, and 136 patients were retested at T3. Patients showed significantly lower performance both prior to and 3 mo after surgery on all cognitive domains compared to healthy controls. Improvements and declines over time occurred respectively in 11% to 32% and 6% to 26% of the GBM patients over the domains. The regression models showed that low preoperative cognitive performance posits a significant risk factor for postoperative cognitive impairment on all domains, and female sex was a risk factor for postoperative impairments in Visual Memory. CONCLUSION We demonstrated preoperative cognitive risk factors that enable the identification of GBM patients who are at risk for cognitive impairment 3 mo after surgery. This information can help to inform patients and clinicians at an early stage, and emphasizes the importance of recognizing, assessing, and actively dealing with cognitive functioning in the clinical management of GBM patients.

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Test-retest reliability and practice effects of a computerized neuropsychological battery: A solution-oriented approach.

Cited by 21 publications

References 34 publications

Assessment of Executive Functioning in Patients with Meningioma and Low-Grade Glioma: A Comparison of Self-Report, Proxy-Report, and Test Performance

Assessment of Executive Functioning in Patients with Meningioma and Low-Grade Glioma: A Comparison of Self-Report, Proxy-Report, and Test Performance

Subjective cognitive functioning in patients with a meningioma: Its course and association with objective cognitive functioning and psychological symptoms

Presurgical Identification of Patients With Glioblastoma at Risk for Cognitive Impairment at 3-Month Follow-up

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