American Academy of Clinical Neuropsychology, USA.
Arch Clin Neuropsychol. 2012 May;27(3):362-73. doi: 10.1093/arclin/acs027. Epub 2012 Mar 1.
This joint position paper of the American Academy of Clinical Neuropsychology and the National Academy of Neuropsychology sets forth our position on appropriate standards and conventions for computerized neuropsychological assessment devices (CNADs). In this paper, we first define CNADs and distinguish them from examiner-administered neuropsychological instruments. We then set forth position statements on eight key issues relevant to the development and use of CNADs in the healthcare setting. These statements address (a) device marketing and performance claims made by developers of CNADs; (b) issues involved in appropriate end-users for administration and interpretation of CNADs; (c) technical (hardware/software/firmware) issues; (d) privacy, data security, identity verification, and testing environment; (e) psychometric development issues, especially reliability, and validity; (f) cultural, experiential, and disability factors affecting examinee interaction with CNADs; (g) use of computerized testing and reporting services; and (h) the need for checks on response validity and effort in the CNAD environment. This paper is intended to provide guidance for test developers and users of CNADs that will promote accurate and appropriate use of computerized tests in a way that maximizes clinical utility and minimizes risks of misuse. The positions taken in this paper are put forth with an eye toward balancing the need to make validated CNADs accessible to otherwise underserved patients with the need to ensure that such tests are developed and utilized competently, appropriately, and with due concern for patient welfare and quality of care.
本联合立场文件由美国临床神经心理学学会和国家神经心理学学会提出,阐述了我们对计算机化神经心理评估设备(CNAD)的适当标准和规范的立场。在本文中,我们首先定义了 CNAD,并将其与由检查者实施的神经心理学仪器区分开来。然后,我们就与在医疗保健环境中开发和使用 CNAD 相关的八个关键问题提出了立场声明。这些声明涉及:(a) CNAD 开发者做出的设备营销和性能声明;(b) 适合管理和解释 CNAD 的适当最终用户的问题;(c) 技术(硬件/软件/固件)问题;(d) 隐私、数据安全、身份验证和测试环境;(e) 心理计量学发展问题,特别是可靠性和有效性;(f) 影响受检者与 CNAD 互动的文化、经验和残疾因素;(g) 计算机化测试和报告服务的使用;以及 (h) 在 CNAD 环境中检查反应有效性和努力程度的必要性。本文旨在为 CNAD 的开发者和使用者提供指导,以促进在最大限度地提高临床实用性并最大程度地降低误用风险的情况下,准确和适当使用计算机化测试。本文提出的立场是在平衡将经过验证的 CNAD 提供给服务不足的患者的需求与确保此类测试得到胜任、适当和关注患者福利和护理质量的开发和利用之间的需求。
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