Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Clin Neuropsychol. 2013;27(2):290-9. doi: 10.1080/13854046.2012.744098. Epub 2013 Jan 14.
In a previous analysis of ImPACT scores relative to traditional neuropsychological tests (NP) and experimental tasks (Maerlender et al., 2010 ) we demonstrated convergent construct validity for the primary ImPACT test-score composites. A complete analysis of discriminant validity was not undertaken at that time. Here, test scores from the 54 collegiate football and hockey players were re-analyzed to specifically address the discriminant validity of the ImPACT™ composite scores using a multiply operationalized correlation matrix of multi-trait multi-method data. In the method used here, discriminant validity is determined by obtaining non-significant correlations between a target score when correlated with the average of the other trait measurements (multiply-operationalized multi-trait-mono-method analysis). Results showed that the ImPACT™ Verbal Memory (p = .044), Visual Memory (p = .006), and Visual Motor Speed (p = .000) scores were highly correlated with composites of the other scores, while the Reaction Time composite demonstrated adequate discriminant validity (p = .145). In comparison all of the NP composites showed good discrimination (all p-values >.05, except for Reaction Time p = .05). Thus the apparent lack of discriminability between three of four composite scores in this sample raises questions about using ImPACT™ composite scores to support specific construct-oriented interpretations. Taken together, the discriminant and convergent construct validity properties of ImPACT™ indicate construct sensitivity, but limited construct specificity.
在之前对 ImPACT 分数与传统神经心理学测试(NP)和实验任务(Maerlender 等人,2010)的分析中,我们证明了主要 ImPACT 测试分数综合得分的聚合构念效度。当时没有进行完整的判别有效性分析。在这里,我们重新分析了 54 名大学生足球和曲棍球运动员的测试分数,使用多特质多方法数据的多操作相关矩阵,专门解决 ImPACT™综合分数的判别有效性。在使用的方法中,判别有效性是通过在与其他特质测量的平均值相关时获得目标分数的非显著相关性来确定的(多操作多特质单方法分析)。结果表明,ImPACT™言语记忆(p=0.044)、视觉记忆(p=0.006)和视觉运动速度(p=0.000)分数与其他分数的综合得分高度相关,而反应时间综合得分表现出足够的判别有效性(p=0.145)。相比之下,所有 NP 综合得分都表现出良好的区分度(除了反应时间 p=0.05 外,所有 p 值均大于 0.05)。因此,在这个样本中,四个综合得分中的三个之间缺乏可辨别性,这引起了对使用 ImPACT™综合得分来支持特定结构导向解释的质疑。总之,ImPACT™的判别和聚合构念效度表明具有结构敏感性,但结构特异性有限。