Brearly Timothy W, Rowland Jared A, Martindale Sarah L, Shura Robert D, Curry David, Taber Kathy H
Mid-Atlantic Mental Illness Research, Education, and Clinical Center and Research & Academic Affairs Service Line, Salisbury VA Health Care System, Salisbury, NC, USA.
Neuropsychology Assessment Service, Directorate of Behavioral Health (Consultation & Education), Walter Reed National Military Medical Center, Bethesda, MD, USA.
Arch Clin Neuropsychol. 2019 Jun 1;34(4):524-530. doi: 10.1093/arclin/acy070.
The purpose of this study was to evaluate the comparability of National Institutes of Health Toolbox Cognitive Battery test scores across iPad application and web-based personal computer administration platforms. Original test norms were developed using a personal computer-based administration and no previous studies assessing platform comparability have been published.
Participants (N = 62; final analyzed sample n = 49) were combat-exposed post-deployment veterans without neurologic disorder, severe mental illness, current substance use disorder, or a history of moderate or severe traumatic brain injury. All participants completed both iPad and web-based versions of tests on the same day in an experimental within-subjects crossover design. Standalone validity measures were incorporated to exclude invalid performance. Outcome measures included the Dimensional Change Card Sort Test, Flanker Inhibitory Control and Attention Test, List Sorting Working Memory Test, and Pattern Comparison Processing Speed Test.
Score differences between platforms were found on the Flanker Inhibitory Control and Attention Test. Scores were moderately correlated across tests, with the exception of low correlations for the Pattern Comparison Processing Speed Test. Most participants preferred iPad to web administration, regardless of administration order.
Results suggest caution when interpreting iPad-acquired scores, particularly for the Flanker Inhibitory Control and Attention Test. iPad-based testing offers valuable improvements; however, the development of iPad-specific norms may be necessary to ensure valid interpretation of acquired data.
本研究旨在评估美国国立卫生研究院工具箱认知电池测试分数在iPad应用程序和基于网络的个人电脑管理平台之间的可比性。最初的测试常模是使用基于个人电脑的管理方式制定的，此前尚未发表过评估平台可比性的研究。
参与者（N = 62；最终分析样本n = 49）为部署后有战斗经历的退伍军人，无神经系统疾病、严重精神疾病、当前物质使用障碍或中度或重度创伤性脑损伤史。所有参与者在同一天采用实验性的受试者内交叉设计完成了iPad版和基于网络版的测试。纳入了独立效度测量以排除无效表现。结果测量包括维度变化卡片分类测试、侧翼抑制控制和注意力测试（Flanker抑制控制和注意力测试）、列表排序工作记忆测试以及模式比较处理速度测试。
在侧翼抑制控制和注意力测试中发现了平台之间的分数差异。各项测试分数之间呈中度相关，但模式比较处理速度测试的相关性较低。无论管理顺序如何，大多数参与者更喜欢iPad管理方式而非网络管理方式。
结果表明在解释通过iPad获得的分数时需谨慎，尤其是对于侧翼抑制控制和注意力测试。基于iPad的测试有显著改进；然而，可能需要制定特定于iPad的常模以确保对所获数据进行有效解释。
