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国立卫生研究院工具包认知领域的建构效度:与传统神经心理学评估的比较。

Construct validity of the NIH toolbox cognitive domains: A comparison with conventional neuropsychological assessments.

机构信息

Institute for Human Neuroscience.

College of Medicine.

出版信息

Neuropsychology. 2022 Jul;36(5):468-481. doi: 10.1037/neu0000813. Epub 2022 Apr 28.

Abstract

OBJECTIVE

Previous studies have assessed the construct validity of individual subtests in the National Institutes of Health (NIH) Toolbox Cognition Battery (NIHTB-CB), though none have examined the construct validity of the cognitive domains. Importantly, the original NIHTB-CB validation studies were administered on a desktop computer, though the NIHTB-CB is now solely administered via an iPad. We examined the construct validity of each cognitive domain assessed in the NIHTB-CB, including a motor dexterity domain using the iPad application compared to a neuropsychological battery in a sample of healthy adults.

METHOD

Eighty-three adults aged 20-66 years ( = 44.35 ± 13.41 years) completed the NIHTB-CB and a comprehensive neuropsychological assessment. Domain scores for each of six cognitive domains , and ) and the were computed for both batteries. We then assessed the construct validity using Pearson correlations and intraclass correlation coefficients (ICCs) for both demographically corrected and uncorrected domains.

RESULTS

We found the and domains had poor-to-adequate construct validity (ICC = -0.029 to 0.517), the and domains and the had poor-to-good construct validity (ICC = 0.215-0.801), and the domain had adequate-to-good construct validity (ICC = 0.408-0.829).

CONCLUSION

The NIHTB-CB cognitive domains have poor-to-good construct validity, thus researchers should be aware that some tests representing cognitive constructs may not fully reflect the cognitive domain of interest. Future investigation of the construct validity and reliability of the NIHTB-CB administered using the iPad is recommended. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的

先前的研究已经评估了美国国立卫生研究院(NIH)工具包认知电池(NIHTB-CB)中各个子测试的结构效度,尽管没有研究检验认知域的结构效度。重要的是,原始的 NIHTB-CB 验证研究是在台式计算机上进行的,尽管现在 NIHTB-CB 仅通过 iPad 进行管理。我们使用 iPad 应用程序评估了 NIHTB-CB 中评估的每个认知域的结构效度,包括与健康成年人的神经心理测试相比的运动灵巧度域。

方法

83 名年龄在 20-66 岁之间的成年人(=44.35±13.41 岁)完成了 NIHTB-CB 和全面的神经心理评估。为两个电池计算了六个认知域的域得分:处理速度、工作记忆、注意力、语言、视觉空间处理速度和运动灵巧度。然后,我们使用皮尔逊相关系数和内部一致性系数(ICC)评估了校正和未校正域的结构效度。

结果

我们发现处理速度和工作记忆域具有较差到足够的结构效度(ICC=-0.029 至 0.517),注意力、语言、视觉空间处理速度和运动灵巧度域以及短期记忆域具有较差到良好的结构效度(ICC=0.215-0.801),而长期记忆域具有足够到良好的结构效度(ICC=0.408-0.829)。

结论

NIHTB-CB 认知域具有较差到良好的结构效度,因此研究人员应该意识到,代表认知结构的一些测试可能无法完全反映感兴趣的认知域。建议未来使用 iPad 对 NIHTB-CB 的结构效度和可靠性进行研究。

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