The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.

<h4>Background</h4>Cognitive performances on neuropsychological paper-and-pencil tests are generally evaluated quantitatively by examining a final score (e.g., total duration). Digital tests allow for a quantitative evaluation of "how" a patient attained a final score, which op...

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Autores principales:	Lauriane A Spreij, Isabel K Gosselt, Johanna M A Visser-Meily, Alex J Hoogerbrugge, Timo M Kootstra, Tanja C W Nijboer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8009cd815b3b47b5aaebf9cdfa6375b1
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id	oai:doaj.org-article:8009cd815b3b47b5aaebf9cdfa6375b1
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spelling	oai:doaj.org-article:8009cd815b3b47b5aaebf9cdfa6375b12021-12-02T20:05:07ZThe journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.1932-620310.1371/journal.pone.0249886https://doaj.org/article/8009cd815b3b47b5aaebf9cdfa6375b12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0249886https://doaj.org/toc/1932-6203<h4>Background</h4>Cognitive performances on neuropsychological paper-and-pencil tests are generally evaluated quantitatively by examining a final score (e.g., total duration). Digital tests allow for a quantitative evaluation of "how" a patient attained a final score, which opens the possibility to assess more subtle cognitive impairment even when final scores are evaluated as normal. We assessed performance stability (i.e., the number of fluctuations in test performance) to investigate (1) differences in performance stability between patients with acquired brain injury (ABI) and healthy controls; (2) the added value of performance stability measures in patients with ABI; and (3) the relation between performance stability and cognitive complaints in daily life in patients with ABI.<h4>Methods</h4>We administered three digital neuropsychological tests (Rey Auditory Verbal Learning Test, Trail Making Test, Stroop Colour and Word Test) and the Cognitive Complaints-Participation (CoCo-P) inventory in patients with ABI (n = 161) and healthy controls (n = 91).<h4>Results</h4>Patients with ABI fluctuated more in their performance on all tests, when compared to healthy controls. Furthermore, 4-15% of patients who performed inside normal range on the conventional final scores were outside normal range on the performance stability measures. The performance stability measures, nor the conventional final scores, were associated with cognitive complaints in daily life.<h4>Conclusions</h4>Stability in test performance of patients was clearly dissociable from healthy controls, and may assess additional cognitive weaknesses which might not be observed or objectified with paper-and-pencil tests. More research is needed for developing measures better associated with cognitive complaints.Lauriane A SpreijIsabel K GosseltJohanna M A Visser-MeilyAlex J HoogerbruggeTimo M KootstraTanja C W NijboerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0249886 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lauriane A Spreij Isabel K Gosselt Johanna M A Visser-Meily Alex J Hoogerbrugge Timo M Kootstra Tanja C W Nijboer The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
description	<h4>Background</h4>Cognitive performances on neuropsychological paper-and-pencil tests are generally evaluated quantitatively by examining a final score (e.g., total duration). Digital tests allow for a quantitative evaluation of "how" a patient attained a final score, which opens the possibility to assess more subtle cognitive impairment even when final scores are evaluated as normal. We assessed performance stability (i.e., the number of fluctuations in test performance) to investigate (1) differences in performance stability between patients with acquired brain injury (ABI) and healthy controls; (2) the added value of performance stability measures in patients with ABI; and (3) the relation between performance stability and cognitive complaints in daily life in patients with ABI.<h4>Methods</h4>We administered three digital neuropsychological tests (Rey Auditory Verbal Learning Test, Trail Making Test, Stroop Colour and Word Test) and the Cognitive Complaints-Participation (CoCo-P) inventory in patients with ABI (n = 161) and healthy controls (n = 91).<h4>Results</h4>Patients with ABI fluctuated more in their performance on all tests, when compared to healthy controls. Furthermore, 4-15% of patients who performed inside normal range on the conventional final scores were outside normal range on the performance stability measures. The performance stability measures, nor the conventional final scores, were associated with cognitive complaints in daily life.<h4>Conclusions</h4>Stability in test performance of patients was clearly dissociable from healthy controls, and may assess additional cognitive weaknesses which might not be observed or objectified with paper-and-pencil tests. More research is needed for developing measures better associated with cognitive complaints.
format	article
author	Lauriane A Spreij Isabel K Gosselt Johanna M A Visser-Meily Alex J Hoogerbrugge Timo M Kootstra Tanja C W Nijboer
author_facet	Lauriane A Spreij Isabel K Gosselt Johanna M A Visser-Meily Alex J Hoogerbrugge Timo M Kootstra Tanja C W Nijboer
author_sort	Lauriane A Spreij
title	The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
title_short	The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
title_full	The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
title_fullStr	The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
title_full_unstemmed	The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
title_sort	journey is just as important as the destination-digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/8009cd815b3b47b5aaebf9cdfa6375b1
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The journey is just as important as the destination-Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury.

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