Abstract

Computerized neurocognitive assessment tools (NCATs) offer potential advantages over traditional neuropsychological tests in postconcussion assessments. However, their psychometric properties and clinical utility are still questionable. The body of research regarding the validity and clinical utility of NCATs suggests some support for aspects of validity (e.g., convergent validity) and some ability to distinguish between concussed individuals and controls, though there are still questions regarding the validity of these tests and their clinical utility, especially outside of the acute injury timeframe. In this paper, we provide a comprehensive summary of the existing validity literature for four commonly used and studied NCATs (automated neuropsychological assessment metrics, CNS vital signs, cogstate and immediate post-concussion and cognitive testing) and lay the groundwork for future investigations.

Highlights

  • Verbal Memory Test, Immediate (VBM): word recognition and memory, immediate and delayed recall Neurocognitive Index (NCI)

  • Steadily growing, there appears to be insufficient evidence suggesting that these tools are adequate proxies for traditional NP tests and have limited clinical utility in postconcussion assessments

  • Using the 2005 Randolph criteria, we have provided additional and alternative ways forward for investigating the validity and utility of NCATs that are better suited for the intended clinical use and design of these tests

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Summary

Introduction

Verbal Memory Test, Immediate (VBM): word recognition and memory, immediate and delayed recall Neurocognitive Index (NCI).

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