gc08-2 - Computerized Neuropsychological Assessment: The...

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1 Computerized Neuropsychological Assessment: The Good, the Bad, and the Ugly Mike R. Schoenberg, Ph.D., ABPP-CN Department of Neurology University Hospitals Case Medical Center Disclosures None
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2 Objectives Neuropsychological Evaluation Bases of Assessment “Traditional” Neuropsychological Assessment – Measures – Benefits/Strengths (the good) – Problems/Weakness (the bad and ugly) Computerized Cognitive Assessment – Measures – Benefits (The good) – Problems (The bad and ugly) Conclusions Future Directions Neuropsychological Evaluation: Fundamentals Study of Brain-Behavior Relationships – Identifies presence (or absence) of neuropsychological Deficits Assumptions for Evaluation – Brain dysfunction affects behavior – Behavior changes can be associated with particular brain processes/areas/neurological syndromes – Assessment can be reliable – Assessment can be valid – Assessment affects diagnosis/treatment
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3 Neuropsychological Evaluation: Traditional Assessment versus Evaluation – Assessment Collection of historical data Collection of cognitive data Collection of mood data – Evaluation Interpretation of data for diagnosis/treatment planning Purpose of Assessment Screen for presence/absence of potential problem or change – Is performance above or below threshold to identify possible problem? Common example is MMSE or Clock Drawing task – Screening data, in and of itself, typically not diagnostic nor used for treatment planning Diagnosis of problem (etiology) and plan treatment – Is data suggestive of known syndromes/diagnostic entities? – Interpretation of data for diagnosis/treatment planning
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4 Neuropsychological Evaluation: Assessment Methods Historical information – Referral question(s) – Presenting problems – Historical information Other laboratory tests Comorbid conditions Other historical data Clinical Interview Behavioral observations – Neurobehavioral tests/sensory/perceptual/cranial nerves/etc. Neuropsychological test administration – Paper and pencil based cognitive tests – Computer assisted tests Psychological test administration Assessment of effort/Task engagement Assessment: The Basics Assessment measures must be: – Reliable – Valid – Efficient – Sensitive (and specific)
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5 Assessment: The Basics Reliability: – Reliability typically refers to consistency in measuring a construct A test is only as valid as it is reliable – Reliability includes internal consistency, test- retest reliability, alternate forms, etc. Internal consistent is how consistent items within a test are to measuring the construct Test-retest reliability how consistent across time. Assumes construct does not change over time. Assessment: The Basics
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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gc08-2 - Computerized Neuropsychological Assessment: The...

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