A Clinic-Based Measure of Everyday Planning Ability: The Overnight Trip Task.
A Clinic-Based Measure of Everyday Planning Ability: The Overnight Trip Task.
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DOI：
10.1093/arclin/acad052
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发表时间：
2023-07
期刊：
影响因子：
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通讯作者：
K. Brown;M. Schmitter-Edgecombe
中科院分区：
文献类型：
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作者：
K. Brown;M. Schmitter-Edgecombe
神经心理学家最常用的认知能力的传统测量方法通常在生态有效性方面较低，并且只能捕获一个人的真实功能能力的一小部分方差。这项研究评估了基于临床的性能和并行的日常计划测试，过夜旅行任务（OTT）的现实世界完成之间的关联。方法由65名社区老年人组成的横断面队列完成了一系列认知评估和两种形式的OTT：纸笔诊所OTT，通过视频会议（Zoom）远程完成，以及并行的现实世界OTT（RW-OTT），在会议间隙在家完成。这两种形式都要求参与者计划他们将打包的东西，并根据提供的故事（包括规则和嵌入的意外事件）为假设的过夜旅行做准备。结果：临床OTT表现出与RW-OTT（r = 0.35）的小到中度关系，与学习、长延迟回忆、执行功能复合物和日常计划的测量无关。分层回归分析表明，诊所OTT表现出增量有效性以上的执行功能的综合措施和全球认知时，预测自我报告的日常功能和RW-OTT性能。结论：临床OTT与RW-OTT仅有适度的相关性，区分效度而非聚合效度得到证实。临床OTT显示增量有效性时，预测自我报告的日常功能和RW-OTT性能超过更传统的措施。在临床OTT被认为是预测现实世界行为的可靠和有效的临床措施之前，还需要进行更多的研究。
OBJECTIVE Traditional measures of cognitive abilities most used by neuropsychologists are generally low in ecological validity and only capture a small proportion of the variance of a person's true functional capacity. This study evaluates the association between clinic-based performance and parallel real-world completion of an everyday planning test, the Overnight Trip Task (OTT). METHOD A cross-sectional cohort of 65 community-dwelling older adults completed a battery of cognitive assessments and two formats of the OTT: the paper-and-pencil clinic OTT, which was completed remotely through video conferencing (Zoom), and the parallel real-world OTT (RW-OTT), which was completed at home between sessions. Both formats required participants to plan for what they would pack and prepare for a hypothetical overnight trip based on a provided story that included rules and embedded contingencies. RESULTS The clinic OTT demonstrated a small-to-moderate relationship with the RW-OTT (r = 0.35) and no relationship with measures of learning, long delay recall, an executive function composite, and a measure of everyday planning. Hierarchical regressions indicated that the clinic OTT demonstrated incremental validity above an executive function composite measure and global cognition when predicting self-reported everyday functioning and RW-OTT performance. CONCLUSIONS The clinic OTT showed only modest association with the RW-OTT and discriminate but not convergent validity was demonstrated. The clinic OTT showed incremental validity when predicting self-reported everyday functioning and RW-OTT performance above more traditional measures. Before the clinic OTT could be considered a reliable and valid clinic-based measure for predicting real-world behavior, additional research would be needed.