Latent Structure of a Brief Clinical Battery of Neuropsychological Tests Administered In-Home Via Telephone
Latent Structure of a Brief Clinical Battery of Neuropsychological Tests Administered In-Home Via Telephone
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DOI：
10.1093/arclin/acaa111
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发表时间：
2021-09-01
影响因子：
2.6
通讯作者：
Woods, Steven Paul
中科院分区：
文献类型：
--
作者：
Matchanova, Anastasia;Babicz, Michelle A.;Woods, Steven Paul
目的：检验在家中和通过电话进行的一系列临床神经心理测验的因素结构和社会人口学相关性。方法：被试包括7项听觉-言语神经心理测验，包括数字广度、列表学习和记忆、前瞻记忆、言语流利性和口头连线构建。结果：剔除口述连线A部分后，由执行功能、记忆和注意力组成的三因素模型最符合数据。然而，其余九个神经心理变量之间的共同方差也可以用单因素模型和由执行功能和记忆组成的双因素模型来充分解释。因素得分与教育、种族和智商有不同程度的相关，但与性别或年龄无关。结论：研究结果为以电话为基础的简短神经心理筛查单元的可行性和因素结构和社会人口学相关性提供了初步支持，该筛选单元主要由常用的临床措施组成。需要进一步的研究来确定这种电池的重测可靠性、敏感性和生态相关性，以及与面对面评估的等价性。
Objective: To examine the factor structure and sociodemographic correlates of a battery of clinical neuropsychological tests administered in-home and via telephone.Method: Participants included 280 healthy adults who completed a 35-40 min battery consisting of seven auditory-verbal neuropsychological tests (i.e., 10 variables) that included digit span, list learning and memory, prospective memory, verbal fluency, and oral trail making.Results: After removing oral trail making part A, a three-factor model comprised of executive functions, memory and attention demonstrated the best fit to the data. Nevertheless, the shared variance between the nine remaining neuropsychological variables was also adequately explained by a single-factor model and a two-factor model comprised of executive functions and memory. Factor scores were variably associated with education, race/ethnicity, and IQ, but not with sex or age.Conclusions: Findings provide preliminary support for the feasibility and factor structure and sociodemographic correlates of a brief telephone-based screening neuropsychological battery comprised mostly of commonly administered clinical measures. Future studies are needed to determine the test-retest reliability, sensitivity, and ecological relevance of this battery, as well as equivalency to in-person assessment.