| Autor: |
Lecci, Len, Freund, C. Thomas, Ayearst, Lindsay E., Sitarenios, Gill, Pickett, Blair, Crews, Faith S., Dugan, Kelly, Lange, Lori, Clark, Amanda, Linz, Thomas, Taravath, Sasi, Williams, Mark, Keith, Julian |
| Zdroj: |
Journal of Pediatric Neuropsychology; December 2021, Vol. 7 Issue: 4 p169-181, 13p |
| Abstrakt: |
Objective: Brevity is critical to the broad adoption of any screening measure. We examine the efficacy of a short Conners Continuous Performance Test (CCPT 3) to screen for concussion symptoms. Method: Data were from 20 U.S. sites, including university/schools conducting baseline testing (N= 817) and post-concussion assessments in medical settings (N= 108) from March 2018 to March 2020. Nine hundred twenty-five participants (57.3% female) aged 8–66 (M= 19.4, SD = 6.1) completed the computerized CCPT 3, Balance Error Scoring System, NIH 4-meter gait test, and 31-item Centers for Disease Control and Prevention (CDC) concussion symptom checklist. Results: Short CCPT 3 scores correlate highly with full CCPT 3, with coefficients of .70–.96 (M= .88). Short CCPT 3 explains 16.8% variance in CDC concussion symptoms (F(8, 910)= 23.01, p< .001; Cohen’s d= .90) and provides incremental validity (15% variance; d= .78) over behavioral measures (Fchange (8, 842)= 20.11, p< .001). Predictive validity of the short CCPT 3 was greater for those having a recent concussion (22.1% variance, d= 1.07; F(8, 97)= 3.45, p= .002). Scores also predict concussion history. Conclusions: The short CCPT 3 yields large effect sizes when predicting CDC concussion symptoms, compares favorably to other concussion measures, and shows no trade-off from the full CCPT, which has previously predicted concussion symptoms and severity. Short CCPT 3 scores can objectively quantify cognitive functioning to serve as a screener and inform return-to-play decisions even for post-acute presentations in children, adolescents, and adults. |
| Databáze: |
Supplemental Index |
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