Validating a Short Conners CPT 3 as a Screener: Predicting Self-reported CDC Concussion Symptoms in Children, Adolescents, and Adults

Autor: Julian R. Keith, C. Thomas Freund, Kelly Dugan, Lindsay E. Ayearst, Blair Pickett, Thomas D. Linz, Gill Sitarenios, Faith S. Crews, Sasi Taravath, Len Lecci, Lori J. Lange, Amanda Clark, Mark Williams
Rok vydání: 2021
Předmět:
Zdroj: Journal of Pediatric Neuropsychology. 7:169-181
ISSN: 2199-2673
2199-2681
DOI: 10.1007/s40817-021-00107-9
Popis: 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. 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. 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. 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: OpenAIRE
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