Validation of a Concussion Screening Battery for Use in Medical Settings: Predicting Centers for Disease Control Concussion Symptoms in Children and Adolescents
| Autor: | Harrison G Frank, Sasidharan Taravath, Len Lecci, Ryan Page, Mark Williams, Julian R. Keith, Kelly Dugan |
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| Rok vydání: | 2019 |
| Předmět: |
Predictive validity
Male medicine.medical_specialty Adolescent Poison control Neuropsychological Tests 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Injury prevention Concussion Medicine Humans Mass Screening Child Brain Concussion biology business.industry Athletes 030229 sport sciences General Medicine medicine.disease biology.organism_classification Checklist United States Test (assessment) Psychiatry and Mental health Clinical Psychology Neuropsychology and Physiological Psychology Case-Control Studies Physical therapy Female Centers for Disease Control and Prevention U.S business Neurocognitive 030217 neurology & neurosurgery |
| Zdroj: | Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists. 35(3) |
| ISSN: | 1873-5843 |
| Popis: | Objective Effective screening for concussion is increasingly important, and medical professionals play a critical role in diagnostic and return-to-play decisions. However, few well-validated measures are available to assist in those decisions. This study aims to determine whether previously validated measures assessing neurocognitive and neurobehavioral abilities can predict Centers for Disease Control (CDC) concussion symptom endorsement in a sample of child or youth athletes. Method Participants were 113 individuals, aged 6–17, representing 29 consecutive cases undergoing a post-concussion evaluation by a pediatric neurologist and 84 consecutive cases completing standardized baseline assessments (i.e., not being evaluated as a follow-up to a concussion). All participants completed the same standardized battery of tests comprised of the Connors’ Continuous Performance Test (CPT 3), the Balance Error Scoring System (BESS), and the NIH 4-Meter Gait Test as well as completing a checklist of CDC concussion symptoms. Results Regression analyses indicate that the screening battery explained 33% of the variance (d = 1.4) in concussion symptom endorsement, after controlling for age. The neurocognitive test alone (CPT 3) accounts for 21.5% of the variance (d = 1.05) in symptoms after controlling for age, and the neurobehavioral measures (BESS and NIH 4-Meter Gait) then account for an additional 11.5% variance (accounting for 18.6% variance, d = .96, when entered first). These effect sizes are considered large to very large and reflect a marked increase in predictive validity relative to existing measures commonly used in concussion assessments. Conclusions A relatively brief screening battery can function in medical settings to predict significant and substantial variability in CDC concussion symptoms in a pediatric sample. |
| Databáze: | OpenAIRE |
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