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Related Experiment Videos

Construct validity of the auditory continuous performance test for preschoolers.

E Mark Mahone1, Joseph P Pillion, Jennifer Hoffman

  • 1Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD 21231, USA. mahone@kennedykrieger.org

Developmental Neuropsychology
|March 2, 2005
PubMed
Summary

The Auditory Continuous Performance Test for Preschoolers (ACPT-P) effectively measures executive functions in young children. It shows promise for assessing attention and response preparation in preschoolers with ADHD.

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Area of Science:

  • Neuropsychology
  • Developmental Psychology
  • Pediatric Assessment

Background:

  • Neuropsychological assessment tools for preschoolers, especially for executive functions (EF), are less developed than for older children.
  • The Auditory Continuous Performance Test for Preschoolers (ACPT-P) is a computerized Go-No-go test designed to assess EF in preschoolers.

Purpose of the Study:

  • To investigate the association between the ACPT-P and hearing impairment.
  • To examine the construct validity of the ACPT-P in preschoolers with and without ADHD.

Main Methods:

  • Compared children with mild hearing loss (MHL) to controls on the ACPT-P, spatial working memory (SWM), and motor persistence (MP).
  • Compared preschoolers with ADHD to age- and sex-matched controls on the ACPT-P, SWM, and MP.

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  • Assessed response preparation, sustained attention, and inhibitory control using the ACPT-P.

    • Main Results:

    • No performance differences were found between the MHL group and controls on the ACPT-P, SWM, or MP.
    • Children with ADHD performed significantly worse than controls on the ACPT-P (omissions, response time variability) and MP.
    • The ACPT-P correlated with MP but not SWM, and showed moderate correlations with parent ADHD behavior ratings.

    Conclusions:

    • The ACPT-P demonstrates construct validity for assessing executive control skills in preschoolers, particularly those with ADHD.
    • Findings support performance-based assessment for executive functions in preschoolers.
    • The ACPT-P may be valuable for assessing sustained attention and response preparation, complementing behavioral rating scales.