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Embedded performance validity testing in neuropsychological assessment: Potential clinical tools.

Tyler A Rickards1, Christopher C Cranston1, Pegah Touradji1

  • 1a Department of Physical Medicine & Rehabilitation, Division of Rehabilitation Psychology & Neuropsychology , Johns Hopkins School of Medicine , Baltimore , Maryland , USA.

Applied Neuropsychology. Adult
|February 1, 2017
PubMed
Summary

This study offers practical tools for neuropsychological assessments, focusing on performance validity testing. It provides recommendations for using embedded validity measures to ensure test result credibility.

Keywords:
Assessmentclinical neuropsychologyeffortembedded measuresmalingering

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Area of Science:

  • Neuropsychology
  • Clinical Psychology
  • Psychometrics

Background:

  • Performance validity testing (PVT) is crucial in neuropsychological assessment to detect noncredible effort.
  • Standardized guidelines for integrating embedded PVTs into clinical practice are lacking.

Purpose of the Study:

  • To provide clinically-useful tools for efficient use of embedded performance validity measures.
  • To offer data-driven recommendations for PVT in neuropsychological evaluations.

Main Methods:

  • Literature review of validity-related research and statistical findings.
  • Analysis of consensus statements and survey data from practicing neuropsychologists.
  • Integration of findings to develop recommendations for PVT implementation.

Main Results:

  • Recommendations for specific embedded performance validity test cutoffs (e.g., Reliable Digit Span, CVLT-II FC, ROCF CS, WCST FMS, FT).
  • Guidance on selecting the number of PVT measures for assessment.
  • Development of hypothetical clinical decision-making models for PVT integration.

Conclusions:

  • Embedded PVTs inform clinicians about patient engagement, response to failure, and task compliance.
  • The proposed tools and models aim to standardize PVT use, foster discussion, and guide future research in neuropsychology.