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An Intervention to Decrease the Occurrence of Invalid Data on Neuropsychological Evaluation.

Michael David Horner^1,2, Travis H Turner^1,2,3, Kathryn K VanKirk^1,2

¹Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, US Department of Veteran Affairs, Charleston, SC, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists

|April 3, 2017

Summary

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This summary is machine-generated.

A handout emphasizing honest responding reduced invalid data in patients seeking disability benefits. This brief intervention shows promise for improving data validity in clinical evaluations.

Area of Science:

Neuropsychology
Forensic Psychology
Clinical Psychology

Background:

Ensuring the validity of patient data is crucial in neuropsychological evaluations.
Deterrence theory suggests that emphasizing consequences can influence behavior, potentially improving response validity.

Purpose of the Study:

To determine if a handout based on deterrence theory reduces invalid responding compared to a general informational handout.
To assess the impact of a brief, theory-based intervention on performance validity in clinical evaluations.

Main Methods:

Outpatients at a VA Neuropsychology Clinic received either an "Intervention" (deterrence-based) or "Control" (informational) handout.
The Medical Symptom Validity Test (MSVT) assessed performance validity; examiners were blinded to the handout condition.

Keywords:

Behavioral economics Effort Malingering Neuropsychological assessment Neuropsychology Test performance

Related Experiment Videos

Exclusion criteria included major neurocognitive disorder or inability to read the handout.

Main Results:

No overall effect of the handout on MSVT performance was found in the entire sample (N=251).
However, among patients seeking disability benefits (n=70), the Intervention handout was associated with a lower frequency of failing the MSVT.
Demographic and litigation status did not differ between groups.

Conclusions:

A brief, cost-free intervention based on deterrence theory was associated with improved data validity in patients seeking disability benefits.
Further research is recommended to refine the intervention for broader applicability and effectiveness across different patient subsets.