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Embedded performance validity indicator for children: California Verbal Learning Test - Children's Edition, forced
Kristin Verroulx1, Rayna B Hirst1,2, George Lin3
1a San Francisco Neuropsychology PC , San Francisco , California , USA.
Applied Neuropsychology. Child
|February 8, 2018
Summary
A new forced choice (FC) trial for the California Verbal Learning Test - Children's Edition (CVLT-C) shows high performance validity in children. This tool helps ensure accurate neuropsychological testing results by identifying valid performance.
Area of Science:
- Neuropsychology
- Cognitive Assessment
- Child Psychology
Background:
- Performance validity testing is crucial in pediatric neuropsychological evaluations to prevent inaccurate conclusions.
- Existing methods for assessing performance validity in children are limited.
- The California Verbal Learning Test - Second Edition (CVLT-II) has a validated forced choice (FC) trial.
Purpose of the Study:
- To develop and evaluate a forced choice (FC) trial for the California Verbal Learning Test - Children's Edition (CVLT-C).
- To assess the performance validity of the new CVLT-C FC trial in a pediatric sample.
- To compare the CVLT-C FC trial's effectiveness with other performance validity measures.
Main Methods:
- A CVLT-C FC trial was created, mirroring the CVLT-II FC design with concrete and abstract distractor words.
- The Test of Memory Malingering and three embedded validity measures were administered for comparison.
- The CVLT-C FC trial was administered to 40 children aged 6-16 with varying IQ levels.
Main Results:
- Ninety-three percent of children achieved perfect scores on the CVLT-C FC trial, indicating high specificity.
- These results are comparable to the high specificity (90%) observed in the CVLT-II FC normative group.
- Performance on embedded validity measures is also presented.
Conclusions:
- The developed CVLT-C FC trial demonstrates high specificity and is a promising tool for assessing performance validity in children.
- This measure can aid in ensuring the accuracy of neuropsychological assessments in pediatric populations.
- Further research may explore its utility across diverse clinical samples.

