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Test-Retest Reliability of Remote ImPACT Administration.

Lauren Netzel1, Ryan Moran2, Dustin Hopfe1

  • 1Neuromechanics Laboratory, School of Community Health Sciences, University of Nevada, Reno, Nevada, 89557, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists
|July 17, 2021
PubMed
Summary
This summary is machine-generated.

Neurocognitive testing using ImPACT in student-athletes shows reliable results in both controlled and remote settings. This supports remote administration for accessibility and during public health measures.

Keywords:
assessmenteveryday functioningexecutive functionshead injurymild cognitive impairmentperceptional/spatial processingtraumatic brain injury

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Area of Science:

  • Sports Medicine
  • Neuroscience
  • Cognitive Psychology

Background:

  • Baseline neurocognitive testing is crucial for student-athletes.
  • Assessing cognitive function in athletes is vital for concussion management.
  • Traditional testing occurs in controlled lab environments.

Purpose of the Study:

  • To compare the performance and reliability of computerized neurocognitive testing (ImPACT) in controlled versus uncontrolled settings.
  • To evaluate the feasibility of remote ImPACT administration for NCAA Division I athletes.

Main Methods:

  • 129 NCAA Division I student-athletes completed ImPACT pre-season assessments.
  • Testing was conducted in both controlled laboratory and uncontrolled remote environments.
  • Verbal (controlled) and written (uncontrolled) administration guidelines were used.

Main Results:

  • No significant differences were found in ImPACT composite scores or cognitive efficiency index (CEI) between environments.
  • Impulse control and invalid test scores did not differ significantly between settings.
  • Test-retest reliability for ImPACT subtests ranged from moderate to good across environments.

Conclusions:

  • ImPACT demonstrates reliable performance and test-retest reliability across controlled and uncontrolled testing environments.
  • Computerized neurocognitive assessments like ImPACT can be effectively administered remotely.
  • Remote administration is a viable option, especially during social distancing or isolation.