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Do "effort tests" really test effort?
Alison S Buchholz1, Jonathan DeRight1, Gwendolyn J Gerner1
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine.
Neuropsychology
|September 22, 2022
Summary
Researchers developed a new method to measure cognitive effort. Enhanced incentives increased cognitive test performance and effort, but standard validity tests did not detect low effort.
Area of Science:
- Cognitive Psychology
- Neuroscience
- Behavioral Economics
Background:
- Cognitive effort is crucial for performance on cognitive tests.
- Understanding and measuring cognitive effort is challenging.
- Previous methods lack sensitivity in detecting subtle variations in effort.
Purpose of the Study:
- To introduce and validate an experimental paradigm for manipulating and measuring cognitive effort.
- To investigate the relationship between incentives and cognitive effort.
- To identify reliable markers of low cognitive effort.
Main Methods:
- 38 participants were assigned to either a standard incentive (SI) or enhanced incentive (EI) condition.
- Cognitive performance and performance validity testing (PVT) were assessed at baseline and follow-up.
- EI participants received a bonus based on performance improvement, while SI participants received a chance-based bonus.
Main Results:
- The EI group demonstrated significantly greater improvements in cognitive test performance compared to the SI group.
- Participants in the EI group reported and were rated as exerting higher effort.
- While standard PVT measures did not correlate with low baseline effort, physical indicators like resting one's head or slouching did.
Conclusions:
- The developed paradigm offers a promising approach to manipulate and study cognitive effort.
- Standard PVTs are effective for detecting malingered cognitive impairment but not subtle variations in cognitive effort.
- Further research is needed to fully understand the nuances of cognitive effort and its measurement.

