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Development of a checklist for cognitive assessment requirements (CARE) based on a Delphi consensus study
Vahid Nejati1, Reza Estaji2, Vicent Balanzá-Martínez3
1Department of Psychology, Shahid Beheshti University, Tehran, Iran. nejati@sbu.ac.ir.
Scientific Reports
|January 24, 2025
Summary
Situational factors impact cognitive assessments. A new checklist, the Cognitive Assessment Requirements (CARE), helps identify these factors before testing, improving evaluation reliability and validity.
Area of Science:
- Neuroscience
- Psychology
- Health Sciences
Background:
- Cognitive performance is influenced by situational factors.
- These factors are often overlooked during cognitive assessments.
- Standardized cognitive evaluations require consideration of individual circumstances.
Purpose of the Study:
- To develop a checklist for Cognitive Assessment Requirements (CARE).
- To identify situational factors impacting cognitive assessment results.
- To enhance the reliability and validity of cognitive evaluations.
Main Methods:
- A four-round Delphi approach involving 22 experts.
- Consensus-driven development using metrics like Interquartile Deviation (IQD) and Percentage of Positive Responses (PPR).
- Evaluation of item importance using a 5-point Likert scale.
Main Results:
- A 14-item checklist (CARE) was developed.
- Items cover Acute Illness, Medication, Sleep, Emotional State, Language, and Environment.
- Consensus was reached on the checklist items and their relevance.
Conclusions:
- The CARE checklist can be used before cognitive assessments.
- It helps identify and account for individual situational factors.
- This improves the reliability and validity of cognitive assessment findings.
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