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Protocol for Development of an Evidence-Based Rapid Readiness Screen
Simon Oczkowski1,2,3, Thomas Bayuk4, John Basmaji3,5
1Department of Medicine, Division of Critical Care, McMaster University, Hamilton, Ontario, Canada.
Neurosurgery Practice
|April 20, 2026
Summary
Developing rapid screening tests is crucial for assessing cognitive readiness in combat and sports. These tests aim to quickly identify impairments from various factors, ensuring timely return to activity.
Area of Science:
- Neuroscience
- Sports Medicine
- Military Health
Background:
- Assessing performance readiness is critical in high-stakes environments like combat and sports.
- Cognitive functions, particularly attention, can be impaired by concussive injuries, fatigue, and intoxication.
- Current assessment methods for these impairments are often time-consuming or require specialized resources.
Purpose of the Study:
- To outline a methodology for developing evidence-based, multimodal rapid screening tests for readiness.
- To create tests sensitive to multiple factors impairing cognitive function.
- To ensure tests are reliable, rapid, and applicable across diverse environments.
Main Methods:
- Developing a systematic, evidence-based process for test creation.
- Focusing on multimodal approaches to capture various impairment indicators.
- Designing tests for rapid administration in field settings.
Main Results:
- The study outlines a methodology for creating rapid readiness screening tests.
- The proposed tests are designed to be sensitive to multiple impairing conditions.
- The methodology supports the development of tests applicable in military and sports settings.
Conclusions:
- Rapid, reliable screening tests are needed to assess cognitive readiness.
- A multimodal approach can address various factors affecting performance.
- The developed methodology facilitates the creation of versatile readiness assessment tools.

