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Children's version of the Alternative Impairment Index: a pilot study
Perceptual and Motor Skills
|August 1, 1995
Summary
This pilot study explored a Children's Version of the Alternative Impairment Index for assessing neuropsychological impairment. The new index showed weak agreement with the established Total Neuropsychological Deficit Score in children.
Area of Science:
- Neuropsychology
- Child Psychology
- Clinical Assessment
Background:
- The Alternative Impairment Index (AII) is a measure of neuropsychological impairment in adults.
- The Halstead-Reitan Neuropsychological Test Battery (HRNB) is a comprehensive tool for assessing brain function.
- A pediatric version of the AII is needed to assess cognitive deficits in children.
Purpose of the Study:
- To investigate the feasibility of a Children's Version of the Alternative Impairment Index (CV-AII).
- To compare the agreement between the CV-AII and the Children's Total Neuropsychological Deficit Score (CTNDS) in assessing severity of impairment.
Main Methods:
- Retrospective analysis of test records from 16 children (ages 9-14).
- Participants included both normal and brain-damaged children who completed the HRNB for Older Children.
- The CV-AII scores were compared with CTNDS scores for agreement.
Main Results:
- The study found weak agreement (56% or 9/16 correct) between the CV-AII and the CTNDS.
- This suggests limited concordance in classifying the severity of neuropsychological impairment.
Conclusions:
- The Children's Version of the Alternative Impairment Index requires further refinement.
- Additional research is needed to establish its validity and reliability as a measure of pediatric neuropsychological impairment.

