一本指南解释和可靠性每年大学影响基线的性别
Kristen G Quigley1, Brian Szekely2, Madison Fenner1
1Department of Kinesiology, School of Public Health, University of Nevada, 1664 N. Virginia Street m/s 0274, Reno, NV 89557, USA.
脑震荡后即时评估和认知测试 (ImPACT) 绩效中的性别差异需要性别特定的最小可检测变化 (MDC) 值才能进行准确的临床评估. 几项ImPACT子测试显示可靠性不佳,这表明在使用它们时要谨慎.
科学领域:
- 神经科学是一个神经科学.
- 运动医学 运动医学
- 心理测量 心理测量 心理测量
背景情况:
- 脑震荡后即时评估和认知测试 (ImPACT) 广泛用于脑震荡评估.
- 对ImPACT得分的标准化解释可能无法充分考虑基于性别的绩效差异.
- 最小可检测变化 (MDC) 范围对于识别显著得分波动至关重要.
研究的目的:
- 开发特定性别的临床指南,用于评估使用MDC.MDC的显著ImPACT得分变化.
- 通过使用类内相关系数 (ICCs) 来评估按性别分层的ImPACT分数的测试重试可靠性.
- 在所有ImPACT复合和子测试得分中比较男性和女性的表现.
主要方法:
- 在四个赛季中利用了390名NCAA第一师运动员 (106名男性,284名女性) 的数据.
- 针对MDC和ICC的ImPACT分数计算出性别特定的95%置信区间.
- 在所有ImPACT子测试和复合分数中比较男性和女性的表现.
主要成果:
- 在视觉记忆复合分数和各种子测试 (例如,设计记忆,XO任务,符号匹配,颜色匹配) 中观察到显著的性别差异.
- 女性在14个子测试和视觉记忆复合分数中表现出不良可靠性 (ICC = 0.06-0.49).
- 男人也在11个子测试中表现出不良可靠性 (ICC = 0.21-0.48),许多子测试对两性都不可靠,特别是三个字母的任务.
结论:
- 性别特定的MDC值对于准确解释因观察到的绩效差异而导致的IMPACT得分变化至关重要.
- 几项ImPACT子试验得分显示不够可靠,这表明它们在临床决策中的有用性有限.
- 临床医生应谨慎行事,并优先考虑评估中等到良好可靠性的IMPACT得分.
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