Mobile toolbox (MTB) remote measures of executive function and processing speed: development and validation.

IF 2.6 4区心理学 Q2 CLINICAL NEUROLOGY Journal of the International Neuropsychological Society Pub Date : 2024-08-01 Epub Date: 2024-07-11 DOI:10.1017/S1355617724000225

Miriam A Novack, Stephanie Ruth Young, Elizabeth M Dworak, Aaron J Kaat, Jerry Slotkin, Cindy Nowinski, Lihua Yao, Hubert Adam, Jordan Stoeger, Zahra Hosseinian, Saki Amagai, Sarah Pila, Maria Varela Diaz, Anyelo Almonte Correa, Keith Alperin, Sonia Carlson, Michael Kellen, Larsson Omberg, Monica R Camacho, Bernard Landavazo, Rachel L Nosheny, Michael W Weiner, Richard C Gershon

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Abstract

Objective: The ability to remotely monitor cognitive skills is increasing with the ubiquity of smartphones. The Mobile Toolbox (MTB) is a new measurement system that includes measures assessing Executive Functioning (EF) and Processing Speed (PS): Arrow Matching, Shape-Color Sorting, and Number-Symbol Match. The purpose of this study was to assess their psychometric properties.

Method: MTB measures were developed for smartphone administration based on constructs measured in the NIH Toolbox® (NIHTB). Psychometric properties of the resulting measures were evaluated in three studies with participants ages 18 to 90. In Study 1 (N = 92), participants completed MTB measures in the lab and were administered both equivalent NIH TB measures and other external measures of similar cognitive constructs. In Study 2 (N = 1,021), participants completed the equivalent NIHTB measures in the lab and then took the MTB measures on their own, remotely. In Study 3 (N = 168), participants completed MTB measures twice remotely, two weeks apart.

Results: All three measures exhibited very high internal consistency and strong test-retest reliability, as well as moderately high correlations with comparable NIHTB tests and moderate correlations with external measures of similar constructs. Phone operating system (iOS vs. Android) had a significant impact on performance for Arrow Matching and Shape-Color Sorting, but no impact on either validity or reliability.

Conclusions: Results support the reliability and convergent validity of MTB EF and PS measures for use across the adult lifespan in remote, self-administered designs.

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移动工具箱（MTB）执行功能和处理速度远程测量：开发与验证。

目的：随着智能手机的普及，远程监控认知技能的能力也在不断提高。移动工具箱（MTB）是一种新的测量系统，包括评估执行功能（EF）和处理速度（PS）的测量方法：移动工具箱（MTB）是一个新的测量系统，包括评估执行功能（EF）和处理速度（PS）的测量项目：箭头匹配、形状-颜色分类和数字-符号匹配。本研究旨在评估其心理测量特性：方法：根据美国国立卫生研究院工具箱®（NIHTB）中测量的结构，开发了适用于智能手机的 MTB 测量。在三项针对 18 至 90 岁参与者的研究中，对所产生的测量结果的心理测量特性进行了评估。在研究 1（N = 92）中，参与者在实验室完成了 MTB 测量，并接受了等效的 NIH TB 测量和其他类似认知结构的外部测量。在研究 2（N = 1,021 人）中，参与者在实验室完成等效的 NIHTB 测量，然后自行远程进行 MTB 测量。在研究 3（N = 168）中，参与者两次远程完成 MTB 测量，每次间隔两周：结果：所有三项测量都表现出很高的内部一致性和很强的重测可靠性，与可比的 NIHTB 测试有中等程度的相关性，与类似结构的外部测量有中等程度的相关性。手机操作系统（iOS 与 Android）对箭头匹配和形状-颜色排序的成绩有显著影响，但对效度和信度均无影响：研究结果表明，MTB EF 和 PS 测量具有可靠性和收敛有效性，可在远程自测设计中用于成年人的整个生命周期。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the International Neuropsychological Society 医学-精神病学

CiteScore

5.40

自引率

3.80%

发文量

185

审稿时长

4-8 weeks

期刊介绍： The Journal of the International Neuropsychological Society is the official journal of the International Neuropsychological Society, an organization of over 4,500 international members from a variety of disciplines. The Journal of the International Neuropsychological Society welcomes original, creative, high quality research papers covering all areas of neuropsychology. The focus of articles may be primarily experimental, applied, or clinical. Contributions will broadly reflect the interest of all areas of neuropsychology, including but not limited to: development of cognitive processes, brain-behavior relationships, adult and pediatric neuropsychology, neurobehavioral syndromes (such as aphasia or apraxia), and the interfaces of neuropsychology with related areas such as behavioral neurology, neuropsychiatry, genetics, and cognitive neuroscience. Papers that utilize behavioral, neuroimaging, and electrophysiological measures are appropriate. To assure maximum flexibility and to promote diverse mechanisms of scholarly communication, the following formats are available in addition to a Regular Research Article: Brief Communication is a shorter research article; Rapid Communication is intended for "fast breaking" new work that does not yet justify a full length article and is placed on a fast review track; Case Report is a theoretically important and unique case study; Critical Review and Short Review are thoughtful considerations of topics of importance to neuropsychology and include meta-analyses; Dialogue provides a forum for publishing two distinct positions on controversial issues in a point-counterpoint format; Special Issue and Special Section consist of several articles linked thematically; Letter to the Editor responds to recent articles published in the Journal of the International Neuropsychological Society; and Book Review, which is considered but is no longer solicited.