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Neuropsychological performance labels: do patients understand? 神经心理学表现标签:患者看得懂吗?
Pub Date : 2024-09-18 DOI: 10.1080/13854046.2024.2404731
Racheal M Smetana,Emilie H Picard,Allison N Parker,Stephanie D Bajo,Donna K Broshek
OBJECTIVEDescriptive labels to communicate performance are integral in neuropsychological reports. Although the American Academy of Clinical Neuropsychology (AACN) reached consensus on standardizing uniform labels of performance, consumer understanding of these labels is unclear. This pilot prospective cohort study evaluated patient, family member, and medical provider understanding of neuropsychological performance labels.METHODPatients (n = 62), family members (n = 31), and referral sources (n = 34) completed a 13-question survey evaluating the uniform label system and an alternative, patient-centered language system (PCL). Questions assessed label knowledge and associated percentiles and relative relationships between labels.RESULTSPatients had significantly higher accuracy on knowledge questions using PCL labels (54.8%) versus AACN labels (32.2%) as were families (51.6% versus 35.5%). When ranking labels, providers and patients were more accurate when using PCL labels compared to AACN labels, although no significant difference was seen in the family group. Generally, participants were more accurate in identifying highest/lowest scores using AACN labels and more accurate in identifying relatively higher and lower scores using PCL terminology.CONCLUSIONSResults illustrate that current and alternative score labels may not be understandable for audiences who read and base decisions on neuropsychological reports. The findings highlight the need for further consideration of patient-centered language to improve understanding of neuropsychological score labels.
目的 在神经心理学报告中,描述性的成绩标签是不可或缺的。尽管美国临床神经心理学会(AACN)已就标准化统一的表现标签达成共识,但消费者对这些标签的理解尚不明确。本试验性前瞻性队列研究评估了患者、家属和医疗服务提供者对神经心理学表现标签的理解。方法:患者(62 人)、家属(31 人)和转诊来源(34 人)完成了一项包含 13 个问题的调查,评估了统一标签系统和以患者为中心的替代语言系统 (PCL)。结果在使用 PCL 标签(54.8%)和 AACN 标签(32.2%)的知识问题上,患者的准确率明显高于家属(51.6% 和 35.5%)。在对标签进行排序时,医疗服务提供者和患者使用 PCL 标签的准确率高于使用 AACN 标签的准确率,但在家庭组中没有发现明显差异。一般来说,参与者使用 AACN 标签识别最高分/最低分时更为准确,而使用 PCL 术语识别相对较高分和较低分时更为准确。研究结果突出表明,有必要进一步考虑使用以患者为中心的语言来加深对神经心理学评分标签的理解。
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引用次数: 0
Identifying culturally insensitive tests, stimuli, and assessment practices in neuropsychology: A survey of professionals and trainees. 识别神经心理学中对文化不敏感的测试、刺激和评估方法:对专业人员和受训人员的调查。
Pub Date : 2024-09-18 DOI: 10.1080/13854046.2024.2405064
Christina G Wong,Sana F Arastu,Rowena Ng
OBJECTIVEIdentify culturally insensitive tests and assessment practices based on a survey of neuropsychologists and neuropsychology trainees.METHODA survey was distributed to neuropsychology and psychology listservs asking for respondents to report tests, stimuli, and/or assessment practices perceived as being culturally insensitive and for which populations. A total of 100 participants provided responses, which were coded by three raters to identify commonly reported themes. Frequencies of themes (i.e. different issues related to culturally insensitive tests and practices) and how often specific tests were reported as culturally insensitive were determined.RESULTSLack of exposure due to items being biased toward U.S./Westernized culture or being unfamiliar based on age cohort, regional differences, and language background was the most commonly reported theme (20.1%), followed by tests and stimuli that were considered to be triggering or culturally offensive (17.4%). Among responses that mentioned specific tests, the Boston Naming Test was most frequently reported (43.2%), followed by the Wechsler Adult Intelligence Scale - Verbal subtests (20.3%), and Story B from the Wechsler Memory Scale-IV Logical Memory subtest (10.1%).CONCLUSIONSBeyond the Boston Naming Test noose item, which was recently replaced, survey respondents identified several other culturally insensitive tests and assessment practices that may negatively impact an examinee's performance and their assessment experience. These results emphasize the need for more research to inform test revisions, updated normative data, and increased consideration for cultural differences to provide more equitable neuropsychological assessment services.
方法 我们在神经心理学和心理学邮件列表中分发了一份调查问卷,要求受访者报告被认为对文化不敏感的测试、刺激和/或评估方法,以及针对哪些人群。共有 100 位参与者提供了回复,并由三位评定者对回复进行编码,以确定常见的报告主题。结果由于测试项目偏向于美国/西方文化,或者由于年龄组、地区差异和语言背景而不熟悉,导致缺乏接触是最常见的报告主题(20.1%),其次是被认为具有触发性或文化攻击性的测试和刺激(17.4%)。在提到具体测验的回答中,波士顿命名测验是最常被提及的(43.2%),其次是韦氏成人智力量表--言语分测验(20.3%)和韦氏记忆量表-IV逻辑记忆分测验中的故事 B(10.1%)。结论除了波士顿命名测验的绳套项目(最近已被替换)外,调查对象还指出了其他一些对文化不敏感的测验和评估方法,它们可能会对受测者的表现和评估体验产生负面影响。这些结果表明,有必要开展更多的研究,为测验的修订、常模数据的更新以及对文化差异的更多考虑提供依据,从而提供更加公平的神经心理评估服务。
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引用次数: 0
Neighborhood resources are associated with neuropsychological outcomes among pediatric brain tumor survivors 邻里资源与小儿脑肿瘤幸存者的神经心理学结果有关
Pub Date : 2024-09-12 DOI: 10.1080/13854046.2024.2399843
Rachel K. Peterson, Jeong Ha (Steph) Choi, Lisa A. Jacobson, Sahaja Acharya, Tricia Z. King
Background: Cancer-related cognitive impairment in survivors of pediatric brain tumors is a public health concern, yet studies seldom explore the role of social determinants of health beyond treatm...
背景:小儿脑肿瘤幸存者中与癌症相关的认知障碍是一个公共卫生问题,但研究很少探讨健康的社会决定因素在治疗之外的作用。
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引用次数: 0
The impact of MIND diet consumption and physical activity on cognitive functioning in healthy aging older adults 摄入 MIND 膳食和体育锻炼对健康老年人认知功能的影响
Pub Date : 2024-09-11 DOI: 10.1080/13854046.2024.2399866
Matthew Hollander, Namasvi Jariwala, Lizeth Sotelo, Jamie Kiefer, Rowena Gomez
Objective: Modifiable lifestyle factors evidence great promise in reducing cognitive decline in older adults. Greater consumption to the MIND diet (Morris et al.) and increased daily physical activ...
目的:可改变的生活方式因素在减少老年人认知能力下降方面大有可为。增加 MIND 饮食(Morris 等人)的摄入量和增加日常体育锻炼可以减少认知能力下降。
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引用次数: 0
Visual tests, touch responses: Computer-based neuropsychological tools 视觉测试、触觉反应基于计算机的神经心理学工具
Pub Date : 2024-09-10 DOI: 10.1080/13854046.2024.2399865
Alexander B. Chervinsky, William B. Barr, Scott R. Millis, Boris Veksler, Miaomiao Yu, Olivia R. Christiano
Objective: Investigate three new computer tests of visual abilities relative to traditional paper-and-pencil (P&P) tests on groups with and without cerebral neurological impairment (CNI, Non-CNI) b...
目的在脑神经损伤(CNI、Non-CNI)和非脑神经损伤(CNI、Non-CNI)群体中,研究三种新型计算机视觉能力测试与传统纸笔(P&P)测试的比较。
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引用次数: 0
Base rates of healthy community-dwelling adults meeting criteria for traumatic encephalopathy syndrome and levels of chronic traumatic encephalopathy certainty 符合外伤性脑病综合征标准的健康社区居民成人的基本比率和慢性外伤性脑病确定性水平
Pub Date : 2024-09-10 DOI: 10.1080/13854046.2024.2399797
Justin E. Karr, Eric O. Ingram
Objective: The National Institute of Neurological Disorders and Stroke (NINDS) recently revised criteria for Traumatic Encephalopathy Syndrome (TES) (Katz et al.), aiming to improve the specificity...
目的:美国国立神经疾病与中风研究所(NINDS)最近修订了创伤性脑病综合征(TES)的标准(Katz等人),旨在提高创伤性脑病综合征的特异性。
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引用次数: 0
Eat Without Fear: Harnessing Science to Confront and Overcome Your Eating Disorder. 无所畏惧地进食:利用科学面对并克服进食障碍》(Eat Without Fear: Harnessing Science to Confront and Overcome Your Eating Disorder)。
Pub Date : 2024-06-03 DOI: 10.1080/13854046.2024.2361629
Esther Yoder Strahan
Published in The Clinical Neuropsychologist (Ahead of Print, 2024)
发表于《临床神经心理学家》(2024 年提前出版)
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引用次数: 0
Neuropsychological assessment, intervention, and best practices for women with non-Central nervous system cancer: A scoping review of current standards 非中枢神经系统癌症女性患者的神经心理评估、干预和最佳实践:对现行标准的范围审查
Pub Date : 2024-04-20 DOI: 10.1080/13854046.2024.2343147
Hannah B. VanLandingham, Rachael L. Ellison, Nataliya Turchmanovych-Hienkel, Demy Alfonso, Alison Oh, Erin T. Kaseda, Karen Basurto, Phoebe K.Y. Tse, Humza Khan
Objective: Existing literature has sought to characterize the broad cognitive impact of non-central nervous system cancer and its treatment, including chemotherapy, radiation, surgery, and hormonal...
目的:现有文献试图描述非中枢神经系统癌症及其治疗(包括化疗、放疗、手术和激素治疗)对认知的广泛影响。
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引用次数: 0
Barriers to board certification in clinical neuropsychology identified by surveyed trainees and professionals 接受调查的学员和专业人员指出的获得临床神经心理学委员会认证的障碍
Pub Date : 2024-04-19 DOI: 10.1080/13854046.2024.2343458
Leah D. Talbert, Anny Reyes, Ilex Beltran-Najera, Jennifer Peraza, Octavio A. Santos
Objective: Board certification (BC) in clinical neuropsychology via the American Board of Clinical Neuropsychology (ABCN) is a rigorous process demonstrating clinical competence to practice. While ...
目的:通过美国临床神经心理学委员会(American Board of Clinical Neuropsychology,ABCN)获得临床神经心理学委员会认证(BC)是一个证明临床实践能力的严格过程。虽然 ...
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引用次数: 0
Psychometric properties of the Arabic version of the everyday memory questionnaire - revised (EMQ-R) among the Lebanese population 阿拉伯语版日常记忆问卷--修订版(EMQ-R)在黎巴嫩人口中的心理计量特性
Pub Date : 2024-04-18 DOI: 10.1080/13854046.2024.2343146
Aya Taleb, Ali Ismail, Linda Abou-Abbas
Objective: This study aimed to evaluate the psychometric properties of the Arabic version of the Everyday Memory Questionnaire- Revised (EMQ-R-A) in a sample of Lebanese adults. Methods: A cross-se...
研究目的本研究旨在评估阿拉伯语版《日常记忆问卷-修订版》(EMQ-R-A)在黎巴嫩成年人样本中的心理测量特性。研究方法对黎巴嫩成年人样本进行跨...
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引用次数: 0
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The Clinical Neuropsychologist
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