Development of a checklist for cognitive assessment requirements (CARE) based on a Delphi consensus study

Situational factors can influence cognitive performance and should be considered for conducting cognitive assessments. The objective of this project was to develop a checklist for Cognitive Assessment Requirements (CARE) to identify these situational factors before conducting cognitive assessments a...

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Vydáno v:Scientific reports Ročník 15; číslo 1; s. 3146 - 11
Hlavní autoři: Nejati, Vahid, Estaji, Reza, Balanzá-Martínez, Vicent, Balota, David A, Barker-Collo, Suzanne, Bell, Morris, Berry, Jacquelyn H, Borhani, Khatereh, Cullum, Munro, Feinstein, Anthony, Golden, Charles J, Gonzalez, Raul, Grafman, Jordan Henry, Hollon, Steven D, Jansen, Petra, Kochan, Nicole A, Van Patten, Ryan, Piguet, Olivier, Raskin, Sarah A, Rourke, Sean B., Scholey, Andrew, Stern, Yaakov, Woods, Steven Paul, Posner, Michael I.
Médium: Journal Article
Jazyk:angličtina
Vydáno: London Nature Publishing Group UK 24.01.2025
Nature Publishing Group
Nature Portfolio
Témata:
631/378
631/477
Adult
Brain research
Check lists
Checklist
Cognition - physiology
Cognitive ability
Cognitive assessment
Consensus
Delphi consensus
Delphi Technique
Environmental factors
Female
Human performance
Humanities and Social Sciences
Humans
Influence
Male
Medicine
multidisciplinary
Neuropsychological assessment
Perceptions
Psychiatry
Psychology
Questionnaires
Reproducibility of Results
Science
Science (multidisciplinary)
Situational factors
Substance use
Situational factors
Delphi consensus
Neuropsychological assessment
Cognitive assessment
ISSN:2045-2322, 2045-2322
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Shrnutí:Situational factors can influence cognitive performance and should be considered for conducting cognitive assessments. The objective of this project was to develop a checklist for Cognitive Assessment Requirements (CARE) to identify these situational factors before conducting cognitive assessments and account for them. This study employed a four-round Delphi approach involving 22 experts to identify situational factors that can impact cognitive assessment results. The development of a robust and well-balanced checklist was guided by a consensus-driven approach, which considered metrics such as Interquartile Deviation (IQD) (> 1.00), Percentage of Positive Responses (PPR, above 60%), and mean importance ratings (< 3 on a 5-point Likert scale) to assess both degree of agreement and item importance. Consensus was reached, leading to a 14-item checklist to evaluate cognitive assessment requirements. These items were categorized into six groups: Acute Illness or Physical Discomfort, Medication Effects and Substance Use, Sleep Quality and Fatigue, Emotional State, Language factors, and Environmental factors. The CARE can be employed prior to cognitive assessments to identify situational factors of relevance to the individual client, thereby creating a more favorable environment for cognitive evaluation, and enhancing the reliability of the assessment findings. Furthermore, the CARE can help determine the level of confidence in the results by assessing whether the conditions are conducive to testing or if situational factors may undermine the validity of the evaluation.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-025-87380-2