Test–retest, retest, and retest: Growth curve models of repeat testing with Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT)

Arthur C. Maerlender, Caitlin J. Masterson, Tiffany D. James, Jonathan Beckwith, Per Gunner Brolinson, Joe Crisco, Stefan Duma, Laura A. Flashman, Rick Greenwald, Steven Rowson, Beth Wilcox, Tom W. McAllister

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Computerized neuropsychological testing has become an important tool in the identification and management of sports-related concussions; however, the psychometric effect of repeat testing has not been studied extensively beyond test–retest statistics. The current study analyzed data from Division I collegiate athletes who completed Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) baseline assessments at four sequential time points that varied over the course of their athletic careers. Administrations were part of a larger National Institutes of Health (NIH) study. Growth curve modeling showed that the two memory composite scores increased significantly with successive administrations: Change in Verbal Memory was best represented with a quadratic model, while a linear model best fit Visual Memory. Visual Motor Speed and Reaction Time composites showed no significant linear or quadratic growth. The results demonstrate the effect of repeated test administrations for memory composite scores, while speed composites were not significantly impacted by repeat testing. Acceptable test–retest reliability was demonstrated for all four composites as well.

Original languageEnglish (US)
Pages (from-to)869-874
Number of pages6
JournalJournal of Clinical and Experimental Neuropsychology
Volume38
Issue number8
DOIs
StatePublished - Sep 13 2016
Externally publishedYes

Keywords

  • Concussion
  • Growth curve modeling
  • Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT)
  • Neuropsychology
  • Test–retest reliability

ASJC Scopus subject areas

  • Clinical Psychology
  • Neurology
  • Clinical Neurology

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