Document detail
ID

oai:pubmedcentral.nih.gov:1080...

Topic
Original Empirical Article
Author
Brown, Katelyn D Schmitter-Edgecombe, Maureen
Langue
en
Editor

Oxford University Press

Category

Archives of Clinical Neuropsychology

Year

2023

listing date

10/11/2024

Keywords
performance trip measures predicting demonstrated real-world clinic-based overnight everyday measure clinic rw-ott
Metrics

Abstract

OBJECTIVE: Traditional measures of cognitive abilities most used by neuropsychologists are generally low in ecological validity and only capture a small proportion of the variance of a person’s true functional capacity.

This study evaluates the association between clinic-based performance and parallel real-world completion of an everyday planning test, the Overnight Trip Task (OTT).

METHOD: A cross-sectional cohort of 65 community-dwelling older adults completed a battery of cognitive assessments and two formats of the OTT: the paper-and-pencil clinic OTT, which was completed remotely through video conferencing (Zoom), and the parallel real-world OTT (RW-OTT), which was completed at home between sessions.

Both formats required participants to plan for what they would pack and prepare for a hypothetical overnight trip based on a provided story that included rules and embedded contingencies.

RESULTS: The clinic OTT demonstrated a small-to-moderate relationship with the RW-OTT (r = 0.35) and no relationship with measures of learning, long delay recall, an executive function composite, and a measure of everyday planning.

Hierarchical regressions indicated that the clinic OTT demonstrated incremental validity above an executive function composite measure and global cognition when predicting self-reported everyday functioning and RW-OTT performance.

CONCLUSIONS: The clinic OTT showed only modest association with the RW-OTT and discriminate but not convergent validity was demonstrated.

The clinic OTT showed incremental validity when predicting self-reported everyday functioning and RW-OTT performance above more traditional measures.

Before the clinic OTT could be considered a reliable and valid clinic-based measure for predicting real-world behavior, additional research would be needed.

Brown, Katelyn D,Schmitter-Edgecombe, Maureen, 2023, A Clinic-Based Measure of Everyday Planning Ability: The Overnight Trip Task, Oxford University Press

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