A review of performance and symptom validity testing with pediatric populations

Kirk, John W.; Baker, David A.; Kirk, Jennifer J; MacAllister, William S.

doi:10.1080/21622965.2020.1750118

Cited by 12 publications

(4 citation statements)

References 83 publications

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“…youths seen for persistent problems after concussion and for Social Security Disability determination evaluations); (6) a number of embedded and stand-alone PVTs are now well-validated for use in schoolaged children (cf. Clark et al, 2020;Colbert et al, 2021;Kirk et al, 2020;Kirkwood, 2015b); and (7) despite the fact that well-established PVTs are insensitive to all but the most severe ability-based deficits, PVT failure in children, similar to what has been found in adult populations, accounts for substantial amounts of variance on performance-based tests.…”

Section: Additional New Consensus Considerations For Pediatric Practicementioning

confidence: 99%

“…Validity assessment of self-reported functional impairment, which can be feigned, would also be valuable (Bryant et al, 2018;. Additional development and validation of SVTs for use with pediatric populations is clearly needed and strongly encouraged (Kirk et al, 2020). Ongoing validation and development of new measures that identify invalid collateral report is needed.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

See 1 more Smart Citation

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

Sweet

Heilbronner²,

Morgan³

et al. 2021

The Clinical Neuropsychologist

279

129

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Objective: Citation and download data pertaining to the 2009 AACN consensus statement on validity assessment indicated that the topic maintained high interest in subsequent years, during which key terminology evolved and relevant empirical research proliferated. With a general goal of providing current guidance to the clinical neuropsychology community regarding this important topic, the specific update goals were to: identify current key definitions of terms relevant to validity assessment; learn what experts believe should be reaffirmed from the original consensus paper, as well as new consensus points; and incorporate the latest recommendations regarding the use of validity testing, as well as current application of the term 'malingering.' Methods: In the spring of 2019, four of the original 2009 work group chairs and additional experts for each work group were impaneled. A total of 20 individuals shared ideas and writing drafts until reaching consensus on January 21, 2021. Results: Consensus was reached regarding affirmation of prior salient points that continue to garner clinical and scientific support, as well as creation of new points. The resulting consensus statement addresses definitions and differential diagnosis, performance and symptom validity assessment, and research design and statistical issues. Conclusions/Importance: In order to provide bases for diagnoses and interpretations, the current consensus is that all clinical and forensic evaluations must proactively address the degree to which results of neuropsychological and psychological testing are valid.

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Section: Additional New Consensus Considerations For Pediatric Practicementioning

confidence: 99%

Section: Recommendations For Future Researchmentioning

confidence: 99%

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

Sweet

Heilbronner²,

Morgan³

et al. 2021

The Clinical Neuropsychologist

279

129

View full text Add to dashboard Cite

show abstract

“…However, this research methodology does not best reflect how TeleNP would be used in clinical practice and may circumvent potential ethical challenges. Given that the majority of pediatric neuropsychologists do not embed free-standing PVT or SVT (Kirk et al, 2020 ) during in-person evaluations, it is perhaps unsurprising that they were utilized in only one of the TeleNP studies included in this review—the results of which were not reported (Ransom et al, 2020 ). Therefore, the failure or base rates of PVTs, which can be as high as 19% for in-person administrations, are unknown for pediatric TeleNP and must be incorporated in future research to inform formulation, interpretation, and recommendations (Kirk et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Tele-neuropsychological Assessment of Children and Young People: A Systematic Review

Walker

Kirkham

Stotesbury

et al. 2023

J Pediatr Neuropsychol

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The coronavirus pandemic identified a clinical need for pediatric tele-neuropsychology (TeleNP) assessment. However, due to limited research, clinicians have had little information to develop, adapt, or select reliable pediatric assessments for TeleNP. This preliminary systematic review aimed to examine the feasibility of pediatric TeleNP assessment alongside (1) patient/family acceptability, (2) reliability, and (3) the quality of the literature. Between May 2021 and November 2022, manual searches of PubMed, PsycINFO, and Google Scholar were conducted using terms related to “pediatric” and “tele-neuropsychology.” After extracting relevant papers with samples aged 0–22 years, predefined exclusion criteria were applied. Quality assessment was completed using the AXIS appraisal tool (91% rater-agreement). Twenty-one studies were included in the review, with reported qualitative and quantitative data on the feasibility, reliability, and acceptability extracted. Across included studies, TeleNP was completed via telephone/video conference with participants either at home, in a local setting accompanied by an assistant, or in a different room but in the same building as the assessor. Pediatric TeleNP was generally reported to be feasible (e.g., minimal behavioral differences) and acceptable (e.g., positive feedback). Nineteen studies conducted some statistical analyses to assess reliability. Most observed no significant difference between in-person and TeleNP for most cognitive domains (i.e., IQ), with a minority finding variable reliability for some tests (e.g., attention, speech, visuo-spatial). Limited reporting of sex-assigned birth, racialized identity, and ethnicity reduced the quality and generalizability of the literature. To aid clinical interpretations, studies should assess underexamined cognitive domains (e.g., processing speed) with larger, more inclusive samples.

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“…These complaints have been found to be more strongly related to mood and anxiety disorders or other sources of psychological distress [3] , [18] , [19] , [20] . Symptom validity testing, the use of measures to evaluate the validity and response biases in relation to symptom reporting [21] , [22] was not used in the assessment of this girl, but may have been useful, particularly if an assessment had been conducted in the early post-operative phase when she was complaining of memory impairment.…”

Section: Discussionmentioning

confidence: 99%

“Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent

Smith

2022

Epilepsy & Behavior Reports

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A review of performance and symptom validity testing with pediatric populations

Cited by 12 publications

References 83 publications

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

Tele-neuropsychological Assessment of Children and Young People: A Systematic Review

“Is this normal after such a major surgery?” Memory complaint after right temporal lobe excision in an adolescent

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