Cognitive Performance in Adults’ Daily Lives: Is There a Lab-Life Gap?

Bielak, Allison A. M.; Hatt, Cassandra R.; Diehl, Manfred

doi:10.1080/15427609.2017.1340050

Cited by 17 publications

(10 citation statements)

References 50 publications

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“…The d-NPA contained twelve digital tests which were administered in a fixed order [ 16 ]. Attention, memory and executive functioning are generally accepted to be the most basic cognitive functions required to complete tasks and solve everyday problems [ 6 , 15 ]. As a proof of principle, we started with three tests to cover those basic functions (i.e., RAVLT, TMT, Stroop).…”

Section: Methodsmentioning

confidence: 99%

“…Performances on these tests are usually scored by examining a final score, such as the total duration, number of correct responses, or a final drawing [ 5 ]. A well-known issue in neuropsychological assessment is the discrepancy between “normal” final scores and the difficulties patients encounter in daily life [ 6 , 7 ]. An important turning point in neuropsychological assessment was the development of what is now referred to as the "Boston Process Approach" [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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The journey is just as important as the destination—Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury

et al. 2021

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Background Cognitive performances on neuropsychological paper-and-pencil tests are generally evaluated quantitatively by examining a final score (e.g., total duration). Digital tests allow for a quantitative evaluation of “how” a patient attained a final score, which opens the possibility to assess more subtle cognitive impairment even when final scores are evaluated as normal. We assessed performance stability (i.e., the number of fluctuations in test performance) to investigate (1) differences in performance stability between patients with acquired brain injury (ABI) and healthy controls; (2) the added value of performance stability measures in patients with ABI; and (3) the relation between performance stability and cognitive complaints in daily life in patients with ABI. Methods We administered three digital neuropsychological tests (Rey Auditory Verbal Learning Test, Trail Making Test, Stroop Colour and Word Test) and the Cognitive Complaints—Participation (CoCo-P) inventory in patients with ABI (n = 161) and healthy controls (n = 91). Results Patients with ABI fluctuated more in their performance on all tests, when compared to healthy controls. Furthermore, 4–15% of patients who performed inside normal range on the conventional final scores were outside normal range on the performance stability measures. The performance stability measures, nor the conventional final scores, were associated with cognitive complaints in daily life. Conclusions Stability in test performance of patients was clearly dissociable from healthy controls, and may assess additional cognitive weaknesses which might not be observed or objectified with paper-and-pencil tests. More research is needed for developing measures better associated with cognitive complaints.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The journey is just as important as the destination—Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury

et al. 2021

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“…Next, we arranged two meetings with cognitive neuroscientists. Attention, memory and reasoning abilities (i.e., problem solving ability that requires both memory and executive functioning; Spielberger, 2004) are the basic functions required to complete tasks and solve everyday problems (Bielak et al, 2017). We established on three cognitive models presenting memory (Squire, 1992(Squire, , 2004, attention (Petersen & Posner, 1990Posner & Rothbart, 2007) and executive function (Ylvisaker, Szekeres, & Feeney, 1998) to use as theoretical framework for the selection of the items.…”

Section: Expert Panel and Revisionmentioning

confidence: 99%

CoCo - participation: The development and clinical use of a novel inventory measuring cognitive complaints in daily life

Spreij

Sluiter

Gosselt

et al. 2019

Neuropsychological Rehabilitation

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Cognitive difficulties can be subtle and only come to light when patients return home from inpatient care and start to participate in society. Subjective cognitive complaints often interfere with participation, hence capturing cognitive complaints systematically is important. We developed a patient-and relative-reported measure to assess cognitive complaints during daily life activities across the memory, attention and executive domain for patients with acquired brain injury (ABI). The inventory Cognitive Complaints -Participation (CoCo-P) was created based on a literature review, consultations with experts, semi-structured interviews with patients, and a quantitative study. The inventory was administered to patients with ABI (n = 46), their relatives (n = 33) and healthy controls (n = 102) to finalize the inventory. We examined the reported complaints per daily life activity and cognitive domain of patients and healthy controls, and we compared the patients' and relatives' reports. The majority of patients (87-96%) experienced cognitive complaints, mostly related to attention, at work/education, during leisure activities, and in contact with family/friends and community. Patients reported more cognitive complaints than relatives. The CoCo-P seems appropriate to capture cognitive complaints in daily life in patients with mild ABI. Additional research is needed in terms of reliability and validity. ARTICLE HISTORY

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“…Studies have shown that traditional neurocognitive tests in laboratory settings, due to relatively low ecological validity (e.g., low familiarity), may underestimate the cognitive capacities of older adults. Older adults often display deficits in laboratory-based neurocognitive tests but relatively well-preserved cognitive competence in everyday life situations [ 22 , 23 ]. The HK-GSDT shows promise to mitigate such bias due to its high ecological validity—It captures everyday cognitive competence by modeling a common instrumental activity of daily living, namely shopping, that is familiar to almost everyone, and thus the participants’ performance should be minimally affected due to such unfamiliarity.…”

Section: Introductionmentioning

confidence: 99%

“…The HK-GSDT shows promise to mitigate such bias due to its high ecological validity—It captures everyday cognitive competence by modeling a common instrumental activity of daily living, namely shopping, that is familiar to almost everyone, and thus the participants’ performance should be minimally affected due to such unfamiliarity. Tests based on instrumental activities of daily living, such as Communication Activities of Daily Living (CADL) [ 24 ], have been frequently used to measure cognitive functions in older adult, and such tests often perform better than laboratory tests [ 22 , 23 ]. The HK-GSDT also requires no knowledge acquired via formal education and thus should have low educational bias.…”

Section: Introductionmentioning

confidence: 99%

The Hong Kong Grocery Shopping Dialog Task (HK-GSDT): A Quick Screening Test for Neurocognitive Disorders

Gong

Wong

Fung

et al. 2022

IJERPH

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The Hong Kong Grocery Shopping Dialog Task (HK-GSDT) is a short and easy-to-administer cognitive test developed for quickly screening neurocognitive disorders (NCDs). In the test, participants are instructed to do a hypothetical instrumental activity of daily living task of purchasing ingredients for a dish from a grocery store and verbally describe the specific shopping procedures. The current study aimed to validate the test with a sample of 545 Hong Kong older adults (58.8% female; aged 73.4 ± 8.37 years), including 464 adults with normal cognitive function, 39 with mild NCD, and 42 with major NCD. Demographic characteristics (i.e., sex, age, education) and clinical diagnosis of cognitive states (i.e., major NCD, mild NCD, and normal aging) were collected. Cognitive functioning was measured using the HK-GSDT and several standardized NCD-screening tests. The results showed good reliability (i.e., internal consistency) and structural validity in the HK-GSDT. It discriminated among different cognitive conditions, particularly between major NCDs and the other conditions, as effectively as did the existing standardized neurocognitive tests (e.g., Montreal Cognitive Assessment, Hong Kong List Learning Test). Moreover, the HK-GSDT explained additional variance of cognitive condition on top of those standardized neurocognitive tests. These results indicate that the HK-GSDT can be used alone, or in combination with other tests, to screen for NCDs.

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Cognitive Performance in Adults’ Daily Lives: Is There a Lab-Life Gap?

Cited by 17 publications

References 50 publications

The journey is just as important as the destination—Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury

The journey is just as important as the destination—Digital neuropsychological assessment provides performance stability measures in patients with acquired brain injury

CoCo - participation: The development and clinical use of a novel inventory measuring cognitive complaints in daily life

The Hong Kong Grocery Shopping Dialog Task (HK-GSDT): A Quick Screening Test for Neurocognitive Disorders

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