Toward Return to Duty Decision-Making After Military Mild Traumatic Brain Injury: Preliminary Validation of the Charge of Quarters Duty Test

Radomski, Mary Vining; Davidson, Leslie; Smith, Lloyd S.; Finkelstein, Marsha; Cecchini, Amy; Heaton, Kristin J.; McCulloch, Karen; Scherer, Matthew R.; Weightman, Margaret M.

doi:10.1093/milmed/usx045

Cited by 11 publications

(10 citation statements)

References 36 publications

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“…Preliminary validation results of the FDDT are similar to that of CQDT (Radomski et al, 2018;Weightman et al, 2017) and Complex Task Performance Assessment (CTPA), two other multitasking tests that use the structure and theoretical framework of MET (Shallice & Burgess, 1991). As with the CQDT and CTPA, results show that the FDDT can be scored reliably.…”

Section: Discussionmentioning

confidence: 59%

“…As with the CQDT and CTPA, results show that the FDDT can be scored reliably. In addition, like the CQDT (mild traumatic brain injury, Radomski et al, 2018) and CTPA (mild stroke, Wolf et al, 2017), some of the FDDT subscores distinguished between groups of community controls and people with acquired brain injury. Also, like these other multitasking tests (Radomski et al, 2018;Wolf et al, 2017), the FDDT subscores had statistically significant and weak to moderate correlation with neurocognitive measures of executive functions.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, like the CQDT (mild traumatic brain injury, Radomski et al, 2018) and CTPA (mild stroke, Wolf et al, 2017), some of the FDDT subscores distinguished between groups of community controls and people with acquired brain injury. Also, like these other multitasking tests (Radomski et al, 2018;Wolf et al, 2017), the FDDT subscores had statistically significant and weak to moderate correlation with neurocognitive measures of executive functions. Weak correlations between multitasking subscores and neurocognitive measures are expected given that multitasking assessments simultaneously place demands on a wide array of sensorimotor and cognitive systems (Radomski et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The CQDT has been found to have acceptable levels of inter-rater reliability with interclass correlation coefficients for subscores ranging from 0.88 to 0.998 (Weightman et al, 2017). Scores on the CQDT were significantly different for groups of community controls and soldiers with mild traumatic brain injury on task accuracy and number of times that participants visited work areas to complete test tasks (Radomski et al, 2018).…”

Section: Introductionmentioning

confidence: 95%

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Front Desk Duty Multitasking Test After Mild Stroke: Preliminary Reliability and Validity

Carroll¹,

Radomski²,

Halsten³

et al. 2020

Can J Occup Ther

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Background. Performance-based multitasking assessments may be more sensitive than cognitive screens to detect executive dysfunction after a mild stroke. Purpose. This cross-sectional study examined inter-rater reliability and preliminary convergent and discriminant validity of the Front Desk Duty Test (FDDT). Method. Adults with mild stroke ( n = 35) and community controls ( n = 33) were administered the FDDT and other measures of executive functions. Findings. Inter-rater reliability of the FDDT subscores were high (ICC 0.971–0.999). There were weak but statistically significant correlations between participants’ scores on some of the executive function tests and some FDDT subscores. Participants with mild stroke and community controls had statistically significant different FDDT scores (performance accuracy p = .006; performance time, p = .033), with rank order FDDT score patterns across community controls, participants with mild stroke who passed the executive function screen, and participants with mild stroke who failed the executive function screen. Implications. Preliminary validation results suggest that the FDDT warrants further study.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

See 2 more Smart Citations

Front Desk Duty Multitasking Test After Mild Stroke: Preliminary Reliability and Validity

Carroll¹,

Radomski²,

Halsten³

et al. 2020

Can J Occup Ther

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show abstract

“…Military personnel, in particular, face hazards with high risks of TBI (combat injuries, blasts, operational training, and accidents). As highly active individuals, they may have prior exposures to TBI (ie, sports) before service increasing risks from re‐injury and, as veterans, they suffer a range of long‐term issues (functional impairments and disabilities) and risks as a result of earlier head injury intensifying the reaction to later head injuries suffered in aging . Of the 17,672 TBIs reported by the Department of Defense in 2016, 85.9% were classified as mild .…”

Section: Introductionmentioning

confidence: 99%

(−)‐Phenserine tartrate (PhenT) as a treatment for traumatic brain injury

et al. 2019

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Aim: Traumatic brain injury (TBI) is one of the most common causes of morbidity and mortality of both young adults and the elderly, and is a key contributing factor in about 30% of all injury-associated deaths occurring within the United States of America. Albeit substantial impact has been made to improve our comprehension of the mechanisms that underpin the primary and secondary injury stages initiated by a TBI incident, this knowledge has yet to successfully translate into the development of an effective TBI pharmacological treatment. Developing consent suggests that a TBI can concomitantly trigger multiple TBI-linked cascades that then progress in parallel and, if correct, the multifactorial nature of TBI would make the discovery of a single effective mechanism-targeted drug unlikely. Discussion:We review recent data indicating that the small molecular weight drug (−)-phenserine tartrate (PhenT), originally developed for Alzheimer's disease (AD), effectively inhibits a broad range of mechanisms pertinent to mild (m) and moderate (mod)TBI, which in combination underpin the ensuing cognitive and motor impairments. In cellular and animal models at clinically translatable doses, PhenT mitigated mTBI-and modTBI-induced programmed neuronal cell death (PNCD), oxidative stress, glutamate excitotoxicity, neuroinflammation, and effectively reversed injury-induced gene pathways leading to chronic neurodegeneration. In addition to proving efficacious in well-characterized animal TBI models, significantly mitigating cognitive and motor impairments, the drug also has demonstrated neuroprotective actions against ischemic stroke and the organophosphorus nerve agent and chemical weapon, soman. Conclusion:In the light of its tolerability in AD clinical trials, PhenT is an agent that can be fast-tracked for evaluation in not only civilian TBI, but also as a potentially protective agent in battlefield conditions where TBI and chemical weapon exposure are increasingly jointly occurring.

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Conceptualization of the term “ecological validity” in neuropsychological research on executive function assessment: a systematic review and call to action

Suchy,

DesRuisseaux,

Gereau Mora

et al. 2024

J Int Neuropsychol Soc

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Objective: “Ecological validity” (EV) is classically defined as test’s ability to predict real-world functioning, either alone or together with test’s similarity to real-world tasks. In neuropsychological literature on assessment of executive functions (EF), EV is conceptualized inconsistently, leading to misconceptions about the utility of tests. The goal of this systematic review was to examine how EV is conceptualized in studies of EF tests described as ecologically valid. Method: MEDLINE and PsychINFO Databases were searched. PRISMA guidelines were observed. After applying inclusion and exclusion criteria, this search yielded 90 articles. Deductive content analysis was employed to determine how the term EV was used. Results: About 1/3 of the studies conceptualized EV as the test’s ability to predict functional outcomes, 1/3 as both the ability to predict functional outcome and similarity to real-world tasks, and 1/3 were either unclear about the meaning of the term or relied on notions unrelated to classical definitions (e.g., similarity to real-world tasks alone, association with other tests, or the ability to discriminate between populations). Conclusions: Conceptualizations of the term EV in literature on EF assessment vary grossly, subsuming the notions of criterion, construct, and face validity, as well as sensitivity/specificity. Such inconsistency makes it difficult to interpret clinical utility of tests that are described as ecologically valid. We call on the field to require that, at minimum, the term EV be clearly defined in all publications, or replaced with more concrete terminology (e.g., criterion validity).

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Toward Return to Duty Decision-Making After Military Mild Traumatic Brain Injury: Preliminary Validation of the Charge of Quarters Duty Test

Abstract: The CQDT demonstrated initial evidence of discriminant validity. Further study is warranted to more formally evaluate convergent/divergent validity and ultimately how and whether this performance-based multitasking measure can inform readiness to return to duty after mTBI.

Cited by 11 publications

References 36 publications

Front Desk Duty Multitasking Test After Mild Stroke: Preliminary Reliability and Validity

Front Desk Duty Multitasking Test After Mild Stroke: Preliminary Reliability and Validity

(−)‐Phenserine tartrate (PhenT) as a treatment for traumatic brain injury

Conceptualization of the term “ecological validity” in neuropsychological research on executive function assessment: a systematic review and call to action

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