Evidence-Based Indicators of Neuropsychological Change in the Individual Patient: Relevant Concepts and Methods
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Repeated assessments are a relatively common occurrence in clinical neuropsychology. The current paper will review some of the relevant concepts (e.g., reliability, practice effects, alternate forms) and methods (e.g., reliable change index, standardized based regression) that are used in repeated neuropsychological evaluations. The focus will be on the understanding and application of these concepts and methods in the evaluation of the individual patient through examples. Finally, some future directions for assessing change will be described.
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A 90% confidence interval for reliable change was employed to identify significant cognitive change beyond measurement error and practice effects, consistent with prevailing RCI literature.
“To identify if a patient's cognitive score has significantly changed beyond measurement error and practice effects, a 90% confidence interval for reliable change was employed, consistent with prevailing RCI literature.”
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- Authors
- Duff, K.
- Affiliations
- University of Utah (US)
- Corresponding author
- Duff, K.
- ORCID
- Duff, K.
- Venue
- Archives of Clinical Neuropsychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-02-29
- Volume
- 27
- Issue
- 3
- Pages
- 248-261
- ISSN
- 0887-6177 (ISSN-L)
- 1873-5843
- PMC
- PMC3499091
- OpenAlex
- W2110090942
- Cited by
- 452
- References
- 4
- Citations by year
- 2026: 45 · 2025: 51 · 2024: 42 · 2023: 41 · 2022: 39 · 2021: 38 · 2020: 37 · 2019: 32 · 2018: 20 · 2017: 30 · 2016: 28 · 2015: 19 · 2014: 11 · 2013: 12 · 2012: 7
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Clinical Neuropsychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Academy of Neuropsychology
- National Institutes of Health
- National Institute on Aging (K23AG028417)
- Topics
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- neuropsychological changes, reliable change index, practice effects, alternate forms, test-retest reliability
- MeSH terms
- Age Factors, Mental Disorders, Humans, Neuropsychological Tests, Neuropsychology, Sex Factors, Time Factors, Reproducibility of Results, Outcome Assessment, Health Care, Evidence-Based Medicine
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