Recent Advances in Neuropsychological Test Interpretation for Clinical Practice

Much attention in the field of clinical neuropsychology has focused on adapting to the modern healthcare environment by advancing telehealth and promoting technological innovation in assessment. Perhaps as important (but less discussed) are advances in the development and interpretation of normative...

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Bibliographic Details
Published in:Neuropsychology review 2024-06, Vol.34 (2), p.637-667
Main Authors: Kiselica, Andrew M., Karr, Justin E., Mikula, Cynthia M., Ranum, Rylea M., Benge, Jared F., Medina, Luis D., Woods, Steven Paul
Format: Article
Language:English
Subjects:
Biomedical and Life Sciences
Biomedicine
Decision making
Humans
Literature reviews
Neurology
Neuropsychological Tests
Neuropsychology
Neuropsychology - methods
Neurosciences
Reference Values
Review
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Summary:Much attention in the field of clinical neuropsychology has focused on adapting to the modern healthcare environment by advancing telehealth and promoting technological innovation in assessment. Perhaps as important (but less discussed) are advances in the development and interpretation of normative neuropsychological test data. These techniques can yield improvement in diagnostic decision-making and treatment planning with little additional cost. Brooks and colleagues (Can Psychol 50: 196–209, 2009 ) eloquently summarized best practices in normative data creation and interpretation, providing a practical overview of norm development, measurement error, the base rates of low scores, and methods for assessing change. Since the publication of this seminal work, there have been several important advances in research on development and interpretation of normative neuropsychological test data, which may be less familiar to the practicing clinician. Specifically, we provide a review of the literature on regression-based normed scores, item response theory, multivariate base rates, summary/factor scores, cognitive intraindividual variability, and measuring change over time. For each topic, we include (1) an overview of the method, (2) a rapid review of the recent literature, (3) a relevant case example, and (4) a discussion of limitations and controversies. Our goal was to provide a primer for use of normative neuropsychological test data in neuropsychological practice.
ISSN:1040-7308
1573-6660
1573-6660
DOI:10.1007/s11065-023-09596-1