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Validation of the CogState battery for rapid neurocognitive assessment in Ugandan school age children

Identifieur interne : 000930 ( Pmc/Checkpoint ); précédent : 000929; suivant : 000931

Validation of the CogState battery for rapid neurocognitive assessment in Ugandan school age children

Auteurs : Paul Bangirana [Ouganda] ; Alla Sikorskii [États-Unis] ; Bruno Giordani [États-Unis] ; Noeline Nakasujja [Ouganda] ; Michael J. Boivin [États-Unis]

Source :

RBID : PMC:4536703

Abstract

Background

CogState is a widely used computer-based cognitive test whose validity has not been addressed in resource poor settings. We examined the construct, concurrent and convergent validity of CogState, test–retest reliability and the effect of sociodemographic variables on CogState outcomes in school age children.

Methods

Two hundred and thirty Ugandan children (54% male) with mean age 6.99 years (SD = 1.67, range 5–13 years) were assessed using CogState, the Kaufman Assessment Battery for Children, 2nd edition (KABC-II) and the Test of Variables of Attention (TOVA) at baseline and 8 weeks later. Correlations were run between CogState and the KABC-II and TOVA to evaluate its concurrent and convergent validity. Factor analysis was used to evaluate construct validity of CogState. Correlations between baseline and 8 weeks CogState scores were used to determine the test–retest reliability while general linear models were used to assess associations with sociodemographic factors.

Results

Significant correlations were observed between CogState’s One Card Learning, One Back Memory and Card Detection with the TOVA and between CogState’s Maze Chase and One Back Memory with KABC-II’s Simultaneous Processing. CogState had a three factor structure with Processing Speed, Processing Accuracy and Maze Chase and Maze Learning. CogState had low to moderate test–retest reliability in Ugandan children with correlations ranging from 0.32 to 0.57. Age, sex and education were associated with CogState outcomes.

Conclusions

CogState is a valid and reliable test battery for rapid computer-based neurocognitive assessment in Ugandan children and can thus be used in this cultural context.

Electronic supplementary material

The online version of this article (doi:10.1186/s13034-015-0063-6) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1186/s13034-015-0063-6
PubMed: 26279675
PubMed Central: 4536703


Affiliations:


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PMC:4536703

Le document en format XML

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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Child Adolesc Psychiatry Ment Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Child Adolesc Psychiatry Ment Health</journal-id>
<journal-title-group>
<journal-title>Child and Adolescent Psychiatry and Mental Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1753-2000</issn>
<publisher>
<publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26279675</article-id>
<article-id pub-id-type="pmc">4536703</article-id>
<article-id pub-id-type="publisher-id">63</article-id>
<article-id pub-id-type="doi">10.1186/s13034-015-0063-6</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Validation of the CogState battery for rapid neurocognitive assessment in Ugandan school age children</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bangirana</surname>
<given-names>Paul</given-names>
</name>
<address>
<email>pbangirana@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sikorskii</surname>
<given-names>Alla</given-names>
</name>
<address>
<email>sikorska@stt.msu.edu</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Giordani</surname>
<given-names>Bruno</given-names>
</name>
<address>
<email>giordani@med.umich.edu</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nakasujja</surname>
<given-names>Noeline</given-names>
</name>
<address>
<email>drnoeline@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Boivin</surname>
<given-names>Michael J</given-names>
</name>
<address>
<email>michael.boivin@hc.msu.edu</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
<xref ref-type="aff" rid="Aff4"></xref>
</contrib>
<aff id="Aff1">
<label></label>
Department of Psychiatry, Makerere University, Kampala, Uganda</aff>
<aff id="Aff2">
<label></label>
Department of Statistics and Probability, Michigan State University, East Lansing, MI USA</aff>
<aff id="Aff3">
<label></label>
Neuropsychology Section, Department of Psychiatry, University of Michigan, Ann Arbor, MI USA</aff>
<aff id="Aff4">
<label></label>
Departments of Psychiatry and of Neurology and Opthalmology, Michigan State University, East Lansing, MI USA</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>14</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>14</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection">
<year>2015</year>
</pub-date>
<volume>9</volume>
<elocation-id>38</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>2</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>6</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>© Bangirana et al. 2015</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<sec>
<title>Background</title>
<p>CogState is a widely used computer-based cognitive test whose validity has not been addressed in resource poor settings. We examined the construct, concurrent and convergent validity of CogState, test–retest reliability and the effect of sociodemographic variables on CogState outcomes in school age children.</p>
</sec>
<sec>
<title>Methods</title>
<p>Two hundred and thirty Ugandan children (54% male) with mean age 6.99 years (SD = 1.67, range 5–13 years) were assessed using CogState, the Kaufman Assessment Battery for Children, 2nd edition (KABC-II) and the Test of Variables of Attention (TOVA) at baseline and 8 weeks later. Correlations were run between CogState and the KABC-II and TOVA to evaluate its concurrent and convergent validity. Factor analysis was used to evaluate construct validity of CogState. Correlations between baseline and 8 weeks CogState scores were used to determine the test–retest reliability while general linear models were used to assess associations with sociodemographic factors.</p>
</sec>
<sec>
<title>Results</title>
<p>Significant correlations were observed between CogState’s One Card Learning, One Back Memory and Card Detection with the TOVA and between CogState’s Maze Chase and One Back Memory with KABC-II’s Simultaneous Processing. CogState had a three factor structure with Processing Speed, Processing Accuracy and Maze Chase and Maze Learning. CogState had low to moderate test–retest reliability in Ugandan children with correlations ranging from 0.32 to 0.57. Age, sex and education were associated with CogState outcomes.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>CogState is a valid and reliable test battery for rapid computer-based neurocognitive assessment in Ugandan children and can thus be used in this cultural context.</p>
</sec>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s13034-015-0063-6) contains supplementary material, which is available to authorized users.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Neuropsychological assessment</kwd>
<kwd>Validity</kwd>
<kwd>Reliability</kwd>
<kwd>African children</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Ouganda</li>
<li>États-Unis</li>
</country>
<region>
<li>Michigan</li>
</region>
</list>
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<name sortKey="Bangirana, Paul" sort="Bangirana, Paul" uniqKey="Bangirana P" first="Paul" last="Bangirana">Paul Bangirana</name>
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<name sortKey="Nakasujja, Noeline" sort="Nakasujja, Noeline" uniqKey="Nakasujja N" first="Noeline" last="Nakasujja">Noeline Nakasujja</name>
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<region name="Michigan">
<name sortKey="Sikorskii, Alla" sort="Sikorskii, Alla" uniqKey="Sikorskii A" first="Alla" last="Sikorskii">Alla Sikorskii</name>
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<name sortKey="Boivin, Michael J" sort="Boivin, Michael J" uniqKey="Boivin M" first="Michael J" last="Boivin">Michael J. Boivin</name>
<name sortKey="Giordani, Bruno" sort="Giordani, Bruno" uniqKey="Giordani B" first="Bruno" last="Giordani">Bruno Giordani</name>
</country>
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</affiliations>
</record>

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