@article{ref1,
title="Performance validity testing via telehealth and failure rate in veterans with moderate-to-severe traumatic brain injury: A Veterans Affairs TBI Model Systems Study",
journal="NeuroRehabilitation",
year="2021",
author="Kanser, Robert and O'Rourke, Justin and Silva, Marc A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The COVID-19 pandemic has led to increased utilization of teleneuropsychology (TeleNP) services. Unfortunately, investigations of performance validity tests (PVT) delivered via TeleNP are sparse. <br><br>OBJECTIVE: The purpose of this study was to examine the specificity of the Reliable Digit Span (RDS) and 21-item test administered via telephoneMETHOD:Participants were 51 veterans with moderate-to-severe traumatic brain injury (TBI). All participants completed the RDS and 21-item test in the context of a larger TeleNP battery. Specificity rates were examined across multiple cutoffs for both PVTs. <br><br>RESULTS: Consistent with research employing traditional face-to-face neuropsychological evaluations, both PVTs maintained adequate specificity (i.e., >  90%) across previously established cutoffs. Specifically, defining performance invalidity as RDS <  7 or 21-item test forced choice total correct <  11 led to <  10%false positive classification errors. <br><br>CONCLUSIONS: Findings add to the limited body of research examining and provide preliminary support for the use of the RDS and 21-item test in TeleNP via telephone. Both measures maintained adequate specificity in veterans with moderate-to-severe TBI. Future investigations including clinical or experimental &quot;feigners&quot; in a counter-balanced cross-over design (i.e., face-to-face vs. TeleNP) are recommended.<p /> <p>Language: en</p>",
language="en",
issn="1053-8135",
doi="10.3233/NRE-218019",
url="http://dx.doi.org/10.3233/NRE-218019"
}