A Novel Way of Measuring Dual-Task Interference: The Reliability and Construct Validity of the Dual-Task Effect Battery in Neurodegenerative Disease.

Background. Decreased automaticity is common among individuals with neurodegenerative disease and is often assessed using dual-task (DT) paradigms. However, the best methods for assessing performance changes related to DT demands remain inconclusive. Objective. To investigate the reliability and val...

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Publicado en:Neurorehabilitation & Neural Repair Vol. 36; no. 6; pp. 346 - 360
Autores principales: Longhurst, Jason K., Rider, John V., Cummings, Jeffrey L., John, Samantha E., Poston, Brach, Held Bradford, Elissa C., Landers, Merrill R.
Formato: equations & formulas research tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2022
      vid: 36
      iid: 6
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/15459683221088864
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        atl: A Novel Way of Measuring Dual-Task Interference: The Reliability and Construct Validity of the Dual-Task Effect Battery in Neurodegenerative Disease.
      aug:
        au:
          Longhurst, Jason K.
          Rider, John V.
          Cummings, Jeffrey L.
          John, Samantha E.
          Poston, Brach
          Held Bradford, Elissa C.
          Landers, Merrill R.
        affil: 15994 Saint Louis University, St. Louis, MO, USA
      sug:
        subj:
          Task Performance and Analysis
          Neurodegenerative Diseases
          Instrument Validation
          Psychometrics
          Human
          Male
          Female
          Middle Age
          Aged
          Octogenarians
          Retrospective Design
          Cross Sectional Studies
          Parkinson Disease
          Alzheimer's Disease
          Construct Validity
          Descriptive Statistics
          Coefficient alpha
          Questionnaires
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background. Decreased automaticity is common among individuals with neurodegenerative disease and is often assessed using dual-task (DT) paradigms. However, the best methods for assessing performance changes related to DT demands remain inconclusive. Objective. To investigate the reliability and validity of a novel battery of DT measures (DT Effect—Battery (DTE-B)) encompassing three domains: task-specific interference, task prioritization, and automaticity. Methods. Data for this retrospective cross-sectional study included 125 participants with Parkinson's disease (PD), 127 participants with Alzheimer's disease (AD), and 84 healthy older adults. Reliability analyses were conducted using a subset of each population. DTE-B measures were calculated from single and DT performance on the Timed Up and Go test and a serial subtraction task. Construct validity was evaluated via associations within the DTE-B and with theoretically supported measures as well as known-groups validity analyses. Results. Good to excellent reliability was found for DTE-B measures of task interference (motor and cognitive DT effects) (ICCs≥.658) and automaticity (combined DT effect (cDTE)) (ICCs≥.938). Evidence for convergent validity was found with associations within the hypothesized constructs. Known-groups validity analyses revealed differences in the DTE-B among the healthy group and PD and AD groups (p s≤.001), excepting task prioritization (p s≥.061). Conclusions. This study provides evidence to support the DTE-B as a reliable measure of multiple constructs pertinent to DT performance. The cDTE demonstrated evidence to support its validity as a measure of automaticity. Further investigation of the utility of the DTE-B in both PD and AD, as well as other populations, is warranted.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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