Validation of a Pediatric Cognitive Assessment Tool to Advance Knowledge on Children's Cognitive Development, Health Risk Factors, and Health-promoting Interventions in Sub-Saharan Regions.
BACKGROUND: Cognitive Assessment Tool for Pediatric Clinical Research (CAT-PCR) is a new brief nonverbal test battery validated in a Zambian school-aged population. CAT-PCR involves the standardized administration of two tests, WAVES and SYMBOLS. CAT-PCR provides measures of visuomotor processing (V...
| Publicado en: | Innovations in Clinical Neuroscience Vol. 22; no. 10-12; pp. 33 - 52 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
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Matrix Medical Communications, LLC
Oct-Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192207499&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192207499 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21588333 DAD5 jtl: Innovations in Clinical Neuroscience issn: 21588333 maglogo: N pubinfo: dt: Oct-Dec2025 vid: 22 iid: 10-12 pid: 33670 pub: Matrix Medical Communications, LLC place: West Chester, Pennsylvania artinfo: ui: 192207499 192207499 192207499 192207499 ppf: 33 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Validation of a Pediatric Cognitive Assessment Tool to Advance Knowledge on Children's Cognitive Development, Health Risk Factors, and Health-promoting Interventions in Sub-Saharan Regions. aug: au: Di Cesare, Franco Di Carlo, Cristiana Di Cesare, Leonardo affil: All authors are with Leoben Research Aurora in San Vincenzo Valle Roveto (AQ), Italy. sug: subj: Clinical Assessment Tools Evaluation Health Knowledge Evaluation Cognition Evaluation Child Development Evaluation Cognition Disorders Risk Factors Risk Assessment Health Promotion Zambia Research, Mental Health Instrument Validation Reliability and Validity Evaluation Instrument Construction Human Male Female Child Validation Studies Africa South of the Sahara Psychometrics Visual Perception Test-Retest Reliability Health Status Mental Health Stress, Psychological Intraclass Correlation Coefficient Purposive Sample Socioeconomic Factors Culture Linguistics Memory Evaluation Predictive Validity Sensitivity and Specificity Sex Factors Factor Analysis Internal Consistency Confidence Intervals Age Factors Child, Preschool Zambia Funding Source Cross Sectional Studies Adolescence Task Performance and Analysis Communication Skills Reproducibility of Results Structured Interview Questionnaires Descriptive Statistics Data Analysis Software Construct Validity Logistic Regression Chi Square Test Nonparametric Statistics Parametric Statistics One-Way Analysis of Variance Two-Way Analysis of Variance Post Hoc Analysis Child: 6-12 years Child, Preschool: 2-5 years Adolescent: 13-18 years Male Female ab: BACKGROUND: Cognitive Assessment Tool for Pediatric Clinical Research (CAT-PCR) is a new brief nonverbal test battery validated in a Zambian school-aged population. CAT-PCR involves the standardized administration of two tests, WAVES and SYMBOLS. CAT-PCR provides measures of visuomotor processing (VMP) and visuographomotor constructional processing (VGCP). The psychometric properties of CAT-PCR were evaluated in a field trial complemented with an ancillary test-retest study. RESULTS: Four-hundred-twenty children, aged 5 to 17 years, 51.2 percent female, speaking Bemba (81.1%), English (72.6 %), Nyanja (22.8%), Tonga (1.9%), and Lozi (1.2%), were recruited at multiple Zambian clinical sites and schools. Children able to speak one, two, and three or more languages composed 23.5, 10.0, and 66.5 percent of participants, respectively. CAT-PCR detected differences in cognitive performance between two comparable subgroups of children with or without conditions associated with increased risk for cognitive impairment. The poorer health group composition reflected a spectrum of conditions such as chronic neurologic or medical diseases (ie, epilepsy, human immunodeficiency virus/acquired immunodeficiency syndrome [HIV/AIDS], recurrent malaria, sickle cell disease, and other cardiac and metabolic conditions) or prolonged exposure to psychosocial stress and deprivation. The reliability was satisfactory. The intraclass correlation coefficient (95% confidence interval) at test-retest at 48 hours (n=86) was 0.85 (0.78, 0.91) for VGCP Index and 0.84 (0.76, 0.90) for VMP Index. CONCLUSION: Study findings support the reliability, validity, and utility of CAT-PCR measures in evaluating the effect of health-related risks on the child's cognitive functioning and development. Further research should address the validity of CAT-PCR in response prediction, monitoring, and evaluation of health-promoting interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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