Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness

The MATRICS Consensus Cognitive Battery (MCCB) is a gold-standard tool for assessing cognitive functioning in individuals with severe mental illness. This study is an initial examination of the validity of remote administration of 4 MCCB tests measuring processing speed (Trail Making Test: Part A, A...

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Main Authors: Madisen T. Russell, Kensie M. Funsch, Cassi R. Springfield, Robert A. Ackerman, Colin A. Depp, Philip D. Harvey, Raeanne C. Moore, Amy E. Pinkham
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Schizophrenia Research: Cognition
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2215001321000330
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author Madisen T. Russell
Kensie M. Funsch
Cassi R. Springfield
Robert A. Ackerman
Colin A. Depp
Philip D. Harvey
Raeanne C. Moore
Amy E. Pinkham
author_facet Madisen T. Russell
Kensie M. Funsch
Cassi R. Springfield
Robert A. Ackerman
Colin A. Depp
Philip D. Harvey
Raeanne C. Moore
Amy E. Pinkham
author_sort Madisen T. Russell
collection DOAJ
description The MATRICS Consensus Cognitive Battery (MCCB) is a gold-standard tool for assessing cognitive functioning in individuals with severe mental illness. This study is an initial examination of the validity of remote administration of 4 MCCB tests measuring processing speed (Trail Making Test: Part A, Animal Fluency), working memory (Letter-Number Span), and verbal learning and memory (Hopkins Verbal Learning Test-Revised). We conducted analyses on individuals with bipolar disorder (BD) and schizophrenia-spectrum disorders (SCZ), as well as healthy volunteers, who were assessed in-person (BD = 80, SCZ = 116, HV = 14) vs. remotely (BD = 93, SCZ = 43, HV = 30) to determine if there were significant differences in performance based on administration format. Additional analyses tested whether remote and in-person assessment performance was similarly correlated with symptom severity, cognitive and social cognitive performance, and functional outcomes. Individuals with BD performed significantly better than those with SCZ on all MCCB subtests across administration format. Animal Fluency did not differ by administration format, but remote participants performed significantly worse on Trail Making and HVLT-R. On the Letter-Number Span task, individuals with bipolar disorder performed significantly better when participating remotely. Finally, patterns of correlations with related constructs were largely similar between administration formats. Thus, results suggest that remote administration of some of the MCCB subtests may be a valid alternative to in-person testing, but more research is necessary to determine why some tasks were affected by administration format.
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spelling doaj.art-07d138666cba4827b551799a205aae392022-12-21T22:42:00ZengElsevierSchizophrenia Research: Cognition2215-00132022-03-0127100226Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illnessMadisen T. Russell0Kensie M. Funsch1Cassi R. Springfield2Robert A. Ackerman3Colin A. Depp4Philip D. Harvey5Raeanne C. Moore6Amy E. Pinkham7Department of Psychology, University of Texas at Dallas, 800 W. Campbell Rd., Richardson, TX 75080, United States of AmericaDepartment of Psychology, University of Texas at Dallas, 800 W. Campbell Rd., Richardson, TX 75080, United States of AmericaDepartment of Psychology, University of Texas at Dallas, 800 W. Campbell Rd., Richardson, TX 75080, United States of AmericaDepartment of Psychology, University of Texas at Dallas, 800 W. Campbell Rd., Richardson, TX 75080, United States of AmericaDepartment of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093, United States of AmericaDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Miami, FL 33136, United States of America; Research Service, Bruce W. Carter VA Medical Center, Miami, FL 33136, United States of AmericaDepartment of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093, United States of AmericaDepartment of Psychology, University of Texas at Dallas, 800 W. Campbell Rd., Richardson, TX 75080, United States of America; Corresponding author.The MATRICS Consensus Cognitive Battery (MCCB) is a gold-standard tool for assessing cognitive functioning in individuals with severe mental illness. This study is an initial examination of the validity of remote administration of 4 MCCB tests measuring processing speed (Trail Making Test: Part A, Animal Fluency), working memory (Letter-Number Span), and verbal learning and memory (Hopkins Verbal Learning Test-Revised). We conducted analyses on individuals with bipolar disorder (BD) and schizophrenia-spectrum disorders (SCZ), as well as healthy volunteers, who were assessed in-person (BD = 80, SCZ = 116, HV = 14) vs. remotely (BD = 93, SCZ = 43, HV = 30) to determine if there were significant differences in performance based on administration format. Additional analyses tested whether remote and in-person assessment performance was similarly correlated with symptom severity, cognitive and social cognitive performance, and functional outcomes. Individuals with BD performed significantly better than those with SCZ on all MCCB subtests across administration format. Animal Fluency did not differ by administration format, but remote participants performed significantly worse on Trail Making and HVLT-R. On the Letter-Number Span task, individuals with bipolar disorder performed significantly better when participating remotely. Finally, patterns of correlations with related constructs were largely similar between administration formats. Thus, results suggest that remote administration of some of the MCCB subtests may be a valid alternative to in-person testing, but more research is necessary to determine why some tasks were affected by administration format.http://www.sciencedirect.com/science/article/pii/S2215001321000330Cognitive functioningRemote assessmentBipolar disorderSchizophreniaTelehealth
spellingShingle Madisen T. Russell
Kensie M. Funsch
Cassi R. Springfield
Robert A. Ackerman
Colin A. Depp
Philip D. Harvey
Raeanne C. Moore
Amy E. Pinkham
Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness
Schizophrenia Research: Cognition
Cognitive functioning
Remote assessment
Bipolar disorder
Schizophrenia
Telehealth
title Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness
title_full Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness
title_fullStr Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness
title_full_unstemmed Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness
title_short Validity of remote administration of the MATRICS Consensus Cognitive Battery for individuals with severe mental illness
title_sort validity of remote administration of the matrics consensus cognitive battery for individuals with severe mental illness
topic Cognitive functioning
Remote assessment
Bipolar disorder
Schizophrenia
Telehealth
url http://www.sciencedirect.com/science/article/pii/S2215001321000330
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