4.3 Article

Discriminant Construct Validity of ImPACT™: A Companion Study

Journal

CLINICAL NEUROPSYCHOLOGIST
Volume 27, Issue 2, Pages 290-299

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/13854046.2012.744098

Keywords

Sports concussion; ImPACT; Contruct validity; Discriminant validity; Neuropsychological testing

Funding

  1. National Institute of Health [BRP R01HD048638, RO1NS055020]
  2. National Center for Medical Rehabilitation Research
  3. National Institute of Child Health and Development
  4. National Institute of Health/National Institute of Neurological Disease and Stroke

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In a previous analysis of ImPACT scores relative to traditional neuropsychological tests (NP) and experimental tasks (Maerlender et al., 2010) we demonstrated convergent construct validity for the primary ImPACT test-score composites. A complete analysis of discriminant validity was not undertaken at that time. Here, test scores from the 54 collegiate football and hockey players were re-analyzed to specifically address the discriminant validity of the ImPACT composite scores using a multiply operationalized correlation matrix of multi-trait multi-method data. In the method used here, discriminant validity is determined by obtaining non-significant correlations between a target score when correlated with the average of the other trait measurements (multiply-operationalized multi-trait-mono-method analysis). Results showed that the ImPACT Verbal Memory (p=.044), Visual Memory (p=.006), and Visual Motor Speed (p=.000) scores were highly correlated with composites of the other scores, while the Reaction Time composite demonstrated adequate discriminant validity (p=.145). In comparison all of the NP composites showed good discrimination (all p-values >.05, except for Reaction Time p=.05). Thus the apparent lack of discriminability between three of four composite scores in this sample raises questions about using ImPACT composite scores to support specific construct-oriented interpretations. Taken together, the discriminant and convergent construct validity properties of ImPACT indicate construct sensitivity, but limited construct specificity.

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