Further Development of the Assessment of Military Multitasking Performance: Iterative Reliability Testing

Adult Male Science Q R 0211 other engineering and technologies Reproducibility of Results 02 engineering and technology Neuropsychological Tests Young Adult 03 medical and health sciences Military Personnel 0302 clinical medicine Brain Injuries Task Performance and Analysis Medicine Humans Female Brain Concussion Research Article
DOI: 10.1371/journal.pone.0169104 Publication Date: 2017-01-09T22:02:45Z
ABSTRACT
The Assessment of Military Multitasking Performance (AMMP) is a battery functional dual-tasks and multitasks based on military activities that target known sensorimotor, cognitive, exertional vulnerabilities after concussion/mild traumatic brain injury (mTBI). AMMP was developed to help address limitations in post concussive return duty assessment decision making. Once validated, the intended for use combination with other metrics inform duty-readiness decisions Active Duty Service Members following concussion. This study used an iterative process repeated interrater reliability testing feasibility feedback drive modifications 9 tasks original which resulted final version 6 demonstrated clinically acceptable ICCs > 0.92 (range 0.92-1.0) 3 dual 0.87 0.87-1.0) multitasks. Three involved recording subject errors across 2 did not achieve above 0.85 set apriori (0.64) 0.90 (0.77 0.86) were further analysis. phases between 13 26 subjects, ages 18-42 years, tested each phase from combined cohort healthy controls mTBI. Study findings support continued validation this tool provide rehabilitation clinicians methods robust ceiling effects strong face validity injured Warriors their leaders.
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