title: Ecological validity of the screening module and the Daily Living tests of the Neuropsychological Assessment Battery using the Mayo-Portland Adaptability Inventory-4 in postacute brain injury rehabilitation.
abstract: OBJECTIVE
  The assessment of ecological validity of neuropsychological measures is an area of growing interest, particularly in the postacute brain injury rehabilitation (PABIR) setting, as there is an increasing demand for clinicians to address functional and real-world outcomes. In the current study, we assessed the predictive value of the Screening module and the Daily Living tests of the Neuropsychological Assessment Battery (NAB) using clinician ratings from the Mayo-Portland Adaptability Inventory-4 (MPAI-4) in patients with moderate to severe traumatic brain injury.
  
  
  METHODS
  Forty-seven individuals were each administered the NAB Screening module (NAB-SM) and the NAB Daily Living (NAB-DL) tests following admission to a residential PABIR program. MPAI-4 ratings were also obtained at admission. Linear regression analysis was used to examine the association between these functional and neuropsychological assessment measures.
  
  
  RESULTS
  We replicated prior work (Temple at al., 2009) and expanded evidence for the ecological validity of the NAB-SM. Furthermore, our findings support the ecological validity of the NAB-DL Bill Payment, Judgment, and Map Reading tests with regards to functional skills and real-world activities.
  
  
  CONCLUSIONS
  The current study supports prior work from our lab assessing the predictive value of the NAB-SM, as well as provides evidence for the ecological validity for select NAB-DL tests in patients with moderate to severe traumatic brain injury admitted to a residential PABIR program.
authors.affiliation: Department of Neuropsychology, Transitional Learning Center, Galveston, Texas 77550, USA. dzgaljardic@tlc-galveston.org
authors.forename: Dennis J
authors.initials: DJ
authors.lastname: Zgaljardic
authors.forename: Sybil
authors.initials: S
authors.lastname: Yancy
authors.forename: Richard O
authors.initials: RO
authors.lastname: Temple
authors.forename: Monica F
authors.initials: MF
authors.lastname: Watford
authors.forename: Rebekah
authors.initials: R
authors.lastname: Miller
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D001930:Brain Injuries / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D008568:Memory; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D011594:Psychometrics; D015203:Reproducibility of Results