OBJECTIVE Traditional measures of cognitive abilities most used by neuropsychologists are generally low in ecological validity and only capture a small proportion of the variance of a person's true functional capacity. This study evaluates the association between clinic-based performance and parallel real-world completion of an everyday planning test, the Overnight Trip Task (OTT). METHOD A cross-sectional cohort of 65 community-dwelling older adults completed a battery of cognitive assessments and two formats of the OTT: the paper-and-pencil clinic OTT, which was completed remotely through video conferencing (Zoom), and the parallel real-world OTT (RW-OTT), which was completed at home between sessions. Both formats required participants to plan for what they would pack and prepare for a hypothetical overnight trip based on a provided story that included rules and embedded contingencies. RESULTS The clinic OTT demonstrated a small-to-moderate relationship with the RW-OTT (r = 0.35) and no relationship with measures of learning, long delay recall, an executive function composite, and a measure of everyday planning. Hierarchical regressions indicated that the clinic OTT demonstrated incremental validity above an executive function composite measure and global cognition when predicting self-reported everyday functioning and RW-OTT performance. CONCLUSIONS The clinic OTT showed only modest association with the RW-OTT and discriminate but not convergent validity was demonstrated. The clinic OTT showed incremental validity when predicting self-reported everyday functioning and RW-OTT performance above more traditional measures. Before the clinic OTT could be considered a reliable and valid clinic-based measure for predicting real-world behavior, additional research would be needed.

中文翻译：

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基于临床的日常计划能力测量：过夜旅行任务。

目的 神经心理学家最常使用的传统认知能力测量方法的生态有效性通常较低，并且只能捕捉到一个人真实功能能力的一小部分方差。本研究评估了临床表现与现实世界中并行完成日常计划测试（过夜旅行任务 (OTT)）之间的关联。方法 由 65 名社区居住的老年人组成的横断面队列完成了一系列认知评估和两种形式的 OTT：纸笔诊所 OTT，通过视频会议 (Zoom) 远程完成，以及平行真实的 OTT。 -世界 OTT (RW-OTT)，在会议间隙在家完成。两种形式都要求参与者根据提供的故事（包括规则和嵌入的意外情况）计划他们要携带的物品并为假设的过夜旅行做好准备。结果 诊所 OTT 与 RW-OTT 存在小到中度关系（r = 0.35），与学习测量、长延迟回忆、执行功能综合和日常计划测量没有关系。分层回归表明，在预测自我报告的日常功能和 RW-OTT 表现时，诊所 OTT 表现出高于执行功能综合测量和整体认知的增量有效性。结论 临床 OTT 与 RW-OTT 仅显示出适度的关联，并且证明了区分效度，但没有证明收敛效度。在预测自我报告的日常功能和 RW-OTT 表现时，诊所 OTT 的有效性优于更传统的衡量标准。在临床 OTT 被认为是预测现实世界行为的可靠且有效的基于临床的措施之前，还需要进行更多的研究。