{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T19:41:42Z","timestamp":1776368502806,"version":"3.51.2"},"reference-count":23,"publisher":"National Athletic Trainers' Association","issue":"11-12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,1]]},"abstract":"\n Context<\/jats:title>\n Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) is one of the most widely used computerized neurocognitive assessment batteries in athletics and serves as both a baseline and postinjury assessment. It has become increasingly popular to administer the ImPACT baseline test in an unsupervised remote environment; however, whether the lack of supervision affects the test-retest reliability is unknown.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To establish the minimal detectable change (MDC) of composite scores from the ImPACT test when administered to National Collegiate Athletic Association Division I student-athletes in an unsupervised remote environment before 2 consecutive athletic seasons.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Participants were provided with a unique link and detailed written instructions on how to complete the ImPACT test at home.<\/jats:p>\n <\/jats:sec>\n \n Patients or Other Participants<\/jats:title>\n Division I student-athletes.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n Remote baseline ImPACT results from the 2020\u20132021 and 2021\u20132022 athletic seasons were analyzed. The MDC was calculated at the 95%, 90%, and 80% CIs for each of the ImPACT composite scores as well as the average and SD.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The MDC at the 95% CI was 18.6 for the verbal memory composite score, 24.44 for visual memory, 8.76 for visual motor, 0.14 for reaction time, and 6.13 for impulse control. One-way repeated-measures multivariate analysis of variance, repeated-measures analysis of variance, and Wilcoxon signed ranks tests suggested no difference in the composite scores and impulse control between time points.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The ImPACT composite scores and impulse control did not change between the 2 remote testing time points when administered approximately 1 year apart. Our study suggests that the MDC serves as a clinician\u2019s guide for evaluating changes in ImPACT baseline scores and in making clinical judgments on sport-related concussion when the test is administered at home.<\/jats:p>\n <\/jats:sec>","DOI":"10.4085\/1062-6050-0381.22","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T19:48:01Z","timestamp":1668714481000},"page":"981-986","source":"Crossref","is-referenced-by-count":3,"title":["Minimal Detectable Change for the ImPACT Test Administered Remotely"],"prefix":"10.4085","volume":"58","author":[{"given":"Kristen G.","family":"Quigley","sequence":"first","affiliation":[{"name":"Neuromechanics Laboratory, School of Public Health, University of Nevada, Reno"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madison R.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Neuromechanics Laboratory, School of Public Health, University of Nevada, Reno"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dustin","family":"Hopfe","sequence":"additional","affiliation":[{"name":"Neuromechanics Laboratory, School of Public Health, University of Nevada, Reno"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Pavilionis","sequence":"additional","affiliation":[{"name":"Neuromechanics Laboratory, School of Public Health, University of Nevada, Reno"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas G.","family":"Murray","sequence":"additional","affiliation":[{"name":"Neuromechanics Laboratory, School of Public Health, University of Nevada, Reno"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2023,12,18]]},"reference":[{"issue":"(2)","key":"2023121723523203700_i1062-6050-58-11-981-b01","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1177\/03635465211060340","article-title":"Epidemiology of concussions in 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https:\/\/www.ncaa.org\/sports\/2016\/7\/20\/concussion-safety-protocol-management.aspx"},{"issue":"(2)","key":"2023121723523203700_i1062-6050-58-11-981-b05","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1093\/arclin\/acab055","article-title":"Test-retest reliability of remote ImPACT administration","volume":"37","author":"Netzel","year":"2022","journal-title":"Arch Clin Neuropsychol"},{"key":"2023121723523203700_i1062-6050-58-11-981-b06","unstructured":"Version 4 administration and interpretation manual.\nImPACT Applications, Inc.\nAccessed August 1, 2022. https:\/\/impacttest.com\/wp-content\/uploads\/LBL-01_v14_ImPACT-Version-4_Administration_Manual.pdf"},{"issue":"(7)","key":"2023121723523203700_i1062-6050-58-11-981-b07","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1093\/arclin\/acaa047","article-title":"A cohort study of the temporal stability of ImPACT scores among NCAA Division I collegiate athletes: clinical implications of test-retest reliability for 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