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Hadorn-Papke D, Gibson D, Golden C, A-214 Multiple Assessments of Effort in Retired NFL Players Seeking Compensation, Archives of Clinical Neuropsychology, Volume 35, Issue 6, September 2020, Page 1009, https://doi.org/10.1093/arclin/acaa068.214
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Abstract
Determining the effort level allocated during a neuropsychological evaluation is essential, as effort has been shown to predict performance.
One hundred and thirty-seven former NFL players were given the Test of Memory Malingering (TOMM) and Green’s Medical Symptoms Validity Test (MSVT) as part of a comprehensive neuropsychological evaluation.
Based on established “cutoff” scores, 42 of the 137 individuals failed the TOMM (Trial 2, raw score < 45). Using the recommended “cutoff” scores, (Immediate recall, Delayed recall, Consistency <=85%, Paired Associated <=70%, Free recall<=50%), 74 individuals failed the MSVT. Together, the TOMM and the MSVT identified 81 individuals with sub-optimal effort and likely invalid neuropsychological test data, as both the TOMM and MSVT are passed by groups with known traumatic brain injury and other impairments.
We conclude that 59.1% of the Former NFL players put forth inadequate effort during testing. While the reasons for PVT failure are known only by the test-takers themselves, the validity of the results is highly questionable regardless and must be interpreted in this context.
