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Measuring metacognitive performance: type 1 performance dependence and test-retest reliability.

ABSTRACT: Research on metacognition-thinking about thinking-has grown rapidly and fostered our understanding of human cognition in healthy individuals and clinical populations. Of central importance is the concept of metacognitive performance, which characterizes the capacity of an individual to estimate and report the accuracy of primary (type 1) cognitive processes or actions ensuing from these processes. Arguably one of the biggest challenges for measures of metacognitive performance is their dependency on objective type 1 performance, although more recent methods aim to address this issue. The present work scrutinizes the most popular metacognitive performance measures in terms of two critical characteristics: independence of type 1 performance and test-retest reliability. Analyses of data from the Confidence Database (total N = 6912) indicate that no current metacognitive performance measure is independent of type 1 performance. The shape of this dependency is largely reproduced by extending current models of metacognition with a source of metacognitive noise. Moreover, the reliability of metacognitive performance measures is highly sensitive to the combination of type 1 performance and trial number. Importantly, trial numbers frequently employed in metacognition research are too low to achieve an acceptable level of test-retest reliability. Among common task characteristics, simultaneous choice and confidence reports most strongly improved reliability. Finally, general recommendations about design choices and analytical remedies for studies investigating metacognitive performance are provided.

SUBMITTER: Guggenmos M

PROVIDER: S-EPMC8633424 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundNeurocognitive testing is an important concussion evaluation tool, but for neurocognitive tests to be useful, their psychometric properties must be well established. Test-retest reliability of computerized neurocognitive tests can influence their clinical utility. The reliability for a commonly used computerized neurocognitive test, CNS Vital Signs, is not well established. The purpose of this study was to examine test-retest reliability and reliable change indices for CNS Vital Signs in a healthy, physically active college population.HypothesisCNS Vital Signs yields acceptable test-retest reliability, with greater reliability between the second and third test administration compared with between the first and second administration.Study designCohort study.Level of evidenceLevel 3.MethodsForty healthy, active volunteers (16 men, 24 women; mean age, 21.05 ± 2.17 years) reported to a clinical laboratory for 3 sessions, 1 week apart. At each session, participants were administered CNS Vital Signs. Outcomes included standard scores for the following CNS Vital Signs domains: verbal memory, visual memory, psychomotor speed, cognitive flexibility, complex attention, processing speed, reaction time, executive functioning, and reasoning.ResultsParticipants performed significantly better on the second session and/or third session than they did on the first testing session on 6 of 9 neurocognitive domains. Pearson r test-retest correlations between sessions ranged from 0.11 to 0.87. Intraclass correlation coefficients ranged from 0.10 to 0.86.ConclusionClinicians should consider using reliable change indices to account for practice effects, identify meaningful score changes due to pathology, and inform clinical decisions.Clinical relevanceThis study highlights the importance of clinicians understanding the psychometric properties of computerized neurocognitive tests when using them in the management of sport-related concussion. If CNS Vital Signs is administered twice within a small time frame (such as 1 week), athletes should be expected to improve between the first and second administration.

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Measuring metacognitive performance: type 1 performance dependence and test-retest reliability.

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