Development and Initial Validation of a Reading-Specific Performance Validity Test: the College Assessment of Reading Effort (CARE)

AbstractAlthough performance validity tests (PVTs) are routinely used in neuropsychological assessment to detect malingering or low-effort test-taking, they are seldom administered to college students seeking academic accommodations and other benefits for reading disabilities. Previous research indicates that between 9.5 and 31% of students seeking learning disability evaluations at university-based clinics provide noncredible test scores indicative of symptom exaggeration or low effort. We developed a brief reading –specific PVT designed for college students participating in reading disability testing: the College Assessment of Reading Effort (CARE). We administered the CARE and standardized reading tests to three groups of students: honest controls, students with documented reading disabilities, and student s coached to simulate reading disabilities. Simulators displayed normative deficits on standardized reading measures, similar to the scores earned by students with actual reading disabilities and lower than the scores earned by honest controls. In contrast, CARE scores differentiated simulators from honest examinees with and without disabilities. ROC curve analysis showed that CARE composite scores could be used diagnostically to detect low effort with sensitivity, specificity, and predictive power ≥ 0.90. The CARE offers a time- and cost-effective way to assess performance validity during reading disability testing for postsecondary students.

Source: Psychological Injury and Law - February 1, 2019 Category: Medical Law Source Type: research