Evidence map›Paper›PMID 27091656›Full record

ArticleSchizophrenia research2016

Validation of a Computerized test of Functional Capacity.

Richard S E Keefe, Vicki G Davis, Alexandra S Atkins, Adam Vaughan, Tom Patterson, Meera Narasimhan, Philip D Harvey

Open access · hybridAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Schizophrenia research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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  9. Validation and normative data for the BAC app in Spanish-speaking individuals with psychosis and healthy controls.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Richard S E KeefeDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA; NeuroCog Trials, Inc., Durham, NC, USA. Electronic address: richard.keefe@duke.edu.
Vicki G DavisNeuroCog Trials, Inc., Durham, NC, USA.
Alexandra S AtkinsNeuroCog Trials, Inc., Durham, NC, USA.
Adam VaughanNeuroCog Trials, Inc., Durham, NC, USA.
Tom PattersonDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.
Meera NarasimhanDepartment of Neuropsychiatry, University of South Carolina, Columbia, SC, USA.
Philip D HarveyDepartment of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, FL, USA; Research Service, Bruce W. Carter VA Medical Center, Miami, FL, USA.
Verasci (United States) · USDuke University · USUniversity of California San Diego · USUniversity of Miami · USUniversity of South Carolina · US

Funding

The Virtual Reality Functional Capacity Assessment Tool (VRFCAT) Validation StudyR44MH084240 · NIMH · VERASCI, LLC · PI ATKINS, ALEXANDRA STRICKLAND · 2012 to 2018
$3.4M
Computerized Interactive Assessment of Functional Skills for Schizophrenia Drug TR43MH084240 · NIMH · VERASCI, LLC · PI HURLEY, KOLLEEN, KEEFE, RICHARD S · 2009 to 2009
$137k
NIMH NIH HHS R43 MH084240NIMH NIH HHS R44 MH084240
6 · The paper itself

Abstract

Regulatory guidance for schizophrenia cognition clinical trials requires that the assessment of cognitive change is accompanied by a functionally meaningful endpoint. However, currently available measures are challenged by resistance to change, psychometric weaknesses, and for interview-based assessments, dependence upon the presence of an informant. The aims of the current study were to: 1) assess the validity, sensitivity, and reliability of the Virtual Reality Functional Capacity Assessment Tool (VRFCAT) as a measure of functional capacity; 2) determine the association between performance on the VRFCAT and performance on the MATRICS Consensus Cognitive Battery (MCCB); and 3) compare the metrics of the VRFCAT with the UCSD Performance-based Skills Assessment (UPSA). 167 patients with schizophrenia and 166 healthy controls completed the VRFCAT, UPSA, and the MCCB at baseline. The VRFCAT and UPSA were completed again at follow-up. The VRFCAT, MCCB, and UPSA were very sensitive to impairment in schizophrenia (d=1.16 to 1.22). High test-retest reliability was demonstrated for VRFCAT total completion time and the UPSA total score in patients (ICC=0.81 and 0.78, respectively). The UPSA demonstrated significant practice effects in patients (d=0.35), while the VRFCAT did not (d=-0.04). VRFCAT total completion time was correlated with both UPSA (r=-0.56, p<0.0001 for patients and -0.58, p<0.0001 for controls) and MCCB Composite (r=-0.57, p<0.0001 for patients and -0.68, p<0.0001 for controls). The VRFCAT is a highly reliable and sensitive measure of functional capacity with associations to the UPSA and MCCB. These results provide encouraging support for a computerized functional capacity assessment for use in schizophrenia.

Indexed as

Diagnosis, Computer-AssistedPsychological TestsAdultFemaleFollow-Up StudiesHumansInterview, PsychologicalMalePsychiatric Status Rating ScalesReproducibility of ResultsSchizophreniaSensitivity and SpecificityUser-Computer InterfaceCognitionComputerized testingEveryday functioningFunctional capacityVirtual reality

Identifiers

PMID27091656
PMCPMC4958510
OpenAlexW2339888523

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.