This narrative review discusses how a lack of demographic reporting in neuropsychological research threatens the generalizability of assessment findings.
Journal of Pediatric Neuropsychology · 2 authors, 1 centre
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This narrative review discusses how a lack of demographic reporting in neuropsychological research threatens the generalizability of assessment findings.
It highlights that despite NIH mandates, randomized control trials still often report samples with a lack of demographic diversity. The paper defines generalizability and outlines its importance for test validity and avoiding diagnostic error. It reviews strategies to improve generalizability, including better reporting of sample characteristics, reliability data, and the use of systematic reviews and meta-analyses to evaluate assessments across populations. For clinicians, it recommends evaluating the psychometric properties of assessments, considering the cultural and linguistic background of the client, and understanding the testing context. The review concludes that structural incentives and a holistic approach are needed to advance generalizability in a changing society.