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Clinical Assessment of Judgment in Adults and the Elderly: Development and Validation of the Three Domains of Judgment Test-Clinical Version (3DJT-CV).


ABSTRACT: (1) Background: This article discusses the first two phases of development and validation of the Three Domains of Judgment Test (3DJT). This computer-based tool, co-constructed with users and capable of being administered remotely, aims to assess the three main domains of judgment (practical, moral, and social) and learn from the psychometric weaknesses of tests currently used in clinical practice. (2) Method: First, we presented the 3DJT to experts in cognition, who evaluated the tool as a whole as well as the content validity, relevance, and acceptability of 72 scenarios. Second, an improved version was administered to 70 subjects without cognitive impairment to select scenarios with the best psychometric properties in order to build a future clinically short version of the test. (3) Results: Fifty-six scenarios were retained following expert evaluation. Results support the idea that the improved version has good internal consistency, and the concurrent validity primer shows that 3DJT is a good measure of judgment. Furthermore, the improved version was found to have a significant number of scenarios with good psychometric properties to prepare a clinical version of the test. (4) Conclusion: The 3DJT is an interesting alternative tool for assessing judgment. However, more studies are needed for its implementation in a clinical context.

SUBMITTER: Bernard-Arevalo SP 

PROVIDER: S-EPMC10253541 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Clinical Assessment of Judgment in Adults and the Elderly: Development and Validation of the Three Domains of Judgment Test-Clinical Version (3DJT-CV).

Bernard-Arevalo Simon-Pierre SP   Laforce Robert Jr RJ   Khayat Olivier O   Bouchard Vital V   Bruneau Marie-Andrée MA   Brunelle Sarah S   Caron Stéphanie S   Chamelian Laury L   Chénard Marise M   Côté Jean-François JF   Crépeau-Gendron Gabrielle G   Doré Marie-Claire MC   Fortin Marie-Pierre MP   Gagnon Nadine N   Gagnon Pierre R PR   Giroux Chloé C   Jean Léonie L   Létourneau Geneviève G   Marceau Émilie É   Moreau Vincent V   Morin Michèle M   Ouellet Christine C   Poulin Stéphane S   Radermaker Steve S   Rousseau Katerine K   Touchette Catherine C   Dumais Alexandre A  

Journal of clinical medicine 20230529 11


(1) Background: This article discusses the first two phases of development and validation of the Three Domains of Judgment Test (3DJT). This computer-based tool, co-constructed with users and capable of being administered remotely, aims to assess the three main domains of judgment (practical, moral, and social) and learn from the psychometric weaknesses of tests currently used in clinical practice. (2) Method: First, we presented the 3DJT to experts in cognition, who evaluated the tool as a whol  ...[more]

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