The Frequency of Low Scores on ImPACT in Adolescent Student-Athletes: Stratification by Race and Socioeconomic Status Using Multivariate Base Rates

Dev Neuropsychol. 2022 Apr-Jun;47(3):125-135. doi: 10.1080/87565641.2022.2034827. Epub 2022 Feb 8.

Abstract

This study examined the associations between the frequency of low scores on the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) by race and socioeconomic status (SES), using the proxy of Title I school status, among adolescent student-athletes and calculated multivariate base rates. There were 753 participants assigned to groups based on race (White: n = 430, 59.8%; Black: n = 289, 40.2%) and SES. Black student-athletes obtained more low neurocognitive test scores, which was associated with lower SES. The current study offers a resource to clinicians involved in concussion management who may wish to consider race and SES when interpreting ImPACT test performances.

MeSH terms

  • Adolescent
  • Athletes
  • Athletic Injuries* / complications
  • Brain Concussion* / complications
  • Brain Concussion* / diagnosis
  • Brain Concussion* / epidemiology
  • Humans
  • Neuropsychological Tests
  • Social Class
  • Students