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MOXO Children’s ADHD test

The MOXO children’s ADHD test is a computerized d-CPT (Continued Performance Test), serving as an objective tool to evaluate a patient's attentive profile.

The distracter systems is an exclusive feature to the MOXO children’s ADHD test that helps simulate the patient’s daily environment.

The test can only be performed by a qualified professional and has several distinct advantages:

•    The unique distracter system, allowing the patient’s performance to be tested in various environments.

•    Current and updated norm pool, containing over 1,000 international norms.

•    Performance graph, enabling the patient’s performance to be measured over time (throughout the duration of the test).

•    Accessible and online intuitive interface, allowing the test to be performed from any computer with web-access, using a regular keyboard and requiring no specific software or hardware.

•    All information is highly secured according to USA confidentiality laws and regulations (for more information read our privacy statement).

MOXO children’s ADHD test basic information:

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MOXO ADHD test results are composed of two parts:

  1. Attentiveness Profile
  2. Performance Graph

Attentiveness Profile

The Attentiveness Profile contains four indices presenting the patient’s performance level in relation to the norm group (reflecting the corresponding age and gender of the patient).  For every index a standard score is calculated and classified into one out of four possible levels. A score of -1.65 and below indicates a   performance below the norm range and is categorized as performance at level 4 by the color red.

Examining the patient’s Attentiveness Profile relative to the peer group helps in clarifying any performance deviation, suggesting symptoms of ADHD that may require clinical intervention.

For further details: See Attentiveness Profile

Performance Graph

In the Performance Graph, the patient’s performance throughout the test is clearly mapped, indicating the points at which different distractors were introduced. The patient’s performance under different environments can be effectively tested and compared. Reflecting the varying factors acting on a person with ADHD over time, this provides the clinical professional with more in-depth information about the way the patient behaved during the test, helping to identify weak or strong areas of performance.

For further details: See Performance Graph

Children d-CPT demo

MOXO Children’s ADHD test


MOXO adult’s ADHD test is a computerized d-CPT, serving as an objective tool to evaluate the patient's attentiveness profile.

Exclusive to the MOXO adult’s ADHD test is the distractor systems that helps simulate the patient’s daily environment.

The test can only be performed by a qualified Professional and has several distinct advantages:

•    The unique distracter system, allowing the patient’s performance to be tested in various environments.

•    Current and updated norm pool, containing over 1,000 international norms.

•    Performance graph, enabling the patient’s performance to be measured over time (throughout the duration of the test).

•    Accessible and online intuitive interface, allowing the test to be performed from any computer with web-access, using a regular keyboard and requiring no specific software or hardware.

•    All information is highly secured according to USA confidentiality laws and regulations (for more information read our privacy statement).

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MOXO ADHD test results are composed of two parts:

  1. Attentiveness Profile
  2. Performance Graph

Attentiveness Profile

The Attentiveness Profile contains four indices presenting the patient’s performing level in relation to the norm group (reflecting the corresponding age and gender of the patient).  For every index a standard score is calculated and classified into one out of four possible levels. A score of -1.65 and below indicates a   performance below the norm range and is categorized as performance at level 4 by the color red.

Examining the patient’s Attentiveness Profile relative to the peer group helps in clarifying any performance deviation, suggesting symptoms of ADHD that may require clinical intervention.

For further details: See Attentiveness Profile

Performance Graph

In the Performance Graph, the patient’s performance throughout the test is clearly mapped, indicating the points at which different distractors were introduced. The patient’s performance under different environments can be effectively tested and compared. Reflecting the varying factors acting on a person with ADHD over time, this provides the clinical professional with more in-depth information about the way the patient behaved during the test, helping to identify weak or strong areas of performance.

For further details:

See Performance Graph

Adult d-cpt demo video

Attentiveness Profile


Understanding your patient's performance as compared with their peer group in terms of Attention, Timing, Impulsiveness and Hyperactivity.

The first tab displays the examinee’s performance based on the four attention indices (Attention, Timing, Impulsiveness and Hyperactivity) and evaluated in relation to the patient’s norm group (according to age and gender).

The tab is comprised of:

  1. Examinee type- profile type
  2. MOXO Criteria Table – (index table)
  3. Severity Table

Examinee Type

  • The first letter of the Attention, Timing, Impulsiveness and Hyperactivity index (A, T, I, H).
  • The index performance level (from 1 to 4) as determined by the standard score.
  • Severity index: S (from 1 to 4) for performance that is outside the norm range, as determined by the standard score. Note: In cases where the standard score is within norm range, the severity level (S) will not appear.

Criteria table

For each index, a Z score is calculated and then divided into one of 4 levels:

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The Z score for each index is displayed within the corresponding square. In Level 1, the standard score will always be 0, since performance has not dropped below the average range. The test is designed to identify the problematic range rather than the giftedness range, therefore above-average standard scores do not appear.

Severity Table

This table will specify the severity of the patient’s performance impairment. Only indices where performance is outside of the norm range (level 4) are shown. There are four levels of impairment severity (ranging from 1 to 4):

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For example:
This profile type identifies:

  • Attention (A) index: Performance level is 4, outside of the norm range, in severity level 3 – high severity.
  • Timing (T) index: Performance level is 3, within the low-norm range.
  • Impulsiveness (I) index: Performance level is 1, within the higher-norm range.
  • Hyperactivity (H) index: performance level is 4, outside the norm range, in severity level 2 – medium severity

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Performance Graph


MOXO ADHD d-CPT graphs provide a clear and measurable, objective assessment of your patient's performance, along the test’s time line. The data provided allows the various distractors introduced during the ADHD test to be tracked, in order to establish which of them affected the patient's performance and how they enhanced or decreased performance.

Performance graph: The second tab in the MOXO ADHD d-CPT results.
The examinee’s performance level over time for each of the four attention indices is displayed on the graph, where:

  • X-axis – indicates the different test levels (8 levels)
  • Y-axis – indicates the performance level score (from 0 to 100)

Note: The score value is not derived from the score average in the sample, and is not compared with other test scores. Instead it reflects the number of key presses in the relevant index.

When evaluating the Attention and Timing indices, the more key presses the examinee accumulates, the higher the score. In contrast, higher scores are given for the Impulsiveness and Hyperactivity indices when less key presses are amassed.
In both cases a higher score indicates better

performance.

Performance Graph

The ADHD test consists of eight levels that always occur in the following order:
Level 1 > Basic 1:  No distractors (identical to level Basic 2)
Level 2 > Visual 1: Only one visual distractor appears at a time
Level 3 > Visual 2: Two visual distractors appear at a time
Level 4 > Audio 1:  Only one auditory distractor appears at a time
Level 5 > Audio 2:  Two auditory distractors appear at a time
Level 6 > Combo 1: One auditory distractor and one visual distractor appear simultaneously (one of each type)
Level 7 > Combo 2: Two auditory distractors accompanied by two visual distractors appear simultaneously (two of each type)
Level 8 > Basic 2:  No distractors (identical to level Basic 1)

 

General principles for analyzing the graph

Performance over time:

Unique to this ADHD test, the performance over time principle allows problems to be identified within a time frame since performance levels are monitored over time (sustained attention).

Since the two Basic Levels 1 and 2 are identical, apart from their respective positions at the beginning and end of the test, performance can be compared, thus evaluating the patient’s ability to sustain vigilance.

Performance across different environments:

This principle indicates the patients’ ability to filter out irrelevant information as they experience a series of changing environments, while still instructed to focus on the task at hand (selective attention).

The MOXO ADHD test makes such insights possible by comparing performance for both levels of a specific distractor type to the baseline, Level Basic 1.
This type of information can prove invaluable in guiding the patient on how to optimize their daily environment, with an emphasis on preferable learning strategies

In this example, the hyperactivity index indicates low performance when distractors were present, and in particular where both audio and visual distractors appeared. However, we can see that the patient’s performance is stable over time, because the scores in the two Basic stages were similar. The Attention index demonstrates a slight decrease in performance over time, again dropping in the presence of combined distractors. The timing and impulsivity measures show relatively stable performance, unaffected by certain distractors.

Such a performance profile can deliver significant insight into the specific challenges faced by different patients, thus helping guide them towards a more efficient working environment. The patient profile can highlight the need to avoid distractors, particularly when working and chiefly when auditory and visual distractors are combined (as in being in a crowded environment). In addition, taking regular breaks can help facilitate a long learning process, even contributing to an improved attention span.

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Comparative report


The comparative report enables a clear comparison between different tests performed by a specific patient.
Using the report, you will be able to compare between up to 4 tests, and to track patient’s performance at different times or conditions.
This report is divided into 2 parts:

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Advantages

  • Comparing tests- you can compare the results of 2 to 4 MOXO tests and examine patient’s improvement/ worsening/ stability in performance.
  • Testing treatment’s efficiency and quality- you can easily compare treatment efficiency (medicinal, psychological, combined, etc.)
  • Performing developmental surveillance- you can perform tests during a long period of time (even a few years); this option enables you to track patient’s attentive development in an organized and effective manner.
  • Immediate availability- the report can be generated by demand immediately and with only one press of a button.

Information in the report:

  1. Patient’s and test’s details:

In this section general details can be viewed.

Patient’s details: name, gender, ID and examiner name.

Below you can view the different tests executed by that patient. For each test the following details will appear: test ID, test age, test date, and whether the test was conducted under medication influence and within a certain treatment.

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  1. Dual comparison: Attentiveness profile

In this section two tables are presented side by side, one for each test. In each table and for each index the patient’s Z score is presented.

Below is a summarizing table, displaying the difference in Z-score between both tests.

If a negative difference is present, a red triangle will appear, pointing at a decrease in performance between both tests.

Where a positive difference is present, a green triangle will appear, pointing at an improvement in performance between both tests.

If there is no difference, a white square will appear, pointing to stability in performance between both tests.

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  1. Dual comparison: Performance graph

In this section you can view each test’s performance graph presented side by side.

This allows you to compare the tests more easily and to examine how performance changed between the different levels and or/ different distractors types.

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  1. Multiple comparison: Attentiveness profile

In this section Z scores for each index will be presented for each test. This enables a comparison of performance between the different tests.

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  1. Multiple comparison: Performance graph

For each one of the four indices a separate graph will be produced, indicating performance in each level for each test.

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Advanced Developmental Report


Attentiveness Indices on a Developmental Graph

MOXO Analytics is the only system that calculates attentive-cognitive age by comparing the patient’s performance with that of other age groups.

Advantages:

 

  • Helps identify attentiveness developmental delays. For example, children aged 7-12 with ADHD exhibited functional development delays in the MOXO test results. Their scores indicated low performance with a two-year difference from their chronological ages.
  • When a patient’s mental age differs from his chronological age, attentive performance can be evaluated to see if the performance on MOXO d-CPT is also lower than the chronological age.
  • At the click of a button, the system generates a developmental report based on existing test results.
  • There is no need to run additional or repeated tests.
  • Designed for patients in the 7-12 age group only.
  • The report presents the patient’s performance in the four measured indices – attention, timing, hyperactivity and impulsiveness.

 

 

Report Results:

The basic test results assess performance in relation to the norm group for the patient’s chronological age. For various reasons, a clinician might be interested in comparing the patient’s performance with age groups other than the chronological one.
The developmental report makes this possible by generating an output that compares your patient’s performance with each of the age groups in the age 7-12 range. This information allows you to assess the child’s most resembling age group.

Ages:

Developmental reports are designed for patients in the 7-12 age group (that have taken the children’s version of MOXO). The report presents the patient’s performance in the four measured indices – attention, timing, hyperactivity and impulsiveness. The score for each index is compared with 7 different norm groups – ages 6, 7, 8, 9, 10, 11 and 12.

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Norm Range:

If the patient’s performance for a certain index is within the norm range for the patient’s chronological age (z>-1.65), the most resembling age will be  considered compatible with the chronological age.
If the score deviates from the chronological age (z≤-1.65), the report will indicate the patient’s most resembling age. This means that the patient’s performance is within the norm range for the resembling age group.

Information in the report:

1. The patient:

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Various details about the patient appear at the top of the report. Please note that the Test age field refers to the patient’s chronological age at the time of the test.
These fields include additional information about the patient such as general details, whether the patient took medication before the test, examiner’s name and test date.

2. Summary table:

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This table shows the resembling age that best correlates with the patient’s performance as shown in the report for each of the attentiveness indices.
In this example, for instance, the patient’s resembling  age for attention and timing is 6, while performance in the hyperactivity and impulsiveness indices correlates with resembling  age 8.

3. Age resemblance:

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The patient’s performance in each index will be compared with 7 age groups: 6, 7, 8, 9, 10, 11, 12 and presented on a separate graph.
The X axis indicates the various age groups.
The Y axis indicates the Z-score.
For each age group, the closer the Z-score is to 0, the closer the patient’s performance is to that group’s average performance.
The age group with a Z-score closest to 0 will appear in color. This age will appear in the summary table as the patient’s resembling age for that index.
Comparisons with all other age groups will appear in grey.
For example: In the graph above, the patient’s performance in the attention index is compared with the various age groups. The score closest to zero was calculated for the age 6 group, therefore the patient’s resembling age for the attention index is age 6. The selected column appears in blue.

Note: The purpose of this report is to identify difficulty in performance. As a result, the patient’s resembling age will always be equal to or less than the chronological age. Resembling age will not be higher that the chronological age. Therefore, if your patient was found to be within the norm range for all indices, the resembling age for all indices will be equal patient’s chronological age.