Abstract
The evidence base for cognitive remediation has evolved with the use of reliable and valid measures of cognition and functioning. In a clinical environment, it is critical to track outcomes across a variety of domains, but the process of selecting instruments in everyday clinical practice is guided by issues of feasibility and sensitivity to the patient’s goals. This chapter provides a review of options for selecting measures of cognition and functioning, including the rationale for using intermediate measures of functioning that are objective and can be assessed in a brief office visit. Methods for considering the clinical meaningfulness of changes at the individual case level are provided and placed in the context of potential interfering factors such as motivation and self-efficacy. An algorithm for selection of instruments is provided to help the clinician make decisions about measuring treatment success of patients across a variety of outcome domains.