Eric Francisco

Papers

Total Citations

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About

Eric Francisco is a leading voice in the methodology of concussion assessment, specializing in the critical intersection of cognitive testing and digital measurement. His research exposes fundamental flaws in widely used online reaction time tests, arguing that consumer-grade computer systems introduce significant technical errors that compromise the validity of concussion diagnoses. In his most cited work, "Methodological Problems With Online Concussion Testing" (2020, 18 citations), Francisco systematically demonstrates how visual-cue-based reaction time metrics are unreliable, a finding he extends in subsequent studies (11 citations each) by contrasting visual and tactile testing modalities. His major contribution is a rigorous call for standardization: he shows that without precise, hardware-controlled measurements, online cognitive assessments risk misclassifying healthy individuals as impaired—or worse, missing true concussions. By advocating for objective, accurate reaction time metrics, Francisco has reshaped how researchers and clinicians evaluate digital neuropsychological tools. His work is essential reading for anyone developing or deploying remote cognitive assessments, serving as a cautionary benchmark for methodological integrity in the growing field of telehealth and sports medicine.