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Supervised, Self-Administered Tablet-Based Cognitive Assessment in Neurodegenerative Disorders and Stroke.
Sloane, Kelly L; Fabian, Rachel; Wright, Amy; Saxena, Sadhvi; Kim, Kevin; Stein, Colin M; Keser, Zafer; Glenn, Shenly; Hillis, Argye E.
Afiliación
  • Sloane KL; Department of Neurology, University of Pennsylvania and The Crescenz Veterans Affairs Medical Center, Philadelphia, Philadelphia, Pennsylvania, USA.
  • Fabian R; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA, rachelfabian1016@gmail.com.
  • Wright A; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Saxena S; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Kim K; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Stein CM; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Keser Z; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Glenn S; Miro, a Division of Cognitive Healthcare Company, San Francisco, California, USA.
  • Hillis AE; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Dement Geriatr Cogn Disord ; 52(2): 74-82, 2023.
Article en En | MEDLINE | ID: mdl-36996783
INTRODUCTION: As the population ages, the prevalence of cognitive impairment is expanding. Given the recent pandemic, there is a need for remote testing modalities to assess cognitive deficits in individuals with neurological disorders. Self-administered, remote, tablet-based cognitive assessments would be clinically valuable if they can detect and classify cognitive deficits as effectively as traditional in-person neuropsychological testing. METHODS: We tested whether the Miro application, a tablet-based neurocognitive platform, measured the same cognitive domains as traditional pencil-and-paper neuropsychological tests. Seventy-nine patients were recruited and then randomized to either undergo pencil-and-paper or tablet testing first. Twenty-nine age-matched healthy controls completed the tablet-based assessments. We identified Pearson correlations between Miro tablet-based modules and corresponding neuropsychological tests in patients and compared scores of patients with neurological disorders with those of healthy controls using t tests. RESULTS: Statistically significant Pearson correlations between the neuropsychological tests and their tablet equivalents were found for all domains with moderate (r > 0.3) or strong (r > 0.7) correlations in 16 of 17 tests (p < 0.05). All tablet-based subtests differentiated healthy controls from neurologically impaired patients by t tests except for the spatial span forward and finger tapping modules. Participants reported enjoyment of the tablet-based testing, denied that it provoked anxiety, and noted no preference between modalities. CONCLUSIONS: This tablet-based application was found to be widely acceptable to participants. This study supports the validity of these tablet-based assessments in the differentiation of healthy controls from patients with neurocognitive deficits in a variety of cognitive domains and across multiple neurological disease etiologies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos del Conocimiento / Enfermedades Neurodegenerativas / Accidente Cerebrovascular / Disfunción Cognitiva Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Dement Geriatr Cogn Disord Asunto de la revista: GERIATRIA / NEUROLOGIA / PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos del Conocimiento / Enfermedades Neurodegenerativas / Accidente Cerebrovascular / Disfunción Cognitiva Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Dement Geriatr Cogn Disord Asunto de la revista: GERIATRIA / NEUROLOGIA / PSIQUIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza