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Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment

Introduction: Dementia is increasingly prevalent globally. Existing questionnaire-based cognitive assessment tools may not comprehensively assess cognitive function and real-time task-performance across all cognitive domains. CAVIRE (Cognitive Assessment by VIrtual REality), a fully immersive virtua...

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Autores principales: Wong, Wei Teen, Tan, Ngiap Chuan, Lim, Jie En, Allen, John Carson, Lee, Wan Sian, Quah, Joanne Hui Min, Paulpandi, Muthulakshmi, Teh, Tuan Ann, Lim, Soon Huat, Malhotra, Rahul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650134/
https://www.ncbi.nlm.nih.gov/pubmed/34887743
http://dx.doi.org/10.3389/fnagi.2021.756891
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author Wong, Wei Teen
Tan, Ngiap Chuan
Lim, Jie En
Allen, John Carson
Lee, Wan Sian
Quah, Joanne Hui Min
Paulpandi, Muthulakshmi
Teh, Tuan Ann
Lim, Soon Huat
Malhotra, Rahul
author_facet Wong, Wei Teen
Tan, Ngiap Chuan
Lim, Jie En
Allen, John Carson
Lee, Wan Sian
Quah, Joanne Hui Min
Paulpandi, Muthulakshmi
Teh, Tuan Ann
Lim, Soon Huat
Malhotra, Rahul
author_sort Wong, Wei Teen
collection PubMed
description Introduction: Dementia is increasingly prevalent globally. Existing questionnaire-based cognitive assessment tools may not comprehensively assess cognitive function and real-time task-performance across all cognitive domains. CAVIRE (Cognitive Assessment by VIrtual REality), a fully immersive virtual reality system incorporating automated audio-visual instructions and a scoring matrix was developed to assess the six cognitive domains, with potential to maintain consistency in execution of the testing environment and possibly time-saving in busy primary care practice. Aims: This is a feasibility study to compare the completion times of the questionnaire-based Montreal Cognitive Assessment (MoCA) and the CAVIRE in cognitively-healthy Asian adults aged between 35 and 74 years, overall, and in and across each 10-year age group (35–44; 45–54; 55–64; 65–74). Methods: A total of 100 participants with a MoCA score of 26 or more were recruited equally into the four 10-year age groups at a primary care clinic in Singapore. Completion time for the MoCA assessment for each participant was recorded. They were assessed using the CAVIRE, comprising 13 segments featuring common everyday activities assessing all six cognitive domains, and the completion time was also recorded through the embedded automated scoring and timing framework. Results: Completion time for CAVIRE as compared to MoCA was significantly (p < 0.01) shorter, overall (mean difference: 74.9 (SD) seconds) and in each age group. Younger, vs. older, participants completed both the MoCA and CAVIRE tasks in a shorter time. There was a greater variability in the completion time for the MoCA, most markedly in the oldest group, whereas completion time was less variable for the CAVIRE tasks in all age groups, with most consistency in the 45–54 year-age group. Conclusion: We demonstrate almost equivalent completion times for a VR and a questionnaire-based cognition assessment, with inter-age group variation in VR completion time synonymous to that in conventional screening methods. The CAVIRE has the potential to be an alternative screening modality for cognition in the primary care setting.
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spelling pubmed-86501342021-12-08 Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment Wong, Wei Teen Tan, Ngiap Chuan Lim, Jie En Allen, John Carson Lee, Wan Sian Quah, Joanne Hui Min Paulpandi, Muthulakshmi Teh, Tuan Ann Lim, Soon Huat Malhotra, Rahul Front Aging Neurosci Aging Neuroscience Introduction: Dementia is increasingly prevalent globally. Existing questionnaire-based cognitive assessment tools may not comprehensively assess cognitive function and real-time task-performance across all cognitive domains. CAVIRE (Cognitive Assessment by VIrtual REality), a fully immersive virtual reality system incorporating automated audio-visual instructions and a scoring matrix was developed to assess the six cognitive domains, with potential to maintain consistency in execution of the testing environment and possibly time-saving in busy primary care practice. Aims: This is a feasibility study to compare the completion times of the questionnaire-based Montreal Cognitive Assessment (MoCA) and the CAVIRE in cognitively-healthy Asian adults aged between 35 and 74 years, overall, and in and across each 10-year age group (35–44; 45–54; 55–64; 65–74). Methods: A total of 100 participants with a MoCA score of 26 or more were recruited equally into the four 10-year age groups at a primary care clinic in Singapore. Completion time for the MoCA assessment for each participant was recorded. They were assessed using the CAVIRE, comprising 13 segments featuring common everyday activities assessing all six cognitive domains, and the completion time was also recorded through the embedded automated scoring and timing framework. Results: Completion time for CAVIRE as compared to MoCA was significantly (p < 0.01) shorter, overall (mean difference: 74.9 (SD) seconds) and in each age group. Younger, vs. older, participants completed both the MoCA and CAVIRE tasks in a shorter time. There was a greater variability in the completion time for the MoCA, most markedly in the oldest group, whereas completion time was less variable for the CAVIRE tasks in all age groups, with most consistency in the 45–54 year-age group. Conclusion: We demonstrate almost equivalent completion times for a VR and a questionnaire-based cognition assessment, with inter-age group variation in VR completion time synonymous to that in conventional screening methods. The CAVIRE has the potential to be an alternative screening modality for cognition in the primary care setting. Frontiers Media S.A. 2021-11-23 /pmc/articles/PMC8650134/ /pubmed/34887743 http://dx.doi.org/10.3389/fnagi.2021.756891 Text en Copyright © 2021 Wong, Tan, Lim, Allen, Lee, Quah, Paulpandi, Teh, Lim and Malhotra. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Aging Neuroscience
Wong, Wei Teen
Tan, Ngiap Chuan
Lim, Jie En
Allen, John Carson
Lee, Wan Sian
Quah, Joanne Hui Min
Paulpandi, Muthulakshmi
Teh, Tuan Ann
Lim, Soon Huat
Malhotra, Rahul
Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment
title Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment
title_full Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment
title_fullStr Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment
title_full_unstemmed Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment
title_short Comparison of Time Taken to Assess Cognitive Function Using a Fully Immersive and Automated Virtual Reality System vs. the Montreal Cognitive Assessment
title_sort comparison of time taken to assess cognitive function using a fully immersive and automated virtual reality system vs. the montreal cognitive assessment
topic Aging Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650134/
https://www.ncbi.nlm.nih.gov/pubmed/34887743
http://dx.doi.org/10.3389/fnagi.2021.756891
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