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Validation of At-Home Application of a Digital Cognitive Screener for Older Adults

Standardized neuropsychological assessments of older adults are important for both clinical diagnosis and biobehavioral research. Over decades, in-person testing has been the basis for population normative values that rank cognitive performance by demographic status. Most recently, digital tools hav...

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Autores principales: Arioli, Melissa, Rini, James, Anguera-Singla, Roger, Gazzaley, Adam, Wais, Peter E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283580/
https://www.ncbi.nlm.nih.gov/pubmed/35847674
http://dx.doi.org/10.3389/fnagi.2022.907496
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author Arioli, Melissa
Rini, James
Anguera-Singla, Roger
Gazzaley, Adam
Wais, Peter E.
author_facet Arioli, Melissa
Rini, James
Anguera-Singla, Roger
Gazzaley, Adam
Wais, Peter E.
author_sort Arioli, Melissa
collection PubMed
description Standardized neuropsychological assessments of older adults are important for both clinical diagnosis and biobehavioral research. Over decades, in-person testing has been the basis for population normative values that rank cognitive performance by demographic status. Most recently, digital tools have enabled remote data collection for cognitive measures, which offers the significant promise to extend the basis for normative values to be more inclusive of a larger cross section of the older population. We developed a Remote Characterization Module (RCM), using a speech-to-text interface, as a novel digital tool to administer an at-home, 25-min cognitive screener that mimics eight standardized neuropsychological measures. Forty cognitively healthy participants were recruited from a longitudinal aging research cohort, and they performed the same measures of memory, attention, verbal fluency and set-shifting in both in-clinic paper-and-pencil (PAP) and at-home RCM versions. The results showed small differences, if any, for how participants performed on in-person and remote versions in five of eight tasks. Critically, robust correlations between their PAP and RCM scores across participants support the finding that remote, digital testing can provide a reliable assessment tool for rapid and remote screening of healthy older adults’ cognitive performance in several key domains. The implications for digital cognitive screeners are discussed.
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spelling pubmed-92835802022-07-16 Validation of At-Home Application of a Digital Cognitive Screener for Older Adults Arioli, Melissa Rini, James Anguera-Singla, Roger Gazzaley, Adam Wais, Peter E. Front Aging Neurosci Aging Neuroscience Standardized neuropsychological assessments of older adults are important for both clinical diagnosis and biobehavioral research. Over decades, in-person testing has been the basis for population normative values that rank cognitive performance by demographic status. Most recently, digital tools have enabled remote data collection for cognitive measures, which offers the significant promise to extend the basis for normative values to be more inclusive of a larger cross section of the older population. We developed a Remote Characterization Module (RCM), using a speech-to-text interface, as a novel digital tool to administer an at-home, 25-min cognitive screener that mimics eight standardized neuropsychological measures. Forty cognitively healthy participants were recruited from a longitudinal aging research cohort, and they performed the same measures of memory, attention, verbal fluency and set-shifting in both in-clinic paper-and-pencil (PAP) and at-home RCM versions. The results showed small differences, if any, for how participants performed on in-person and remote versions in five of eight tasks. Critically, robust correlations between their PAP and RCM scores across participants support the finding that remote, digital testing can provide a reliable assessment tool for rapid and remote screening of healthy older adults’ cognitive performance in several key domains. The implications for digital cognitive screeners are discussed. Frontiers Media S.A. 2022-07-01 /pmc/articles/PMC9283580/ /pubmed/35847674 http://dx.doi.org/10.3389/fnagi.2022.907496 Text en Copyright © 2022 Arioli, Rini, Anguera-Singla, Gazzaley and Wais. 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
Arioli, Melissa
Rini, James
Anguera-Singla, Roger
Gazzaley, Adam
Wais, Peter E.
Validation of At-Home Application of a Digital Cognitive Screener for Older Adults
title Validation of At-Home Application of a Digital Cognitive Screener for Older Adults
title_full Validation of At-Home Application of a Digital Cognitive Screener for Older Adults
title_fullStr Validation of At-Home Application of a Digital Cognitive Screener for Older Adults
title_full_unstemmed Validation of At-Home Application of a Digital Cognitive Screener for Older Adults
title_short Validation of At-Home Application of a Digital Cognitive Screener for Older Adults
title_sort validation of at-home application of a digital cognitive screener for older adults
topic Aging Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283580/
https://www.ncbi.nlm.nih.gov/pubmed/35847674
http://dx.doi.org/10.3389/fnagi.2022.907496
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