Electronic Devices for Cognitive Impairment Screening: A Systematic Literature Review

García-Casal, J. Antonio; Franco-Martín, Manuel; Perea, María Victoria; Toribio-Guzmán, José Miguel; García-Moja, Carlos; Goñi-Imizcoz, Miguel; Csipke, Emese

doi:10.1017/s0266462317000800

Cited by 16 publications

(17 citation statements)

References 45 publications

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“…Moving cognitive screening to mobile computers may mitigate the preceding issues, provided that the computer guides participants through self‐administered tasks and automatically scores results. Prior efforts—reviewed elsewhere 5,14,15 and summarized in Table 1—fall short of clinical screening needs by requiring a trained test administrator, 16,17 lacking validation in dementia, 18,19 or being commercialized and restricted 16,20–22 . Responding to this gap in the literature, we developed and validated Self‐Administered Tasks Uncovering Risk of Neurodegeneration (SATURN)—a free, public domain, and automatically scored cognitive screening test.…”

Section: Introductionmentioning

confidence: 99%

Validation of SATURN, a free, electronic, self‐administered cognitive screening test

Bissig

Kaye

Erten-Lyons³

2020

A&D Transl Res & Clin Interv

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Background Cognitive screening is limited by clinician time and variability in administration and scoring. We therefore developed Self‐Administered Tasks Uncovering Risk of Neurodegeneration (SATURN), a free, public‐domain, self‐administered, and automatically scored cognitive screening test, and validated it on inexpensive (<$100) computer tablets. Methods SATURN is a 30‐point test including orientation, word recall, and math items adapted from the Saint Louis University Mental Status test, modified versions of the Stroop and Trails tasks, and other assessments of visuospatial function and memory. English‐speaking neurology clinic patients and their partners 50 to 89 years of age were given SATURN, the Montreal Cognitive Assessment (MoCA), and a brief survey about test preferences. For patients recruited from dementia clinics (n = 23), clinical status was quantified with the Clinical Dementia Rating (CDR) scale. Care partners (n = 37) were assigned CDR = 0. Results SATURN and MoCA scores were highly correlated ( P < .00001; r = 0.90). CDR sum‐of‐boxes scores were well‐correlated with both tests ( P < .00001) ( r = −0.83 and −0.86, respectively). Statistically, neither test was superior. Most participants (83%) reported that SATURN was easy to use, and most either preferred SATURN over the MoCA (47%) or had no preference (32%). Discussion Performance on SATURN—a fully self‐administered and freely available (https://doi.org/10.5061/dryad.02v6wwpzr) cognitive screening test—is well‐correlated with MoCA and CDR scores.

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Section: Introductionmentioning

confidence: 99%

Validation of SATURN, a free, electronic, self‐administered cognitive screening test

Bissig

Kaye

Erten-Lyons³

2020

A&D Transl Res & Clin Interv

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“…There is a growing body of literature in the field of digitized cognitive testing (García-Casal et al, 2017; Koo and Vizer, 2019). Results of previous studies of traditional versus digitized instruments are mixed (Noyes and Garland, 2008).…”

Section: Introductionmentioning

confidence: 99%

Comparing Traditional and Digitized Cognitive Tests Used in Standard Clinical Evaluation – A Study of the Digital Application Minnemera

Björngrim

Hurk²,

Montesinos

et al. 2019

Front. Psychol.

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The purpose of this study was to compare a new digitized cognitive test battery, Minnemera, with its correspondent traditional paper-based cognitive tests. Eighty-one healthy adults between the ages of 21 and 85 participated in the study. Participants performed the two different test versions (traditional paper-based and digitized) with an interval of four weeks between the tests. Test presentation (the order of the test versions presented) was counterbalanced in order to control for any possible test learning effects. The digitized tests were constructed so that there were only minor differences when compared to the traditional paper-based tests. Test results from the paper-based and digitized versions of the cognitive screening were compared within individuals by means of a correlation analysis and equivalence tests. The effects of demographic variables (age, gender and level of education) and test presentation were explored for each test measure and each test version through linear regression models. For each test measure, a significant correlation between traditional and digitized version was observed ranging between r = 0.34 and r = 0.67 with a median of r = 0.53 (corresponding to a large effect size). Score equivalence was observed for five out of six tests. In line with previous traditional cognitive studies, age was found to be the most prominent predictor of performance in all digitized tests, with younger participants performing better than older adults. Gender was the second strongest predictor, where women outperformed men in tests measuring verbal memory; men performed better than women in tests with a strong visual component. Finally, the educational level of the test subjects had an effect on executive functions, with a higher educational level linked to a better inhibition response and working memory span. This study suggests that the tests in the Minnemera cognitive screening battery are acceptably comparable to the traditional paper-based counterparts.

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“…In this framework, information and communication technologies (ICT) are accumulating much interest, particularly concerning the applications of these devices in the neuropsychological field. ICTs have been used as assessment tools (Charchat-Fichman et al, 2014; García-Casal et al, 2017) and also as instruments for cognitive intervention (Charchat-Fichman et al, 2014; Ballesteros et al, 2015; García-Betances et al, 2017), enhancing, or, at least, maintaining AD patients' cognitive skills. Although ICTs are more related to patients with a severe grade of impairment, they are now playing an important role as assistive technologies and are serving to promote the independence and the autonomy of individuals with MCI as well as healthy elderly people (Eghdam et al, 2012; Teipel et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Novel Technological Solutions for Assessment, Treatment, and Assistance in Mild Cognitive Impairment

Mancioppi

Fiorini

Sportiello

et al. 2019

Front. Neuroinform.

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Alzheimer's disease, and dementia, represent a common cause of disability and one of the most relevant challenges in the health world. In addition, these conditions do not have, at moment, a pharmacological treatment that can stop the pathological progress. Mild cognitive impairment (MCI), defined as the borderline between normal aging and early dementia, represents a meaningful field of study because, in the transition to dementia, clinicians have defined a useful therapeutic window. Additionally, due to the lack of effective pharmacological interventions, recent years have seen an increase in research into new technological solutions to assess, stimulate, and assist patients afflicted with Alzheimer's disease. This review aims to outline the use of information and communication technologies in the field studying MCI. Particularly, the goal is to depict the framework and describe the most worthwhile research efforts, in order to display the current technologies available, describe the research objectives, and delineate prospective future researches. Regarding data sources, the research was conducted within three databases, PubMed Central, Web of Science, and Scopus, between January 2009 and December 2017. A total of 646 articles were found in the initial search. Accurate definition of the exclusion criteria and selection strategy allowed identification of the most relevant papers to use for the study. Finally, 56 papers were fully evaluated and included in this review. Three major clinical application areas have been portrayed, namely “Cognitive Assessment,” “Treatment,” and “Assistance.” These have been combined with three main technological solutions, specifically “Sensors,” “Personal Devices,” and “Robots.” Furthermore, the study of the publications time series illustrates a steadily increasing trend, characterized by the enrollment of small groups of subjects, and particularly oriented to the subjects assistance using robots companion. In conclusion, despite the new technological solutions for people with MCI have received much interest, particularly regarding robots for assistance, nowadays it still owns vast room for improvement.

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Electronic Devices for Cognitive Impairment Screening: A Systematic Literature Review

Cited by 16 publications

References 45 publications

Validation of SATURN, a free, electronic, self‐administered cognitive screening test

Validation of SATURN, a free, electronic, self‐administered cognitive screening test

Comparing Traditional and Digitized Cognitive Tests Used in Standard Clinical Evaluation – A Study of the Digital Application Minnemera

Novel Technological Solutions for Assessment, Treatment, and Assistance in Mild Cognitive Impairment

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