The impact of presentation modality on cognitive test performance for adults with hearing loss

Goodwin, Maria; Hogervorst, Eef; Maidment, David W.

doi:10.1002/alz.058571

Cited by 3 publications

(6 citation statements)

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“…This is potentially consistent with the controls’ preserved performance on the bisyllabic single-word repetition test where top-down information can be used to complement bottom-up auditory information partially degraded by the video-conferencing software 31. An alternative (or complementary) explanation could again be age-related changes, here affecting hearing function (presbycusis) 32–34…”

Section: Discussionsupporting

confidence: 63%

“… 31 An alternative (or complementary) explanation could again be age-related changes, here affecting hearing function (presbycusis). 32–34 …”

Section: Discussionmentioning

confidence: 99%

“…31 An alternative (or complementary) explanation could again be age-related changes, here affecting hearing function (presbycusis). [32][33][34] The finding of significantly better performance on the verbal (letter) fluency task in the LPA cohort tested remotely compared with the cohort tested face-to-face is surprising. The obvious explanation is that the remote cohort was overall less impaired than the patients seen face-to-face; although efforts were made to match the two cohorts for disease severity and other potentially relevant factors.…”

Section: Open Accessmentioning

confidence: 97%

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Remote versus face-to-face neuropsychological testing for dementia research: a comparative study in people with Alzheimer’s disease, frontotemporal dementia and healthy older individuals

et al. 2022

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ObjectivesWe explored whether adapting neuropsychological tests for online administration during the COVID-19 pandemic was feasible for dementia research.DesignWe used a longitudinal design for healthy controls, who completed face-to-face assessments 3–4 years before remote assessments. For patients, we used a cross-sectional design, contrasting a prospective remote cohort with a retrospective face-to-face cohort matched for age/education/severity.SettingRemote assessments were conducted using video-conferencing/online testing platforms, with participants using a personal computer/tablet at home. Face-to-face assessments were conducted in testing rooms at our research centre.ParticipantsThe remote cohort comprised 25 patients (n=8 Alzheimer’s disease (AD); n=3 behavioural variant frontotemporal dementia (bvFTD); n=4 semantic dementia (SD); n=5 progressive non-fluent aphasia (PNFA); n=5 logopenic aphasia (LPA)). The face-to-face patient cohort comprised 64 patients (n=25 AD; n=12 bvFTD; n=9 SD; n=12 PNFA; n=6 LPA). Ten controls who previously participated in face-to-face research also took part remotely.Outcome measuresThe outcome measures comprised the strength of evidence under a Bayesian framework for differences in performances between testing environments on general neuropsychological and neurolinguistic measures.ResultsThere was substantial evidence suggesting no difference across environments in both the healthy control and combined patient cohorts (including measures of working memory, single-word comprehension, arithmetic and naming; Bayes Factors (BF)01>3), in the healthy control group alone (including measures of letter/category fluency, semantic knowledge and bisyllabic word repetition; all BF01>3), and in the combined patient cohort alone (including measures of working memory, episodic memory, short-term verbal memory, visual perception, non-word reading, sentence comprehension and bisyllabic/trisyllabic word repetition; all BF01>3). In the control cohort alone, there was substantial evidence in support of a difference across environments for tests of visual perception (BF01=0.0404) and monosyllabic word repetition (BF01=0.0487).ConclusionsOur findings suggest that remote delivery of neuropsychological tests for dementia research is feasible.

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Section: Discussionsupporting

confidence: 63%

“… 31 An alternative (or complementary) explanation could again be age-related changes, here affecting hearing function (presbycusis). 32–34 …”

Section: Discussionmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 97%

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Remote versus face-to-face neuropsychological testing for dementia research: a comparative study in people with Alzheimer’s disease, frontotemporal dementia and healthy older individuals

et al. 2022

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“…The self‐administered web‐based design relying on visual presentation of stimuli eliminates other potential confounds that may occur when list‐learning tests are administered orally via telephone, videoconferencing, or automated recordings, such as misinterpretation of words spoken due to hearing problems or suboptimal audio quality. 28 , 29 Though infrequent, we were able to capture reports of environmental interference and participant comments that may impact interpretation of session results. We have previously observed lower performance on other self‐administered cognitive measures at home versus in clinic.…”

Section: Discussionmentioning

confidence: 99%

A novel computer adaptive word list memory test optimized for remote assessment: Psychometric properties and associations with neurodegenerative biomarkers in older women without dementia

Stricker

Karstens

et al. 2022

Alz & Dem Diag Ass & Dis Mo

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Introduction This study established the psychometric properties and preliminary validity of the Stricker Learning Span (SLS), a novel computer adaptive word list memory test designed for remote assessment and optimized for smartphone use. Methods Women enrolled in the Mayo Clinic Specialized Center of Research Excellence (SCORE) were recruited via e‐mail or phone to complete two remote cognitive testing sessions. Convergent validity was assessed through correlation with previously administered in‐person neuropsychological tests (n = 96, ages 55–79) and criterion validity through associations with magnetic resonance imaging measures of neurodegeneration sensitive to Alzheimer's disease (n = 47). Results SLS performance significantly correlated with the Auditory Verbal Learning Test and measures of neurodegeneration (temporal meta‐regions of interest and entorhinal cortical thickness, adjusting for age and education). Test–retest reliabilities across two sessions were 0.71–0.76 (two‐way mixed intraclass correlation coefficients). Discussion The SLS is a valid and reliable self‐administered memory test that shows promise for remote assessment of aging and neurodegenerative disorders.

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“…This is potentially consistent with the controls' preserved performance on the bisyllabic single word repetition test where top-down information can be used to complement bottom-up auditory information partially degraded by the videoconferencing software 49 . An alternative (or complementary) explanation could again be age-related changes, here affecting hearing function (presbycusis) [50][51][52] .…”

Section: Discussionmentioning

confidence: 99%

Neuropsychological assessments for dementia research in the COVID-19 era: comparing remote and face-to-face testing

Requena-Komuro

Jiang

Dobson

et al. 2022

Preprint

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ObjectivesWe explored whether adapting traditional neuropsychological tests for online administration against the backdrop of COVID-19 was feasible for people with diverse forms of dementia and healthy older controls. We compared face-to-face and remote settings to ascertain whether remote administration affected performance.DesignWe used a longitudinal design for healthy older controls who completed face-to-face neuropsychological assessments between three and four years before taking part remotely. For patients, we used a cross-sectional design, contrasting a prospective remote cohort with a retrospective face-to-face cohort matched in age, education, and disease duration.SettingRemote assessments were performed using video-conferencing and online testing platforms, with participants using a personal computer or tablet and situated in a quiet room in their own home. Face-to-face assessments were carried out in dedicated testing rooms in our research centre.ParticipantsThe remote cohort comprised ten healthy older controls (also seen face-to-face 3-4 years previously) and 25 patients (n=8 Alzheimer’s disease (AD); n=3 behavioural variant frontotemporal dementia (bvFTD); n=4 semantic dementia (SD); n=5 progressive nonfluent aphasia (PNFA); n=5 logopenic aphasia (LPA)). The face-to-face patient cohort comprised 64 patients (n=25 AD; n=12 bvFTD; n=9 SD; n=12 PNFA; n=6 LPA).Primary and secondary outcome measuresThe outcome measures comprised the strength of evidence under a Bayesian analytic framework for differences in performances between face-to-face and remote testing environments on a general neuropsychological (primary outcomes) and neurolingustic battery (secondary outcomes).ResultsThere was evidence to suggest comparable performance across testing environments for all participant groups, for a range of neuropsychological tasks across both batteries.ConclusionsOur findings suggest that remote delivery of neuropsychological tests for dementia research is feasible.Strengths and limitations of this studyMethodological strengths of this study includeDiverse patient cohorts representing rare dementias with specific communication difficultiesSampling of diverse and relevant neuropsychological domainsUse of Bayesian statistics to quantify the strength of evidence for the putative null hypothesis (no effect between remote and face-to-face testing)Limitations includeRelatively small cohort sizesLack of direct head-to-head comparisons of test environment in the same patients

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The impact of presentation modality on cognitive test performance for adults with hearing loss

Cited by 3 publications

References 0 publications

Remote versus face-to-face neuropsychological testing for dementia research: a comparative study in people with Alzheimer’s disease, frontotemporal dementia and healthy older individuals

Remote versus face-to-face neuropsychological testing for dementia research: a comparative study in people with Alzheimer’s disease, frontotemporal dementia and healthy older individuals

A novel computer adaptive word list memory test optimized for remote assessment: Psychometric properties and associations with neurodegenerative biomarkers in older women without dementia

Neuropsychological assessments for dementia research in the COVID-19 era: comparing remote and face-to-face testing

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