Reliability and usability of an internet-based computerized cognitive testing battery in community-dwelling older people
Reliability and usability of an internet-based computerized cognitive testing battery in community-dwelling older people
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DOI：
10.1016/j.chb.2013.08.009
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发表时间：
2014-01-01
影响因子：
9.9
通讯作者：
Brodtmann, A.
中科院分区：
文献类型：
--
作者：
Darby, D. G.;Fredrickson, J.;Brodtmann, A.
认知能力下降是神经退行性疾病的早期特征。CogState开发了一种类似游戏的计算机化测试组合，在监督条件下检测老年人认知能力下降的可接受性、有效性、可靠性、稳定性、效率和灵敏度都得到了证明。本研究旨在评估该测试的基于互联网的版本，该测试在55岁及以上的健康社区老年人队列中远程使用和自我管理，为期12个月，间隔1-3个月。从可接受性、稳定性和可靠性方面对测试的可用性和可靠性进行了检查。在150名参与者（年龄：63.6 ± 5.6，范围55-83岁）中，143名（95%）成功完成了有效的基线测试。其中，67%完成了3个月的测试，43%完成了12个月的测试。9%的参与者报告了技术困难。对于那些完成12个月测试的参与者，所有任务都显示出中等到高度的稳定性和重测信度。这种简短的计算机化测试组合被证明对基线自我管理测试具有较高的可接受性，对12个月以上的重复评估具有中等到高度的稳定性。在基线和3个月之间，Atdam较高。这些数据表明，该工具可能有助于在6-12个月内对认知功能进行高频监测，值得进一步评估。(C)2013爱思唯尔有限公司保留所有权利。
Cognitive decline is an early feature of neurodegenerative conditions. CogState has developed a game-like computerized test battery with demonstrated acceptability, validity, reliability, stability, efficiency and sensitivity to detecting cognitive decline in older people under supervised conditions. This study aimed to evaluate an internet-based version of this test when used remotely and self-administered in a cohort of healthy, community-dwelling older adults aged 55 and above over a 12 month period at 1-3 monthly intervals. Test usability and reliability was examined in terms of acceptability, stability and reliability. Of 150 participants (age: 63.6 +/- 5.6, range 55-83 years), 143 (95%) successfully completed a valid baseline test. Of these, 67% completed 3 month and 43% 12 months of testing. Technical difficulties were reported by 9% of participants. For those participants who completed 12 months tests, all tasks showed moderate to high stability and test-retest reliability.This brief computerized test battery was shown to have high acceptability for baseline self-administered testing and moderate to high stability for repeated assessments over 12 months. Attrition was high between baseline and 3 months. These data suggest that this tool may be useful for high frequency monitoring of cognitive function over 6-12 months, and deserves further evaluation. (C) 2013 Elsevier Ltd. All rights reserved.