scholarly journals Computerized Cognitive Testing in Epilepsy (CCTE): A new method for cognitive screening

Seizure ◽  
2013 ◽  
Vol 22 (6) ◽  
pp. 424-432 ◽  
Author(s):  
Katrin Kurzbuch ◽  
Elisabeth Pauli ◽  
Laco Gaál ◽  
Frank Kerling ◽  
Burkhard S. Kasper ◽  
...  
Keyword(s):  
Cognitive Testing ◽  
New Method ◽  
Cognitive Screening

Computerized cognitive testing in epilepsy: A new method for cognitive screening

2013 ◽  
Vol 28 (2) ◽  
pp. 319-320
Author(s):  
K. Kurzbuch ◽  
W. Graf ◽  
B.S. Kasper ◽  
E. Pauli
Keyword(s):  
Cognitive Testing ◽  
New Method ◽  
Cognitive Screening

The Impact of Subjective and Objective Hearing Loss on Cognition and Memory in Older Adults

2015 ◽  
Vol 20 (2) ◽  
pp. 49-57 ◽  
Author(s):  
Yvonne Rogalski ◽  
Amy Rominger
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Reading Aloud ◽  
Cognitive Testing ◽  
Professional Collaboration ◽  
Cognitive Screening ◽  
Speech Language Pathologist ◽  
Text Passage ◽  
The Impact ◽  
Audiologic Evaluation

For this exploratory cross-disciplinary study, a speech-language pathologist and an audiologist collaborated to investigate the effects of objective and subjective hearing loss on cognition and memory in 11 older adults without hearing loss (OAs), 6 older adults with unaided hearing loss (HLOAs), and 16 young adults (YAs). All participants received cognitive testing and a complete audiologic evaluation including a subjective questionnaire about perceived hearing difficulty. Memory testing involved listening to or reading aloud a text passage then verbally recalling the information. Key findings revealed that objective hearing loss and subjective hearing loss were correlated and both were associated with a cognitive screening test. Potential clinical implications are discussed and include a need for more cross-professional collaboration in assessing older adults with hearing loss.

Double Concussions and Cognitive Dysfunction: A Population Study of Young Men

2012 ◽  
Vol 13 (2) ◽  
pp. 197-202 ◽  
Author(s):  
Thomas W. Teasdale ◽  
Aase W. Engberg ◽  
Linda G. Holte
Keyword(s):  
Risk Factor ◽  
Cognitive Dysfunction ◽  
Odds Ratio ◽  
Early Adulthood ◽  
Age Groups ◽  
Young Men ◽  
Cognitive Testing ◽  
Cognitive Screening ◽  
Comparable Sample

Aims: To determine whether double concussions can result in longer-lasting cognitive dysfunctioning than a single concussion and/or whether cognitive dysfunction is a greater risk factor for double concussions than for a single concussion.Method: Through a national hospitalisation database, 2753 men were found who, at ages between infancy and early adulthood, had, on two separate occasions, been briefly hospitalised after a concussion. This cohort was compared with a previously obtained and comparable sample of men who had suffered a single concussion. From Draft Board records a dichotomised index was obtained indicating whether or not they had performed at or above a cut-off total score on a cognitive screening test involving four timed subtests, below cut-off being considered as dysfunctional.Findings: For all age groups, double concussions were associated with higher rates of cognitive dysfunction than single concussions. This was especially true where the concussion(s) had occurred after cognitive testing [odds ratio = 2.53, 95% confidence interval (CI) = 1.92–3.36]. Where double concussions had occurred before cognitive testing but after age 12, cognitive dysfunction was more prevalent when the interval between concussions was less than 1 month than at longer intervals (odds ratio = 3.91, 95%CI = 1.14–13.34). It is concluded that cognitive dysfunction in young men is a risk factor for repeat concussions; at the same time cognitive dysfunction can also be a long-term consequence of two concussions occurring in close temporal proximity.

The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): a review

2004 ◽  
Vol 16 (3) ◽  
pp. 275-293 ◽  
Author(s):  
Anthony F. Jorm
Keyword(s):  
Cognitive Decline ◽  
High Reliability ◽  
The Elderly ◽  
Cognitive Testing ◽  
Screening Tests ◽  
General Factor ◽  
Cognitive Tests ◽  
Cognitive Screening ◽  
Wide Range ◽  
The Subject

Background and aims: The IQCODE is widely used as a screening test for dementia, particularly where the subject is unable to undergo direct cognitive testing or for screening in populations with low levels of education and literacy. This review draws together research on the psychometric properties and validity of the IQCODE.Method: A systematic search of the literature was carried out using three databases.Results: The review shows that the questionnaire has high reliability and measures a single general factor of cognitive decline. It validly reflects past cognitive decline, performs at least as well at screening as conventional cognitive screening tests, predicts incident dementia, and correlates with a wide range of cognitive tests. A particular strength is that the IQCODE is relatively unaffected by education and pre-morbid ability or by proficiency in the culture's dominant language. The disadvantage of the IQCODE is that it is affected by informant characteristics such as depression and anxiety in the informant and the quality of the relationship between the informant and the subject.Conclusions: Because the IQCODE provides information complementary to brief cognitive tests, harnessing them together can improve screening accuracy.

Cognitive impairment in pediatric-onset multiple sclerosis is detected by the Brief International Cognitive Assessment for Multiple Sclerosis and computerized cognitive testing

2017 ◽  
Vol 24 (4) ◽  
pp. 512-519 ◽  
Author(s):  
Leigh E Charvet ◽  
Michael Shaw ◽  
Ariana Frontario ◽  
Dawn Langdon ◽  
Lauren B Krupp
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Outpatient Setting ◽  
Cognitive Testing ◽  
Cognitive Screening ◽  
Healthy Control ◽  
Computer Based ◽  
Brief Cognitive Assessment ◽  
Pediatric Onset

Background: Cognitive impairment is a common and troubling feature of pediatric-onset multiple sclerosis (POMS). Brief cognitive assessment in the outpatient setting can identify and longitudinally monitor cognitive involvement so that early intervention is possible. Objectives: The goal of this study was to measure the sensitivity of two cognitive assessment approaches that are brief, repeatable, and suitable for clinical practice and for multicenter investigation. Methods: Participants with POMS ( n = 69) were consecutively evaluated as part of outpatient neurologic visits and compared to healthy control participants (HC, n = 66) using the Brief International Cognitive Assessment for MS (BICAMS) approach and timed information processing measures from Cogstate, a computer-based assessment. Results: There was strong agreement in the detection rate of impairment between both assessments, with 26% for the BICAMS and 27% for Cogstate. Two of the Cogstate tasks were the most sensitive individual measures. Conclusion: Both the BICAMS and Cogstate timed processing measures offer practical, sensitive, and standardized approaches for cognitive screening assessment in POMS.

scholarly journals Pilot Study to Assess the Feasibility of a Mobile Unit for Remote Cognitive Screening of Isolated Elderly in Rural Areas

2021 ◽  
Vol 18 (11) ◽  
pp. 6108
Author(s):  
Radia Zeghari ◽  
Rachid Guerchouche ◽  
Minh Tran Duc ◽  
François Bremond ◽  
Maria Pascale Lemoine ◽  
...  
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Cognitive Testing ◽  
Cognitive Screening ◽  
Mobile Unit ◽  
Mobile Clinic ◽  
Face To Face ◽  
Comparison Results ◽  
Quantitative Manner ◽  
Telemedical System

Background: Given the current COVID-19 pandemic situation, now more than ever, remote solutions for assessing and monitoring individuals with cognitive impairment are urgently needed. Older adults in particular, living in isolated rural areas or so-called ‘medical deserts’, are facing major difficulties in getting access to diagnosis and care. Telemedical approaches to assessments are promising and seem well accepted, reducing the burden of bringing patients to specialized clinics. However, many older adults are not yet adequately equipped to allow for proper implementation of this technology. A potential solution could be a mobile unit in the form of a van, equipped with the telemedical system which comes to the patients’ home. The aim of this proof-of-concept study is to evaluate the feasibility and reliability of such mobile unit settings for remote cognitive testing. Methods and analysis: eight participants (aged between 69 and 86 years old) from the city of Digne-Les-Bains volunteered for this study. A basic neuropsychological assessment, including a short clinical interview, is administered in two conditions, by telemedicine in a mobile clinic (equipped van) at a participants’ home and face to face in a specialized clinic. The administration procedure order is randomized, and the results are compared with each other. Acceptability and user experience are assessed among participants and clinicians in a qualitative and quantitative manner. Measurements of stress indicators were collected for comparison. Results: The analysis revealed no significant differences in test results between the two administration procedures. Participants were, overall, very satisfied with the mobile clinic experience and found the use of the telemedical system relatively easy. Conclusion: A mobile unit equipped with a telemedical service could represent a solution for remote cognitive testing overcoming barriers in rural areas to access specialized diagnosis and care.

scholarly journals WLS-ILIAD: New Longitudinal Resource for Cognitive and Dementia Data

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 222-223
Author(s):  
Pamela Herd ◽  
Victoria Williams ◽  
Sanjay Asthana
Keyword(s):  
Recall Test ◽  
Cognitive Testing ◽  
Word Recall ◽  
Cognitive Screening ◽  
Cognitive Domains ◽  
Screening Measure ◽  
Visuospatial Abilities ◽  
Test Digit ◽  
Iq Scores ◽  
Cognitive Screening Measure

Abstract One of the distinctive strengths of WLS is the availability of Henmon-Nelson IQ scores on all participants while in high school, followed by prospective collection of data through cognitive batteries of varying size and sophistication. Launched in 1993, the initial longitudinal cognitive testing included 8 abstract reasoning items followed by the administration of larger cognitive batteries in 2004 and 2011 comprised of a 10-item word recall test, digit ordering task, phonemic and category fluency, as well as repeated and new items from the WAIS-R similarities task first administered in the 1993 survey. In 2018, with R01 funding from NIA, the scope of cognitive testing expanded significantly and includes administration of a phone-based cognitive screening measure, and a comprehensive in-person neuropsychological assessment for individuals identified at risk for dementia targeting a range of cognitive domains, including memory, language, attention, visuospatial abilities, and executive functioning.

Assessing the validity of a computer-generated cognitive screening instrument for patients with multiple sclerosis

2013 ◽  
Vol 19 (14) ◽  
pp. 1905-1912 ◽  
Author(s):  
Helen Lapshin ◽  
Krista L Lanctôt ◽  
Paul O’Connor ◽  
Anthony Feinstein
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Impairment ◽  
Neuropsychological Testing ◽  
Screening Instrument ◽  
Cognitive Testing ◽  
Healthy Controls ◽  
Cognitive Screening ◽  
Good Test ◽  
Administration Time ◽  
Motor Component

Background: Neuropsychological testing requires considerable time, expense, and expertise to administer. These factors can limit patient access. Computerized cognitive testing has been proposed as an alternative. Objectives: The objective of this paper is to validate a brief, simple-to-use computer-generated cognitive assessment screening battery for multiple sclerosis (MS) patients that has minimal motor involvement. Methods: A sample of 96 MS patients and 98 healthy controls completed a computer-generated battery that included the Stroop, Symbol Digit Modalities Test (C-SDMT), a two- and four-second visual analog of the Paced Auditory Serial Addition Test (PVSAT-2, PVSAT-4), and simple and choice reaction time tests. The Minimal Assessment of Cognitive Function in MS was used to define cognitive impairment in the MS sample. Results: Each newly developed test successfully distinguished between cognitively impaired patients and healthy controls as well as cognitively intact patients. A combination of three computerized tests (C-SDMT, PVSAT-2, PVSAT-4) with a mean administration time of 10 minutes had a sensitivity of 82.5% and specificity of 87.5% in detecting cognitive impairment. Good test-retest reliability was obtained for each measure. Conclusions: Good sensitivity and specificity, brevity, ease of administration, and a limited motor component highlight the feasibility of introducing this computer-generated cognitive screening instrument in a busy MS clinic.

Neuropsychological Assessment of the Aging Physician: A Review & Commentary

2021 ◽  
pp. 089198872110160
Author(s):  
Charles E. Gaudet ◽  
Victor A. Del Bene
Keyword(s):  
At Risk ◽  
Cognitive Functioning ◽  
Neuropsychological Assessment ◽  
Potential Role ◽  
Cognitive Testing ◽  
Test Interpretation ◽  
Cognitive Screening ◽  
Cognitive Changes ◽  
Fitness For Duty

Late-career physicians (LCPs) are at risk for cognitive changes that may affect their ability to practice medicine. This review aggregates and discusses research that has examined cognitive functioning among physicians, typically when clinically referred for various medical and psychological reasons that may interfere with their ability to practice medicine. Special consideration is devoted to the role of approaches for examining cognitive functioning (e.g., cognitive screening, cognitive testing, & neuropsychological assessment), normative challenges, and cultural factors that should be considered when evaluating a physician. Based on published studies, there is evidence supportive of the use of cognitive testing and neuropsychological assessment among physicians in a fitness for duty setting. However, prospective studies designed to identify physicians at-risk (i.e., to prevent medical error) are lacking. Additional research is warranted to establish physician-based normative reference groups and aid in test interpretation and prognostication. Moreover, given limitations associated with cognitive testing in isolation, there is a potential role for comprehensive neuropsychological assessment to identify cognitive changes in physicians and provide a supportive pathway to preserve physicians’ ability to practice medicine.

Sign in / Sign up

Export Citation Format

Share Document