scholarly journals A-033 Subjective Cognitive Decline Symptom Burden Predicts Acceptance of Cognitive Assessment

2020 ◽  
Vol 35 (6) ◽  
pp. 823-823
Author(s):  
Splonskowski M ◽  
Jacova C
Keyword(s):  
Cognitive Decline ◽  
Cognitive Assessment ◽  
Online Survey ◽  
Outcome Measurement ◽  
Amazon Mechanical Turk ◽  
Subjective Cognitive Decline ◽  
Measurement Information ◽  
Depression Symptoms ◽  
Depression And Anxiety ◽  
Patient Reported

Abstract Objective Individuals endorsing subjective cognitive decline (SCD) are at risk for dementia, likely to endorse depression and anxiety but often don’t seek cognitive assessment. Here we examined the relationship between SCD and acceptance of cognitive assessment. Method A nation-wide sample of 483 adults age 50 and older completed an online survey via the crowdsourcing website, Amazon Mechanical Turk. The SCD-MyCog Questionnaire was used to calculate total SCD score and determine SCD and non-SCD groups (>7/24 = SCD). Items from The Perceptions Regarding Investigational Screening for Memory in Primary Care were summed to create total Assessment Acceptance. Anxiety and depressive symptoms were measured using Patient-Reported Outcome Measurement Information System scales. Results A hierarchical regression showed SCD total score adding to the prediction of assessment acceptance (R2 change = 8.5%). Once age (R2 change = 0.2%), and depression and anxiety (R2 change = 0.5%) were entered in steps 1 and 2. Step 3 coefficients were − .016, −.047, .019, and .18. The SCD group had an overall acceptance score > 1 SD higher than non-SCD (17.4 ± 2.32 and 15.46 ± 3.46). Conclusion SCD endorsed more acceptance even when anxiety and depression symptoms were accounted for. This finding is at odds with reduced help-seeking behavior among SCD. Further research is warranted to understand the specific barriers to seeking assessment among SCD.

scholarly journals A-025 Subjective Cognitive Decline and Likelihood of Participation Across Home-Based Cognitive Assessment Modalities

2020 ◽  
Vol 35 (6) ◽  
pp. 815-815
Author(s):  
Splonskowski M ◽  
Smith S ◽  
Jacova C
Keyword(s):  
Cognitive Decline ◽  
Cognitive Assessment ◽  
Help Seeking ◽  
Symptom Burden ◽  
Community Dwelling ◽  
Cognitive Testing ◽  
Amazon Mechanical Turk ◽  
Subjective Cognitive Decline ◽  
Home Based ◽  
The Relationship

Abstract Objective Individuals with subjective cognitive decline (SCD) are approximately twice as likely to develop dementia and less likely to seek cognitive assessment. Home-based cognitive assessment (HBCA) could reduce many practical and emotional barriers associated with in-person cognitive testing. We aimed to explore the relationship between SCD and likelihood of HBCA participation across various modalities. Method A nation-wide sample of 483 community-dwelling adults age 50 years and older (M = 63.61 ± 5.47) were recruited via Amazon Mechanical Turk, an online crowdsourcing website, to complete a survey. SCD was measured using the SCD-MyCog Questionnaire. A score of 7/24 endorsed symptoms classified respondents into SCD and non-SCD. Likelihood of participation in HBCA was measured using 4 likert-scale items (e.g., “How likely would you be to participate in HBCA via computer?”). Total likelihood was calculated by summing items. Results Regression revealed SCD symptom burden predicted likelihood of participation in HBCA [F(1, 481) = 12.42, B = .097, [.043–.150], p < .001, r^2 = .025]. Likelihood was higher in SCD (15.25 ± 3.3) than non-SCD (14.23 ± 3.5). When looking at specific HBCA modalities, SCD were more likely than non-SCD to participate in computer and videoconferencing modalities (1.36 ± 0.6 vs1.68 ± 0.87, p < .001; 2.26 ± 1.11 vs 2.58 ± 1.16, p < .001). There was no relationship with iPad or smartphone modalities. Conclusion SCD endorsement was associated with increased likelihood of engagement in HBCA. It is possible that HBCA can help overcome barriers to help-seeking in this group. SCD may prefer videoconferencing and computer modalities.

scholarly journals Self-Experienced Cognitive Function in the Digital Era: Are Older Adults at Risk of Subjective Cognitive Decline?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 752-752
Author(s):  
Moriah Splonskowski ◽  
Samantha Smith ◽  
Claudia Jacova
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Online Survey ◽  
Symptom Burden ◽  
Amazon Mechanical Turk ◽  
Subjective Cognitive Decline ◽  
Technology Proficiency ◽  
Digital Era ◽  
Increased Risk

Abstract Older adults often find it difficult to use everyday technology proficiently. We hypothesized that these difficulties would be exacerbated in those with subjective cognitive decline (SCD), that is, self-perceived worsening of cognitive functions that has been associated with increased risk of future dementia. Here we investigated the relationship between SCD symptom burden and technology proficiency. A nation-wide sample of adults (N=483) ages 50-79 (66.5% female; 14.5% age >70) completed an online survey via a crowdsourcing website, Amazon Mechanical Turk. The survey included the Subjective Cognitive Decline Questionnaire (SCD-Q MyCog) (0-25, M=4.71, SD=5.77), questions about respondents’ proficiency with computer, smartphone, and tablet (4-12, M=9.72, SD=1.97), and the PROMIS depression (M=13.18, SD=6.32) and anxiety (M=13.04, SD=5.68) scales. Linear regression was used to examine the ability of technology proficiency to predict SCD score. We also probed the interaction of technology proficiency with age (<70 vs. >70 years), and adjusted for covariates. We found that the age/technology interaction (B=-0.80), older age (B=7.49), lower education (B=-1.08), higher depression (B=0.20) and anxiety (B=0.16) symptoms predicted higher SCD burden (R-squared=.16). For respondents >70 years low technology proficiency predicted high SCD burden (B=-.79) whereas for those <70 years no relationship was found. Our study draws attention to older adults’ self-experienced cognitive function in the digital era. The association between low technology proficiency and SCD may signal the adverse impact of the digital era on those who experienced technology only later in life. It is equally possible that declining technology proficiency is an indicator of emerging neurodegenerative disease.

scholarly journals How Well Does Subjective Cognitive Decline Correspond to Objectively Measured Cognitive Decline? Assessment of 10–12 Year Change

2021 ◽  
pp. 1-14
Author(s):  
Daniel E. Gustavson ◽  
Amy J. Jak ◽  
Jeremy A. Elman ◽  
Matthew S. Panizzon ◽  
Carol E. Franz ◽  
...  
Keyword(s):  
Executive Function ◽  
Cognitive Decline ◽  
Cognitive Ability ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Subjective Cognitive Decline ◽  
Continuous Measure ◽  
Depression And Anxiety ◽  
Cognitive Changes ◽  
Objective Prior

Background: Although not strongly correlated with current objective cognitive ability, subjective cognitive decline (SCD) is a risk factor for Alzheimer’s disease. Most studies focus on SCD in relation to future decline rather than objective prior decline that it purportedly measures. Objective: We evaluated whether self-report of cognitive decline—as a continuous measure—corresponds to objectively-assessed episodic memory and executive function decline across the same period. Methods: 1,170 men completed the Everyday Cognition Questionnaire (ECog) at mean age 68 assessing subjective changes in cognitive ability relative to 10 years prior. A subset had mild cognitive impairment (MCI), but MCI was diagnosed without regard to subjective decline. Participants completed up to 3 objective assessments of memory and executive function (M = 56, 62, and 68 years). Informant-reported ECogs were completed for 1,045 individuals. Analyses controlled for depression and anxiety symptoms assessed at mean age 68. Results: Participant-reported ECog scores were modestly associated with objective decline for memory (β= –0.23, 95%CI [–0.37, –0.10]) and executive function (β= –0.19, 95%CI [–0.33, –0.05]) over the same time period. However, these associations were nonsignificant after excluding MCI cases. Results were similar for informant ratings. Participant-rated ECog scores were more strongly associated with concurrent depression and anxiety symptoms, (β= 0.44, 95%CI [0.36, 0.53]). Conclusion: Continuous SCD scores are correlated with prior objective cognitive changes in non-demented individuals, though this association appears driven by individuals with current MCI. However, participants’ current depression and anxiety ratings tend to be strongly associated with their SCD ratings. Thus, what primarily drives SCD ratings remains unclear.

scholarly journals Likelihood of Participation in Home-Based Cognitive Assessment: The Role of Subjective Cognitive Decline and Age

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 293-294
Author(s):  
Moriah Splonskowski ◽  
Holly Cooke ◽  
Claudia Jacova
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Old Age ◽  
Cognitive Assessment ◽  
Community Dwelling ◽  
Subjective Cognitive Decline ◽  
Cognitive State ◽  
Home Based ◽  
Increased Risk

Abstract Home-based cognitive assessment (HBCA) services are emerging as a convenient alternative to in-clinic cognitive assessment and may aid in mitigating barriers to detecting cognitive impairment (CI). It is unknown which older adults would be likely to participate in HBCA. Here we investigated the role of age and Subjective Cognitive Decline (SCD). SCD has demonstrated an increased risk for progression to CI/dementia. A nation-wide community-dwelling sample of 494 adults age 50+ were recruited via Amazon Mechanical Turk to complete an online survey assessing perceptions around HBCA and SCD. Our sample was 91.9% White and 66.8% female. It consisted of 174 respondents aged 50-60, 265 aged 61- 70, and 55 aged 71-79. Age groups were comparable with respect to their acceptance of cognitive assessment (Range 4-20, higher score=higher acceptance, 7.9±3.3, 8.15±3.2, 8.05±3.43) and SCD-Q total (43.1±5.8, 43.2±5.7, 43.3±5.7). Correlation analysis revealed a relationship between SCD-QSCD total and perceived likelihood of participation in HBCA for those ages 61-70 (r(263) = .222 p = .000), but not for ages 50-60 or 71-79 (r(172) = .102 p = .152; r(53) = -.102 p = .458). Our findings suggest that SCD influences the likelihood of participation in HBCA for older adults’ transitioning to old age (61-70). Findings show that for adults transitioning into old age (61-70), perceived cognitive state influences their likelihood of participation in HBCA. Importantly, concerns about CI/dementia may generate more favorable perceptions of HBCA for this group.

Patient-Reported Outcome Measurement Information System Pediatric Meaning and Purpose Item Banks

2019 ◽  
Author(s):  
Christopher B. Forrest ◽  
Katherine B. Bevans ◽  
Ania Filus ◽  
Janine Devine ◽  
Brandon D. Becker ◽  
...  
Keyword(s):  
Information System ◽  
Outcome Measurement ◽  
Patient Reported Outcome ◽  
Measurement Information ◽  
Item Banks ◽  
Patient Reported ◽  
Measurement Information System ◽  
Meaning And Purpose
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