A pilot examination of the validity of stylus and finger drawing on visuomotor-mediated tests on ACEmobile.

IF 1.8 4区 心理学 Q3 CLINICAL NEUROLOGY
Rupert Noad, Craig Newman, Jade Chynoweth, Jacob Mayers, Stephen Hall, Donnchadh Murphy
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引用次数: 0

Abstract

Introduction: Cognitive assessments, such as the Addenbrooke's Cognitive Examination (ACE-III) and Montreal Cognitive Assessment (MoCA), have been modified for administration using tablet computers. While this offers important advantages for practice, it may also threaten the test validity. The current study sought to test whether administering visuospatial and writing tests using a tablet (finger or stylus drawing), would demonstrate equivalence to traditional pencil and paper administration on ACEmobile.

Method: This study recruited 26 participants with Alzheimer's disease and 23 healthy older adults. Most participants had low familiarity with using a tablet computer. Participants completed ACEmobile in its entirety, after which they repeated the infinity loops, cube, and clock drawing and sentence writing tests by drawing with a stylus and their finger onto an iPad. Performance on the drawing and writing tests using a stylus, finger, and pencil were compared.

Results: Statistically significant differences were observed between the finger and pencil administration on the ACEmobile, with participants performing worse on the finger drawing trials. Differences in scores were most apparent on the sentence writing task. In contrast, no statistical differences were observed between the pencil and stylus administration.

Discussion: The findings of this pilot study have important implications for clinical neuropsychology and demonstrate that administering ACEmobile drawing tests with finger drawing is invalid. However, due to the small sample size, a lack of counterbalancing and the narrow range of scores of the dependent variable, we are unable to confidently interpret the validity of stylus drawing. This is an important consideration for future research.

手写笔和手指绘图在ACEmobile视觉运动介导测试中有效性的试点检验。
引言:认知评估,如阿登布鲁克认知检查(ACE-III)和蒙特利尔认知评估(MoCA),已被修改为使用平板电脑进行管理。虽然这为实践提供了重要的优势,但也可能威胁到测试的有效性。目前的研究试图测试使用平板电脑(手指或手写笔)进行视觉空间和书写测试是否与ACEmobile上传统的铅笔和纸笔测试等效。方法:这项研究招募了26名阿尔茨海默病患者和23名健康老年人。大多数参与者对使用平板电脑的熟悉程度较低。参与者完整完成了ACEmobile,之后他们用手写笔和手指在iPad上画画,重复了无限循环、立方体、时钟绘图和句子写作测试。比较了使用手写笔、手指和铅笔进行绘图和书写测试的表现。结果:在ACEmobile上,手指和铅笔给药之间存在统计学上的显著差异,参与者在手指绘图试验中表现更差。在句子写作任务中,得分差异最为明显。相反,在铅笔和手写笔给药之间没有观察到统计学差异。讨论:这项试点研究的结果对临床神经心理学具有重要意义,并证明用手指绘图进行ACEmobile绘图测试是无效的。然而,由于样本量小、缺乏平衡以及因变量的得分范围窄,我们无法自信地解释手写笔绘画的有效性。这是未来研究的一个重要考虑因素。
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来源期刊
CiteScore
3.20
自引率
4.50%
发文量
52
审稿时长
6-12 weeks
期刊介绍: Journal of Clinical and Experimental Neuropsychology ( JCEN) publishes research on the neuropsychological consequences of brain disease, disorders, and dysfunction, and aims to promote the integration of theories, methods, and research findings in clinical and experimental neuropsychology. The primary emphasis of JCEN is to publish original empirical research pertaining to brain-behavior relationships and neuropsychological manifestations of brain disease. Theoretical and methodological papers, critical reviews of content areas, and theoretically-relevant case studies are also welcome.
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