Usability of the Mayo Test Drive remote self-administered web-based cognitive screening battery in adults aged 35-100 with and without cognitive impairment.

IF 1.8 4区心理学 Q3 CLINICAL NEUROLOGY

Journal of clinical and experimental neuropsychology Pub Date : 2025-02-01 Epub Date: 2025-02-20 DOI:10.1080/13803395.2025.2464633

Jay S Patel, Teresa J Christianson, Logan T Monahan, Ryan D Frank, Winnie Z Fan, John L Stricker, Walter K Kremers, Aimee J Karstens, Mary M Machulda, Julie A Fields, Jason Hassenstab, Clifford R Jack, Hugo Botha, Jonathan Graff-Radford, Ronald C Petersen, Nikki H Stricker

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引用次数: 0

Abstract

Background: Mayo Test Drive (MTD): Mayo Test Development through Rapid Iteration, Validation and Expansion, is a web-based remote cognitive assessment platform for self-administered neuropsychological measures with previously demonstrated validity and reliability. We examined the usability of MTD and hypothesized that completion rates would be greater than 90%. We explored whether completion and participation rates differed by cognitive status and demographic factors.

Methods: A total of 1,950 Mayo Clinic Study of Aging and Mayo Alzheimer's Disease Research Center participants (97% White, 99% Non-Hispanic) were invited to participate in this ancillary, uncompensated remote study. Most invitees were cognitively unimpaired (CU; n = 1,769; 90.7%) and 9.3% were cognitively impaired (CI; n = 181). Usability was objectively defined as the percentage of participants who completed a session after initiating a session for a given timepoint (i.e. completion rates).

Results: Baseline session completion rates were 98.5% (n = 1199/1217 participants, mean age 71, SD = 12, range 35-100) and were comparable between CU (98.7%) and CI (95.0%) groups (p = .23). Completion rates did not significantly differ by age groups (p > .10) and remained high in individuals 80+ (n = 251, 97.3%). Participation rates were higher in the CU (n = 1142, 65.4%) versus CI (n = 57, 33.1%) group (p < .001); participants were younger and had more years of education (p's < .001). Adherence (i.e. retention) rate for a 7.5-month follow-up session was 89%. Average session duration was 16 min. Most participants used a personal computer (62.7%), followed by a smartphone (22.2%) or tablet (14.8%). Comments entered by 36.4% of participants reflected several themes including acceptability, face validity, usability, and comments informative for session context.

Conclusions: MTD demonstrated high usability as defined by completion rates in this research sample that includes a broad age range, though participation rates are lower in individuals with cognitive impairment. Results support good adherence at follow-up, feasibility through mean session duration, and acceptability based on qualitative analysis of participant comments.

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在35-100岁有或无认知障碍的成年人中，Mayo Test Drive远程自我管理的基于网络的认知筛查电池的可用性

背景：梅奥测试驱动（MTD）：梅奥测试开发通过快速迭代，验证和扩展，是一个基于网络的远程认知评估平台，用于自我管理的神经心理学测量，先前已证明其有效性和可靠性。我们检查了MTD的可用性，并假设完成率将大于90%。我们探讨了完成率和参与率是否因认知状况和人口因素而不同。方法：共有1950名梅奥临床衰老研究和梅奥阿尔茨海默病研究中心的参与者（97%白人，99%非西班牙裔）被邀请参加这项辅助的、无偿的远程研究。大多数被邀请者认知未受损(CU；n = 1769；90.7%)和9.3%的认知障碍(CI；n = 181)。可用性被客观地定义为在给定时间点启动会话后完成会话的参与者百分比（即完成率）。结果：基线疗程完成率为98.5% (n = 1199/1217名参与者，平均年龄71岁，SD = 12，范围35-100)，CU组（98.7%）和CI组（95.0%）之间具有可比性（p = 0.23）。不同年龄组的完成率无显著差异（p < 0.05）， 80岁以上的完成率仍然很高（n = 251, 97.3%）。CU组的参与率（n = 1142, 65.4%）高于CI组（n = 57, 33.1%） (p)。结论：MTD在包括广泛年龄范围的研究样本中，通过完成率显示出高可用性，尽管认知障碍患者的参与率较低。结果支持随访时良好的依从性，平均疗程持续时间的可行性，以及基于参与者评论的定性分析的可接受性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of clinical and experimental neuropsychology 医学-临床神经学

CiteScore

3.20

自引率

4.50%

发文量

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.