Journal of clinical and experimental neuropsychology最新文献

{"title":"Structural equation modeling of problematic internet use based on executive function, interpersonal needs, fear of missing out and depression.","authors":"Sana Alavinikoo, Mohammadreza Pirmoradi, Komeil Zahedi Tajrishi, Reza Arezoomandan","doi":"10.1080/13803395.2025.2480139","DOIUrl":"10.1080/13803395.2025.2480139","url":null,"abstract":"<p><p>This study aimed to model PIU (Problematic Internet Use) based on executive functions, interpersonal needs, depression, and fear of missing out in adolescents aged 15 to 19 residing in Tehran. The sample size included 200 girls and boys selected through convenience sampling. Participants completed the computerized Wisconsin Card Sorting Test, Young's Internet Addiction Test (IAT), Beck Depression Inventory (BDI-II), Fear of Missing Out scale (FOMOS), and Interpersonal Needs Questionnaire (INQ). The data were analyzed using structural equation modeling with SPSS 26 and AMOS 24 software. According to the results, executive functions directly and through the mediating effects of depression and the fear of missing out, predicted PIU. Thwarted belongingness through the mediating effect of depression and the fear of missing out had an effect on PIU. Perceived burdensomeness predicted PIU directly and indirectly through the mediating effect of depression. The relationship between perceived burdensomeness and fear of missing out was not significant in this study. Overall, the fit indices indicated that the proposed research model is a good fit, and executive functions, depression, interpersonal needs, and fear of missing out can predict PIU. Moreover, executive functions, thwarted belongingness, and perceived burdensomeness were able to predict depression, and executive functions, along with thwarted belongingness, could predict fear of missing out.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"185-204"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of executive function and language abilities in explaining theory of mind development in preschool-age children.","authors":"Michael Luc Andre, Célia Maintenant","doi":"10.1080/13803395.2025.2498712","DOIUrl":"10.1080/13803395.2025.2498712","url":null,"abstract":"<p><p>The development of theory of mind is linked to executive functions and language abilities in preschool-age children. Its relationship with these two cognitive variables has been studied from two research perspectives, providing a clear theoretical view on the links between theory of mind and executive functions on the one hand, and theory of mind and language on the other. However, the link between these three variables together has only recently been studied through a single research question and few data exist. This study therefore aimed to assess to what extent executive functions and language abilities contribute to theory of mind development. A sample of 112 children between 3 and 6-years old completed three language tasks from the ELO (Batterie d'Evaluation du Langage Oral) test: a receptive and an expressive vocabulary task and a syntax understanding task, the Wellman and Liu scale as a theory of mind task and three executive function tasks, namely the grass/snow task to measure inhibition, the DCCS (Dimensional Change Card Sort) to evaluate cognitive flexibility and the WPPSI (Wechsler Preschool and Primary Scale Intelligence) to assess working memory. The findings revealed significant correlations between theory of mind and executive function domains, except for cognitive flexibility. Theory of mind and all language variables were also found to be significantly correlated. Multiple regression analyses justified only syntax and general language abilities as possible explanatory factors of the children's theory of mind performance. These findings support the view that language, more specifically syntax, is an important explanatory factor of theory of mind in young children. Theoretical implications of these finding are discussed.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"205-217"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and preliminary validation of a standardized measure of neuropsychological assessment readiness.","authors":"Michael D Barnett, Allyson M Coldiron, Derek C Killingsworth","doi":"10.1080/13803395.2025.2485207","DOIUrl":"10.1080/13803395.2025.2485207","url":null,"abstract":"<p><p>Neuropsychological evaluations are typically conducted under specific preconditions as it has been long established that many factors unrelated to an individual's true neurocognitive functioning can influence their cognitive test performance. Assessment readiness refers to the extent to which a client is in a state appropriate for undergoing a neuropsychological evaluation (e.g., well rested, sober) as well as any atypical characteristics that require specific accommodations from the administering clinician (e.g., mobility limitations, colorblindness). The purpose of this study was to propose and investigate the preliminary validation of a screening measure of assessment readiness in order to introduce a systematic method for assessing this novel construct. Younger and older adults (<i>N</i> = 93) were administered the Barnett-Coldiron Assessment Readiness Inventory (BCARI) prior to completing a short battery of neuropsychological tests. Additionally, subject matter experts (SMEs) were asked to rate the content validity of this inventory. The BCARI showed preliminary evidence of discriminant validity when compared to other neuropsychological tests and produced the expected minimal variance in assessment readiness scores among healthy, assessment-ready participant samples and across multiple demographic variables. SMEs were largely in support of the BCARI as a valid scale for measuring assessment readiness and positively rated its application in both clinical and research settings. The BCARI shows potential as a useful tool in evaluating the profile validity of clients prior to neuropsychological testing and for reporting a standardized measure of assessment readiness within the profile validity of evaluation reports and research articles.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"140-152"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using objective and subjective measures of mind wandering to predict progression to development of cognitive impairment and test associations with Alzheimer disease biomarkers.","authors":"Matthew S Welhaf, David A Balota, Suzanne E Schindler, John C Morris, Jason Hassenstab, Andrew J Aschenbrenner","doi":"10.1080/13803395.2025.2498025","DOIUrl":"10.1080/13803395.2025.2498025","url":null,"abstract":"<p><strong>Introduction: </strong>Mind wandering decreases in healthy aging, and in some cases, it is further reduced in Alzheimer disease (AD). However, little is known about how mind wandering changes during the preclinical phase of AD, which is a critical period for intervention. The present study aims to provide novel evidence for the utility of objective and subjective measures of mind wandering in evaluating the risk of developing cognitive impairment and their association with AD biomarkers.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 504; M_age = 69.54 years, SD_age = 8.95 years) completed a Sustained Attention to Response Task (SART). We calculated objective (reaction time coefficient of variation; RT CoV) and subjective (self-reported frequency of off-task thoughts) mind wandering measures during the SART for participants who remained cognitively stable (<i>N</i> = 349) and those who eventually developed cognitive impairment (progressors; <i>N</i> = 155). A subset of participants (<i>N</i> = 211) completed the SART annually and had recent CSF biomarkers.</p><p><strong>Results: </strong>Objective and subjective mind wandering significantly differed between progressors and cognitively stable participants at baseline and predicted likelihoods of progression. Moreover, baseline subjective mind wandering predicted progression beyond standard neuropsychological measures. Longitudinal models indicated that biomarker negative, but not positive, participants showed a significant reduction in RT CoV over time, possibly reflecting practice-related changes in performance. There were no longitudinal associations with subjective mind wandering.</p><p><strong>Conclusions: </strong>Mind wandering is a common activity and may reflect a healthy cognitive system in older age. Subjective measures of mind wandering may be useful in predicting the later onset of cognitive impairment, while objective measures may be more sensitive to longitudinal changes.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"169-184"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality among women with head injuries due to intimate partner violence.","authors":"Sydney C Mueller, Sharon E Leong, Tk Logan, Justin E Karr","doi":"10.1080/13803395.2025.2486678","DOIUrl":"10.1080/13803395.2025.2486678","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the relationship between head injuries due to intimate partner violence (IPV) and sleep quality among women survivors of IPV.</p><p><strong>Method: </strong>Women were recruited from Kentucky courts after receiving protective orders against intimate partners, including women survivors of IPV with no head injury (<i>n</i> = 260; <i>M</i> = 31.8 years-old, SD = 9.7; 77.3% White) and women survivors with IPV-related head injuries (<i>n</i> = 244; <i>M</i> = 33.7 years-old, SD = 8.9; 88.1% White). Women completed in-person interviews, querying IPV severity, posttraumatic stress disorder (PTSD), pain severity, and sleep quality.</p><p><strong>Results: </strong>Women with IPV-related head injuries reported significantly worse sleep quality (<i>p</i> < .001, d = .63) than women survivors without head injuries. Analyses of components of sleep quality indicated that women with IPV-related head injuries had worse subjective sleep quality, longer sleep latency, shorter sleep duration, more sleep disturbances, greater sleep medication use, and more daytime dysfunction (all p-values<.001). The relationship between IPV-related head injury and sleep remained significant (<i>p</i> = .017, <math><msubsup><mi>η</mi><mi>p</mi><mn>2</mn></msubsup></math>=.01) after controlling for sociodemographics, IPV severity, PTSD, and pain.</p><p><strong>Conclusions: </strong>Compared to women survivors without head injuries, women with IPV-related head injuries, on average, had 10-minute longer sleep latency, slept 24 minutes less per night, had trouble falling asleep six more times per month, and used sleep medications more often. Further study of sleep quality among women with IPV-related head injuries and interventions to address poor sleep warrant future investigation.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"128-139"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of direct-to-home teleneuropsychological evaluations in U.S. Veterans with functional seizures.","authors":"Ryan Van Patten, Catherine D DeCesare, Lawrence Chan, Krista Colling, Kristina Goode, Alison Gorbatov, Noah S Philip, W Curt LaFrance","doi":"10.1080/13803395.2025.2503251","DOIUrl":"10.1080/13803395.2025.2503251","url":null,"abstract":"<p><strong>Introduction: </strong>Functional seizures (FS) present with cognitive dysfunction that impacts quality of life, suggesting that neuropsychological evaluations would be beneficial. However, these patients often face barriers to in-person appointments, leading to a gap in care. The current study objective is to examine aspects of feasibility of direct-to-home (DtH) teleneuropsychology for patients with FS.</p><p><strong>Method: </strong>U.S. Veterans with FS were prospectively recruited from a national VA program from October 2023 to February 2025. Participants completed DtH cognitive testing and neurological/mental health assessments. We measured satisfaction with teleneuropsychology using an adapted questionnaire. We implemented a Seizure Safety Protocol to direct management of acute events. Descriptive analyses report on relevant feasibility metrics.</p><p><strong>Results: </strong>Of 60 referrals, 22 participants (37%) consented. Of those 22 participants, 20 (91%) completed the full study. Two of 22 (9%) participants were discontinued partway through data collection due to prolonged symptoms following a seizure. Five participants experienced 11 total seizures during the study, but these events did not appear to impact the validity of test data, with a few exceptions (11/720 [<2%] missing cognitive test indices). Satisfaction with the telehealth study was high such that 20/22 (91%) participants agreed or strongly agreed that they were satisfied with the study overall. Participants reported enjoying the convenience, safety, and comfort of the DtH method, although some preferred traditional in-person sessions.</p><p><strong>Conclusions: </strong>Findings support the use of teleneuropsychology in FS. A Seizure Safety Protocol can provide guidance on handling presumed medical emergencies and can mitigate risk of invalid cognitive data. Neuropsychologists may consider declining to use telehealth if seizures are common and likely to lead to (i) the request for acute medical care and/or (ii) prolonged symptoms that interfere with the assessment. More widespread use of teleneuropsychology for patients with FS in the future may improve access to beneficial clinical services.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"153-168"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and opportunities for a new era of neuropsychology training: a trainee survey study.","authors":"Joshua T Fox-Fuller, Amanda M Wisinger, Jacob W Koudys, Libby A DesRuisseaux, Brian Cerny, Taylor Rose Schmitt, Annalise Rahman-Filipiak, Kristen L Votruba","doi":"10.1080/13803395.2025.2464654","DOIUrl":"https://doi.org/10.1080/13803395.2025.2464654","url":null,"abstract":"<p><strong>Introduction: </strong>The field of neuropsychology is undergoing notable changes, especially in the context of the Minnesota Update Conference (MNC) guidelines draft development. In late 2023, a group of neuropsychology trainee-leaders, united through the Clinical Neuropsychology Trainee Forum (CNTF), surveyed neuropsychology trainees in the United States and Canada to better understand their needs and their perception of the current training climate.</p><p><strong>Method: </strong>Survey items were drafted by a CNTF task force consisting of trainee-leaders from major neuropsychology organizations before being refined by four independent neuropsychologists. The survey was distributed via listservs and social media. Survey results were analyzed using frequency descriptives and analyses of variance to compare differences in responses based on demographic and training-related factors.</p><p><strong>Results: </strong>Respondents who completed a majority of the survey (<i>n</i> = 220) were primarily female (86%), White (71%), and training in the United States (92%). More than 75% of respondents reported satisfaction with their doctoral program, internship, and/or fellowship. Similarly, 90% and 73% of the respondents, respectively, felt their opinions on the future of the field listened to and/or valued in discussions with peers and supervisors/mentors. However, only 57% of the respondents felt their opinions were valued by neuropsychology organizational leadership, and approximately 30% of the respondents agreed that trainees' opinions were valued during the MNC draft development review period. Another 40% of the respondents were uncertain about trainee perspectives being valued during the MNC process.</p><p><strong>Conclusions: </strong>Most neuropsychology trainees are satisfied with their training, yet they expressed concerns about their opinions on the future of the field being heard by neuropsychology leadership. Trainee stakeholder engagement will be important to the vitality of neuropsychology in light of anticipated MNC Guidelines. Recommendations for the field of neuropsychology to support trainees will be discussed.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance invalidity in traumatic brain injury litigants with poor quality of education: a South African cross-cultural study.","authors":"Sharon Truter","doi":"10.1080/13803395.2025.2456045","DOIUrl":"10.1080/13803395.2025.2456045","url":null,"abstract":"<p><p><b>Introduction:</b> Performance invalidity is under-studied in countries outside of the United States of America (US), with non-English examinees and with those who have low levels or poor quality of education.<b>Method:</b> This cross-cultural neuropsychological study explored performance invalidity in South African adult traumatic brain injury (TBI) litigants (N = 100) who had 7‒12 years of poor quality of education and who spoke Afrikaans (n = 35), English (n = 9) or one of the indigenous African languages of Xhosa (n = 52), Swahili (n = 1), Pedi (n = 1), Sotho (n = 1) and Chichewa (n = 1) as first languages.<b>Results:</b> Using demographically appropriate cutoff scores for seven performance validity tests (PVTs), the prevalence of performance invalidity was calculated as being close to 30% for this group. Participants who failed zero or one PVT were categorized as performing validly, while those who failed ≥ 2 PVTs were categorized as performing invalidly, raising suspicion of feigned cognitive impairment. Only 9% of the participants failed three or more PVTs. Severity of brain injury and the demographic factors of age and level of education did not play a significant role in PVT failure.<b>Conclusion:</b> Considering the prevalence rate and that South African psychologists now have access to PVTs with demographically appropriated cutoff scores, South African psychologists no longer have an excuse not to include PVTs in their test batteries, even with examinees who have severe TBI.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"26-39"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trail making test - part B discontinuation is associated with worse performance across multiple cognitive domains, but not with psychological distress.","authors":"Ashley Heywood, Anna C Cichocki, Justin D Numerick, Madison M Dykins, Genevieve E Roth, Devin M Ulrich, Matthew S Phillips, Brian M Cerny, Gabriel P Ovsiew, Anthony D Robinson, Jason R Soble, Woojin Song, Neil H Pliskin, Kyle J Jennette","doi":"10.1080/13803395.2025.2464642","DOIUrl":"10.1080/13803395.2025.2464642","url":null,"abstract":"<p><strong>Objective: </strong>Individuals unable to complete neuropsychological tests within designated time limits (i.e. discontinue) are often excluded from statistical analysis. However, discontinuation may represent a meaningful clinical consideration. The present study investigated the clinical utility of discontinuation on the Trail Making Test Part B (TMT-B) as an indicator of cognitive functioning.</p><p><strong>Method: </strong>The sample included 137 patients (<i>n</i> = 90 completers; <i>n</i> = 47 non-completers) referred for comprehensive outpatient neuropsychological evaluation for primary memory complaints. Mann-Whitney U tests and chi-square tests compared the characteristics of patients who did complete the TMT-B to patients who did not by social demographics, neuropsychological test performance, health literacy/numeracy, and self-report measures of psychological symptoms and functional impairment.</p><p><strong>Results: </strong>TMT-B discontinuation was associated with significant differences across nearly all cognitive domains (p-adj <.01), including worse performance on measures of language, processing speed, verbal and visual learning and memory, executive functions, nondominant hand fine motor speed/dexterity, and visuoconstruction. Differences between individuals who discontinued TMT-B based on social demographics, psychological symptoms, functional abilities, performance validity measures, dominant hand fine motor speed/dexterity, and basic auditory working memory were nonsignificant.</p><p><strong>Conclusions: </strong>Discontinuation on TMT-B is associated with significantly worse cognitive performance across nearly all domains of neuropsychological performance. Discontinuation was not associated with any specific clinical diagnosis. Discontinuation could be an indicator of cognitive impairment and may reflect the unique value of the TMT-B as a screening tool for determining appropriate clinical assessment batteries.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"103-115"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usability of the Mayo Test Drive remote self-administered web-based cognitive screening battery in adults aged 35-100 with and without cognitive impairment.","authors":"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","doi":"10.1080/13803395.2025.2464633","DOIUrl":"10.1080/13803395.2025.2464633","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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; <i>n</i> = 1,769; 90.7%) and 9.3% were cognitively impaired (CI; <i>n</i> = 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).</p><p><strong>Results: </strong>Baseline session completion rates were 98.5% (<i>n</i> = 1199/1217 participants, mean age 71, SD = 12, range 35-100) and were comparable between CU (98.7%) and CI (95.0%) groups (<i>p</i> = .23). Completion rates did not significantly differ by age groups (<i>p</i> > .10) and remained high in individuals 80+ (<i>n</i> = 251, 97.3%). Participation rates were higher in the CU (<i>n</i> = 1142, 65.4%) versus CI (<i>n</i> = 57, 33.1%) group (<i>p</i> < .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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"67-89"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}