ignite应用程序的并发效度、重测信度和规范性:额颞叶痴呆的认知评估。

IF 2.6 3区 心理学 Q3 NEUROSCIENCES
Neuropsychology Pub Date : 2025-04-07 DOI:10.1037/neu0001005
Rhian S Convery, Kerala Adams-Carr, Jennifer M Nicholas, Katrina M Moore, Sophie Goldsmith, Martina Bocchetta, Lucy L Russell, Jonathan D Rohrer
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引用次数: 0

摘要

目的:数字生物标记物可以对与健康相关的行为进行频繁、实时的监测,并可在额颞叶痴呆症(FTD)的认知评估中发挥重要作用。然而,必须首先确定数字生物标记物作为认知功能测量指标的有效性和可靠性:Ignite认知应用程序包含基于iPad的执行功能、社会认知和其他受FTD影响领域的测量。在此,我们描述了 Ignite 测试的标准属性,评估了与黄金标准神经心理学测试的关联,并通过两项健康对照研究调查了测试重复可靠性。我们招募了 2000 多名 20-80 岁认知正常的成年人远程完成 Ignite 应用程序。另外98名健康对照组在两个时间点(相隔7天)完成了Ignite、纸笔神经心理学测试和用户体验问卷:结果发现,年龄与 Ignite 对处理速度(r = 0.42-0.56,p < .001)和执行功能(r = 0.43-0.62,p < .001)的几项测量结果之间存在显著关联。除一项测试(时间敲击)外,Ignite 测试均表现出中等至极佳的测试重复可靠性(类内相关系数 [ICC] = 0.54-0.92),并与纸笔测试具有显著的相关性(r = 0.25-0.72,p < .05)。大多数参与者(> 90%)对该应用程序的评价是好的,认为它令人愉快,而且易于在无人监督的情况下完成:这些研究结果为 Ignite 测试的有效性提供了早期支持,表明它们测量了预期的认知过程,捕捉到了一段时间内的稳定表现,并且在健康对照组中得到了广泛认可。这项工作支持了远程管理应用程序的可行性及其作为FTD认知工具的潜在用途;然而,验证工作仍在进行中,在将Ignite作为临床试验终点之前还需要进一步的工作。(PsycInfo Database Record (c) 2025 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Concurrent validity, test-retest reliability, and normative properties of the ignite app: A cognitive assessment for frontotemporal dementia.

Objective: Digital biomarkers can provide frequent, real-time monitoring of health-related behavior and could play an important role in the assessment of cognition in frontotemporal dementia (FTD). However, the validity and reliability of digital biomarkers as measures of cognitive function must first be determined.

Method: The Ignite cognitive app contains iPad-based measures of executive function, social cognition, and other domains affected in FTD. Here we describe the normative properties of the Ignite tests, evaluate associations with gold-standard neuropsychological tests, and investigate test-retest reliability through two healthy control studies. Over 2,000 cognitively normal adults aged 20-80 years were recruited to complete the Ignite app remotely. A separate cohort of 98 healthy controls completed Ignite at two timepoints (7 days apart), a pen and paper neuropsychology battery, and a User Experience Questionnaire.

Results: Significant associations were found between age and performance on several Ignite measures of processing speed (r = 0.42-0.56, p < .001) and executive function (r = 0.43-0.62, p < .001). With the exception of one test (Time Tap), the Ignite tests demonstrated moderate to excellent test-retest reliability (intraclass correlation coefficients [ICC] = 0.54-0.92) and significant correlations with their pen and paper counterparts (r = 0.25-0.72, p < .05). The majority of participants (> 90%) rated the app favorably, stating it was enjoyable and easy to complete unsupervised.

Conclusions: These findings offer early support for the validity of the Ignite tests suggesting they measure the intended cognitive processes, capture a stable picture of performance over time, and are well accepted in healthy controls. This work supports the feasibility of administering the app remotely and its potential utility as a cognitive tool in FTD; however, validation is ongoing, and further work is required before Ignite can be used as an endpoint in clinical trials. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
Neuropsychology
Neuropsychology 医学-神经科学
CiteScore
4.10
自引率
4.20%
发文量
132
审稿时长
6-12 weeks
期刊介绍: Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.
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