Cited by 436Dementia and Cognitive Impairment ResearchPsychological Testing and AssessmentHistorical and Modern Theater Studies

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Status of computerized cognitive testing in aging: A systematic review

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Wild, Katherine, Howieson, Diane, Webbe, Frank, Seelye, Adriana, Kaye, Jeffrey·2008·Alzheimer's & Dementia

DOI 10.1016/j.jalz.2008.07.003PMC PMC2645803

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Abstract

Background: Early detection of cognitive decline in the elderly has become of heightened importance in parallel with the recent advances in therapeutics. Computerized assessment might be uniquely suited to early detection of changes in cognition in the elderly. We present here a systematic review of the status of computer‐based cognitive testing, focusing on detection of cognitive decline in the aging population. Methods: All studies purporting to assess or detect age‐related changes in cognition or early dementia/mild cognitive impairment by means of computerized testing were included. Each test battery was rated on availability of normative data, level of evidence for test validity and reliability, comprehensiveness, and usability. All published studies relevant to a particular computerized test were read by a minimum of two reviewers, who completed rating forms containing the abovementioned criteria. Results: Of the 18 test batteries identified from the initial search, 11 were appropriate to cognitive testing in the elderly and were subjected to systematic review. Of those 11, five were either developed specifically for application with the elderly or have been used extensively with that population. Even within the computerized testing genre, great variability existed in manner of administration, ranging from fully examiner‐administered to fully self‐administered. All tests had at least minimal reliability and validity data, commonly reported in peer‐reviewed articles. However, level of rigor of validity testing varied widely. Conclusion: All test batteries exhibited some of the strengths of computerized cognitive testing: standardization of administration and stimulus presentation, accurate measures of response latencies, automated comparison in real time with an individual's prior performance as well as with age‐related norms, and efficiencies of staffing and cost. Some, such as the Mild Cognitive Impairment Screen, adapted complicated scoring algorithms to enhance the information gathered from already existing tests. Others, such as CogState, used unique interfaces and subtests. We found that although basic indices of psychometric properties were typically addressed, sufficient variability exists that currently available computerized test batteries must be judged on a case‐by‐case basis.

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Authors: Wild, K., Howieson, D., Webbe, F., Seelye, A., & Kaye, J.
Affiliations: Oregon Health & Science University (US)
Florida Institute of Technology (US)
Corresponding author: Wild, Katherine
ORCID: Wild, Katherine
Webbe, Frank
Seelye, Adriana
Kaye, Jeffrey
Venue: Alzheimer's & Dementia
Publisher: Wiley
Published: 2008-11
Volume: 4
Issue: 6
Pages: 428-437
ISSN: 1552-5260 (ISSN-L)
1552-5279
DOI: 10.1016/j.jalz.2008.07.003
PMC: PMC2645803
OpenAlex: W2085187999
Cited by: 436
References: 56
Citations by year: 2026: 16 · 2025: 16 · 2024: 24 · 2023: 23 · 2022: 36 · 2021: 36 · 2020: 29 · 2019: 33 · 2018: 47 · 2017: 29 · 2016: 25 · 2015: 32 · 2014: 30 · 2013: 13 · 2012: 18
FWCI: 1.24
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Alzheimer s & Dementia (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (P30AG008017, P30AG024978)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords: computerized cognitive assessment, age-related cognitive decline
MeSH terms: Aged, Aging, Cognition Disorders, Dementia, Diagnosis, Computer-Assisted, Humans, Neuropsychological Tests, Reproducibility of Results

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Status of computerized cognitive testing in aging: A systematic review

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