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Status of computerized cognitive testing in aging: A systematic review
Open accessAbstract
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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“Two reviews about assessing or detecting cognitive changes employing computerized testing in the elderly were also highly cited in this field (43, 44)”
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Cites
Melnick, V. L., & Dubler, N. N. (1985) · Contemporary Issues in Biomedicine, Ethics, and Society · doi:10.1007/978-1-4612-5174-3 · Cited by 1,986
Robbins, T. W., James, M., Owen, A. M., Sahakian, B. J., McInnes, L., & Rabbitt, P. (1994) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000106735 · Cited by 1,078
Reliability and validity of a computerized neurocognitive test battery, CNS vital signs
GUALTIERI, C., & JOHNSON, L. (2006) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.05.007 · Cited by 873
Normative data from the CANTAB I: development of executive function over the lifespan
De Luca, C. R., Wood, S. J., Anderson, V., Buchanan, J.-A., Proffitt, T. M., Mahony, K., & Pantelis, C. (2003) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/jcen.25.2.242.13639 · Cited by 710
Computerized assessment in neuropsychiatry using CANTAB: discussion paper.
Sahakian, B. J., & Owen, A. M. (1992) · Europe PMC (PubMed Central) · Cited by 664
Collie, A., Maruff, P. T., Darby, D., & McStephen, M. (2003) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617703930074 · Cited by 455
Falleti, M. G., Maruff, P. T., Collie, A., & Darby, D. (2006) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803390500205718 · Cited by 424
Equivalence of computerized and paper-and-pencil cognitive ability tests: A meta-analysis.
Mead, A. D., & Drasgow, F. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.114.3.449 · Cited by 420
Lowe, C., & Rabbitt, P. (1998) · Neuropsychologia · doi:10.1016/s0028-3932(98)00036-0 · Cited by 344
Validity of a novel computerized cognitive battery for mild cognitive impairment
Dwolatzky, T., Whitehead, V., Doniger, G. M., Simon, E. S., Schweiger, A., Jaffe, D. H., & Chertkow, H. M. (2003) · BMC Geriatrics · doi:10.1186/1471-2318-3-4 · Cited by 329
Paired associate performance in the early detection of DAT
FOWLER, K. S., Saling, M. M., Conway, E. L., Semple, J. M., & Louis, W. J. (2002) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617701020069 · Cited by 259
Mild cognitive impairment can be detected by multiple assessments in a single day
Darby, D., Maruff, P. T., Collie, A., & McStephen, M. (2002) · Neurology · doi:10.1212/wnl.59.7.1042 · Cited by 242
Online assessment: Desirable or dangerous?
Buchanan, T. (2002) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.33.2.148 · Cited by 208
Attention and Fluctuating Attention in Patients With Dementia With Lewy Bodies and Alzheimer Disease
Ballard, C. G., O'Brien, J. T., Gray, A., Cormack, F. K., Ayre, G., Rowan, E., Thompson, P., Bucks, R. S., McKeith, I. G., Walker, M. P., et al. (2001) · Archives of Neurology · doi:10.1001/archneur.58.6.977 · Cited by 201
ANAM genogram: historical perspectives, description, and current endeavors.
REEVES, D., WINTER, K., BLEIBERG, J., & KANE, R. (2007) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.10.013 · Cited by 188
The cognitive drug research computerized assessment system for demented patients: A validation study
Simpson, P. M., Surmon, D., Wesnes, K. A., & Wilcock, G. K. (1991) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930060208 · Cited by 185
Methods to improve the detection of mild cognitive impairment
Shankle, W. R., Romney, A. K., Hara, J., Fortier, D., Dick, M. B., Chen, J., Chan, T., & Sun, X. (2005) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0501157102 · Cited by 169
Applications of Computer-based Neuropsychological Assessment
Schatz, P., & Browndyke, J. N. (2002) · The journal of head trauma rehabilitation · doi:10.1097/00001199-200210000-00003 · Cited by 166
Computerized assessment in neuropsychology: A review of tests and test batteries
Kane, R. L., & Kay, G. G. (1992) · Neuropsychology Review · doi:10.1007/bf01108787 · Cited by 153
MicroCog: Assessment of Cognitive Functioning
Elwood, R. W. (2001) · Neuropsychology Review · doi:10.1023/a:1016671201211 · Cited by 124
Validity and utility of computer-based test interpretation.
Butcher, J. N., Perry, J. N., & Atlis, M. M. (2000) · Psychological Assessment · doi:10.1037/1040-3590.12.1.6 · Cited by 118
KANE, R., ROEBUCKSPENCER, T., SHORT, P., KABAT, M., & WILKEN, J. (2007) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.10.006 · Cited by 112
de Jager, C. A., MILWAIN, E., & Budge, M. M. (2002) · Psychological Medicine · doi:10.1017/s003329170200524x · Cited by 109
Sources of error in computerized neuropsychological assessment
Cernich, A. N., BRENNANA, D., Barker, L. H., & Bleiberg, J. (2006) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.10.004 · Cited by 108
Tornatore, J. B., Hill, E., Laboff, J. A., & McGann, M. E. (2005) · Journal of Neuropsychiatry · doi:10.1176/jnp.17.1.98 · Cited by 106
Computerized neuropsychological tests in the early detection of dementia: Prospective findings
FOWLER, K. S., Saling, M. M., Conway, E. L., Semple, J. M., & Louis, W. J. (1997) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617797001392 · Cited by 102
Kabat, M. H., Kane, R. L., Jefferson, A. L., & DiPino, R. K. (2001) · The Clinical Neuropsychologist · doi:10.1076/clin.15.4.498.1882 · Cited by 99
Neurocognitive testing supports a broader concept of mild cognitive impairment
Gualtieri, C. T., & Johnson, L. G. (2005) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750502000607 · Cited by 88
Development and Validation of a Web-Based Screening Tool for Monitoring Cognitive Status
Erlanger, D. M., Kaushik, T., Broshek, D. K., Freeman, J. D., Feldman, D., & Festa, J. R. (2002) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-200210000-00007 · Cited by 84
Trenkle, D., Shankle, W. R., & Azen, S. P. (2007) · Journal of Alzheimer s Disease · doi:10.3233/jad-2007-11309 · Cited by 82
Collerton, J. C., Collerton, D., Arai, Y., Barrass, K., Eccles, M., Jagger, C., McKeith, I. G., Saxby, B. K., Kirkwood, T. B. L., & the Newcastle 85+ Study Core Team (2007) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01379.x · Cited by 80
Doniger, G. M., Dwolatzky, T., Zucker, D. M., Chertkow, H. M., Crystal, H., Schweiger, A., & Simon, E. S. (2006) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750602100105 · Cited by 77
Validity of the Mindstreams Computerized Cognitive Battery for Mild Cognitive Impairment
Dwolatzky, T., Whitehead, V., Doniger, G. M., Simon, E. S., Schweiger, A., Jaffe, D. H., & Chertkow, H. M. (2008) · Journal of Molecular Neuroscience · doi:10.1007/s12031-007-9031-9 · Cited by 68
Practicality of a computerized system for cognitive assessment in the elderly
Fillit, H. M., Simon, E. S., Doniger, G. M., & Cummings, J. L. (2008) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2007.09.008 · Cited by 68
Veroff, A. E., Bodick, N. C., Offen, W., Sramek, J. J., & Cutler, N. R. (1998) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-199812000-00010 · Cited by 64
Mild memory impairment in healthy older adults is distinct from normal aging
Cargin, J. W., Maruff, P. T., Collie, A., & Masters, C. L. (2006) · Brain and Cognition · doi:10.1016/j.bandc.2005.10.004 · Cited by 61
Levinson, D. M., Reeves, D., Watson, J. D., & Harrison, M. J. (2004) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2004.09.001 · Cited by 57
Doniger, G. M., Zucker, D. M., Schweiger, A., Dwolatzky, T., Chertkow, H. M., Crystal, H., & Simon, E. S. (2005) · Current Alzheimer Research · doi:10.2174/1567205053585792 · Cited by 56
Validity of the Mindstreams™ Computerized Cognitive Battery for Mild Cognitive Impairment
Dwolatzky, T., Whitehead, V., Doniger, G. M., Simon, E. S., Schweiger, A., Jaffe, D. H., & Chertkow, H. M. (2004) · Journal of Molecular Neuroscience · doi:10.1385/jmn:24:1:033 · Cited by 56
Development and quality assurance of computer-based assessment batteries
Schlegel, R., & Gilliland, K. (2006) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.10.005 · Cited by 50
Stevenson, J. S. (1980) · Geriatric Nursing · doi:10.1016/s0197-4572(80)80104-2 · Cited by 49
Screening for Cognitive Impairment in Older Individuals
Green, R. C. (1994) · Archives of Neurology · doi:10.1001/archneur.1994.00540200055017 · Cited by 47
Short, P., Cernich, A. N., Wilken, J. A., & KANE, R. (2006) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.10.012 · Cited by 42
Utility of Clinical Trial Batteries in the Measurement of Alzheimer’s and Huntington’s Dementia
Mohr, E., Walker, D., Sampson, M., Mendis, T., & RANDOLPH, C. C. (1996) · International Psychogeriatrics · doi:10.1017/s1041610296002761 · Cited by 40
Veroff, A. E., Cutler, N. R., Sramek, J. J., Prior, P. L., Mickelson, W. T., & Hartman, J. K. (1991) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198879100400406 · Cited by 40
A combination of tests for the diagnosis of dementia had a significant diagnostic value
Lepeleire, J. D., Heyrman, J., Baro, F., & Buntinx, F. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.07.005 · Cited by 37
Roebuck‐Spencer, T., SUN, W. M., Cernich, A. N., Farmer, K. U., & Bleiberg, J. (2006) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2006.10.011 · Cited by 35
Raymond, P. D., Hinton-Bayre, A. D., Radel, M., Ray, M. J., & Marsh, N. A. (2006) · The Clinical Neuropsychologist · doi:10.1080/13854040590947416 · Cited by 30
Cutler, N. R., Shrotriya, R. C., Sramek, J. J., Veroff, A. E., Seifert, R. D., REICH, L. A., & HIRONAKA, D. Y. (1993) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1993.tb23079.x · Cited by 20
A Casebook of Ethical Challenges in Neuropsychology
Bush, S. S. (2004) · Taylor & Francis eBooks · doi:10.4324/9780203025505 · Cited by 19
A Comparison of MicroCog and the Wechsler Memory Scale (3rd ed.) in Older Adults
Helmes, E., & Miller, M. R. (2006) · Applied Neuropsychology · doi:10.1207/s15324826an1301_4 · Cited by 9
Enhancing Cognitive Screening in Geriatric Care
Lichtenberg, P. A., Johnson, A. S., Erlanger, D. M., Kaushik, T., Maddens, M. E., Imam, K., Barth, J. T., & Webbe, F. M. (2006) · International Journal of Healthcare Information Systems and Informatics · doi:10.4018/jhisi.2006070103 · Cited by 8
Self-citationJohnson, J. A., & Rust, A. O. (2003) · Psychological Reports · doi:10.2466/pr0.2003.93.3f.1261 · Cited by 7
A casebook of ethical challenges in neuropsychology
Bush, S. S. (2012) · Cited by 7
Lovestone, S. (1996) · International Journal of Geriatric Psychiatry · doi:10.1002/(sici)1099-1166(199604)11:4 · Cited by 1
Research works printed but not linked: 3
- Chalmers I., 1995, Systematic reviews
- 10.1176/appi.neuropsych.17.1.98 · DOI
- Maruff P., 2002, Subtle cognitive decline in mild cognitive impairment (technical document)
Cited by
Sorted by citations
Beneficial effects of docosahexaenoic acid on cognition in age‐related cognitive decline
Yurko‐Mauro, K., McCarthy, D., Rom, D., Nelson, E. B., Ryan, A. S., Blackwell, A. D., Salem, N., Stedman, M., & MIDAS Investigators (2010) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2010.01.013 · Cited by 604
Improving digit span assessment of short-term verbal memory
Woods, D. L., Kishiyama, M. M., Yund, E. W., Herron, T. J., Edwards, B., Poliva, O., Hink, R. F., & Reed, B. (2011) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2010.493149 · Cited by 380
Computerized Cognitive Testing for Older Adults: A Review
Zygouris, S., & Tsolaki, M. (2015) · American Journal of Alzheimer's Disease & Other Dementias® · doi:10.1177/1533317514522852 · Cited by 272
Improving dementia care: The role of screening and detection of cognitive impairment
Soo Borson, B., Frank, L. B., Bayley, P. J., Boustani, M. A., Dean, M., Lin, P., McCarten, J. R., Morris, J. C., Salmon, D. P., Schmitt, F. A., et al. (2013) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2012.08.008 · Cited by 300
Piau, A., Wild, K., Mattek, N., & Kaye, J. (2019) · Journal of Medical Internet Research · doi:10.2196/12785 · Cited by 252
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Metadata
- 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
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2008-11
- Volume
- 4
- Issue
- 6
- Pages
- 428-437
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- 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
- 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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