A systematic review of the effectiveness of digital cognitive assessments of cognitive impairment in Parkinson's disease.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology-Adult Pub Date : 2025-02-01 DOI:10.1080/23279095.2025.2454983

Saskia N Craig, Martin Dempster, David Curran, Aoife M Cuddihy, Nigel Lyttle

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Abstract

Background: Digitalization in healthcare has been extended to how we examine and manage Parkinson's Disease Mild Cognitive Impairment (PD-MCI). Methods: Moyer Population (those with PD and in some cases control groups), Intervention (digital cognitive test) and Outcome (validity and reliability) (PIO) and Campbell et al. Synthesis Without Meta-analysis (SWiM) methods were employed. A literature search of MEDLINE, PsycINFO, CINAHL, OpenGrey, and ProQuest Theses and Dissertations Sources screened for articles. Results: The digital trail-making test (dTMT) was the most used measure. There was strong validity between the dTMT and pencil-paper TMT, Mini-Mental State Examination (MMSE), and Montreal Cognitive Assessment (MoCA) scores (ranging from r = .55 to .90, p < .001). Validity between the TMT pencil-paper and digital versions were adequate (ranging from r = .51 to 90, p < .001). Reliability was demonstrated between PD and control groups' scores (ranging from r = .71 to .87). One study found excellent inter-rater reliability (ICC = .90 to .95). The dMoCA was the most used screen that assessed more than two cognitive domains. There was a range in the strength of agreement between digital and pencil-paper versions (ICC scores = .37 to .83) and only one study demonstrated adequate validity (r = .59, p < .001). Poor internal consistency (α = .54) and poor test re-test reliability (between PD and control groups' scores, p > .05) were found. Conclusion: This review found that digitalized cognitive tests are valid and reliable methods to assess PD-MCI. Considerations for future research are discussed.

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来源期刊

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.