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Feasibility and validity of the self-administered computerized assessment of mild cognitive impairment with older primary care patients
Tierney MC, Naglie G, Upshur R, Moineddin R, Charles J, Jaakkimainen RL.. Alzheimer disease and associated disorders, 2014-10-01
Topic: Health services, long-term care and technology
We investigated whether a validated computerized cognitive test, the Computerized Assessment of Mild Cognitive Impairment (CAMCI), could be independently completed by older primary care patients. We also determined the optimal cut-off for the CAMCI global risk score for mild cognitive impairment against an independent neuropsychological reference standard. All eligible patients aged 65 years and older, seen consecutively over 2 months by 1 family practice of 13 primary care physicians, were invited to participate. Patients with a diagnosis or previous work-up for dementia were excluded. Primary care physicians indicated whether they, the patient, or family had concerns about each patient's cognition. A total of 130 patients with cognitive concerns and a matched sample of 133 without cognitive concerns were enrolled. The CAMCI was individually administered after instructions to work independently. Comments were recorded verbatim. A total of 259 (98.5%) completed the entire CAMCI. Two hundred and forty-one (91.6%) completed it without any questions or after simple acknowledgment of their question. Lack of computer experience was the only patient characteristic that decreased the odds of independent CAMCI completion. These results support the feasibility of using self-administered computerized cognitive tests with older primary care patients, given the increasing reliance on computers by people of all ages. The optimal cut-off score had a sensitivity of 80% and specificity of 74%.
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APA 7th
Tierney, M. C., Naglie, G., Upshur, R., Moineddin, R., Charles, J., & Jaakkimainen, R. L. (2014). Feasibility and validity of the self-administered computerized assessment of mild cognitive impairment with older primary care patients. Alzheimer disease and associated disorders. https://doi.org/10.1097/wad.0000000000000036
Vancouver
Tierney MC, Naglie G, Upshur R, Moineddin R, Charles J, Jaakkimainen RL. Feasibility and validity of the self-administered computerized assessment of mild cognitive impairment with older primary care patients. Alzheimer disease and associated disorders. 2014. doi:10.1097/wad.0000000000000036. PMID: 24614274.
BibTeX
@article{tierney2014-24614274,
author = {Tierney, M. C. and Naglie, G. and Upshur, R. and Moineddin, R. and Charles, J. and Jaakkimainen, R. L.},
title = {{Feasibility and validity of the self-administered computerized assessment of mild cognitive impairment with older primary care patients}},
journal = {Alzheimer disease and associated disorders},
year = {2014},
doi = {10.1097/wad.0000000000000036},
pmid = {24614274},
url = {https://doi.org/10.1097/wad.0000000000000036}
}
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Key findings
- These results support the feasibility of using self-administered computerized cognitive tests with older primary care patients, given the increasing reliance on computers by people of all ages.
Study details
- Participants130
- Effect size98.5%; 91.6%
- Evidence strengthLow
How this study scored 48/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multi-centre collaboration, so those were left out: it earned 28 of the 58 points we could judge it on, which is 48 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer disease and associated disorders) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2014 — within 20 year(s) of the newest study here |
| Sample size | 2 / 4 | 130 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 24614274) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 28 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 28 of the 58 points we could judge it on is 48 out of 100. |
| Total | 48 / 100 | — |
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