Home › Research › Getting a diagnosis
Remote digital cognitive assessment for aging and dementia using the Oxford Cognitive Testing Portal OCTAL
Sijia Zhao, Sofia Toniolo, Qian-Yuan Tang, Anna Scholcz, Akke Ganse‐Dumrath, Claudia Gendarini, M. John Broulidakis, Sian E. L. Thompson et al.. npj Digital Medicine, 2026-01-15
Topic: Risk, prevention and care in population studies
The global rise in dementia necessitates scalable cognitive assessments that can evolve to serve both clinical and research applications. We present the Oxford Cognitive Testing Portal (OCTAL), a remote, browser-based platform providing performance metrics for memory, attention, visuospatial and executive function domains. Four validation studies (N = 1664) confirmed cross-cultural applicability, lifespan sensitivity and clinical utility. Task performance was equivalent in English- and Chinese-speaking younger adults and mapped domain-specific ageing trajectories in mid- to late-adulthood. In a memory-clinic cohort (N = 194), 5-minute OCTAL screen distinguished patients with Alzheimer's disease dementia from subjective cognitive decline (AUC = 0.92), matching a standard paper-based test, while a 20-minute subset surpassed this (AUC = 0.97; p = 0.04). Test-retest reliability was very good (ICC ≥ 0.79; N = 118). OCTAL enables remote assessment for large-scale research and screening, with an open, modular architecture that makes it a uniquely sustainable and evolvable tool for the research community.
Key findings
- Four validation studies (N = 1664) confirmed cross-cultural applicability, lifespan sensitivity and clinical utility.
- Task performance was equivalent in English- and Chinese-speaking younger adults and mapped domain-specific ageing trajectories in mid- to late-adulthood.
- In a memory-clinic cohort (N = 194), 5-minute OCTAL screen distinguished patients with Alzheimer's disease dementia from subjective cognitive decline (AUC = 0.92), matching a standard paper-based test, while a 20-minute subset surpassed this (AUC = 0.97; p = 0.04).
- Test-retest reliability was very good (ICC ≥ 0.79; N = 118).
- OCTAL enables remote assessment for large-scale research and screening, with an open, modular architecture that makes it a uniquely sustainable and evolvable tool for the research community.
Why it matters
In a memory-clinic cohort, a 5-minute remote digital screen distinguished Alzheimer's disease dementia from subjective cognitive decline, and a 20-minute subset performed better. This tool is for remote assessment and screening; the study did not test any treatment, cure or prevention.
New to this subject? Start with our plain-English guide: Getting a diagnosis →
Study details
- Participants1,664
- Effect sizeAUC = 0.92; AUC = 0.97
- Evidence strengthModerate
How this study scored 55/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (npj Digital Medicine) |
| Journal's citation record | 2 / 4 | Npj Digital Medicine: journal h-index 167 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 3 / 4 | 1,664 participants |
| Effect reported | 3 / 3 | Effect reported with a statistic (interval, p-value, ratio or similar) |
| 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 | 1 / 7 | Cited 4 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.0 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 4 / 6 | Cited 18.9× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Masud Husain: h-index 100 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of Oxford: institution h-index 2,205 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41540118) |
| Free to read | 2 / 2 | Free to read |
| Total | 55 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1038/s41746-026-02346-6
- PubMed: 41540118
- Original source →
- Free full text: npj Digital Medicine →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Zhao, S., Toniolo, S., Tang, Q.-Y., Scholcz, A., Ganse‐Dumrath, A., Gendarini, C., et al. (2026). Remote digital cognitive assessment for aging and dementia using the Oxford Cognitive Testing Portal OCTAL. npj Digital Medicine. https://doi.org/10.1038/s41746-026-02346-6
Vancouver
Zhao S, Toniolo S, Tang Q.-Y, Scholcz A, Ganse‐Dumrath A, Gendarini C, et al. Remote digital cognitive assessment for aging and dementia using the Oxford Cognitive Testing Portal OCTAL. npj Digital Medicine. 2026. doi:10.1038/s41746-026-02346-6. PMID: 41540118.
BibTeX
@article{zhao2026-41540118,
author = {Zhao, Sijia and Toniolo, Sofia and Tang, Qian-Yuan and Scholcz, Anna and Ganse‐Dumrath, Akke and Gendarini, Claudia and Broulidakis, M. John and Thompson, Sian E. L. and others},
title = {{Remote digital cognitive assessment for aging and dementia using the Oxford Cognitive Testing Portal OCTAL}},
journal = {npj Digital Medicine},
year = {2026},
doi = {10.1038/s41746-026-02346-6},
pmid = {41540118},
url = {https://doi.org/10.1038/s41746-026-02346-6}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.
Related studies in Getting a diagnosis
Also tagged “prevalence”
1,224 studies in the library carry the topic tag “prevalence”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 1,224 tagged studies.