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Subjective cognitive decline predicts longitudinal neuropsychological test performance in an unsupervised online setting in the Brain Health Registry
Jae Myeong Kang, Manchumad Manjavong, Chengshi Jin, Adam Diaz, Miriam Thiel Ashford, Joseph Eichenbaum, Emily Thorp, Elizabeth Wragg et al.. Alzheimer s Research & Therapy, 2025-01-07
Topic: Risk, prevention and care in population studies
Participants (n = 16,683) had an average age of 69.07 ± 7.34, 72.04% were female, and had an average of 16.66 ± 2.26 years of education. They were followed for an average of 2.52 ± 1.63 visits over a period of 11.49 ± 11.53 months. Both Self-ECog positive (estimate = -0.01, p < 0.001, R²m = 0.56) and Self-ECog consistent (estimate=-0.01, p = 0.002, R²m = 0.56) were associated with longitudinal change in PAL FAMS after adjusting demographics and clinical confounders. Those who were Self-ECog total (Odds ratio [95% confidence interval] = 1.390 [1.121-1.708]) and SP-ECog consistent (2.417 [1.591-3.655]) had higher probability of being decliners based on PAL FAMS. In the BHR's unsupervised online setting, baseline subjective change was feasible in predicting longitudinal decline in neuropsychological tests. Online, self-administered measures of subjective cognitive change might have a potential to predict objective subjective change and identify individuals with cognitive impairments.
Key findings
- Participants (n = 16,683) had an average age of 69.07 ± 7.34, 72.04% were female, and had an average of 16.66 ± 2.26 years of education.
- They were followed for an average of 2.52 ± 1.63 visits over a period of 11.49 ± 11.53 months.
- Both Self-ECog positive (estimate = -0.01, p < 0.001, R²m = 0.56) and Self-ECog consistent (estimate=-0.01, p = 0.002, R²m = 0.56) were associated with longitudinal change in PAL FAMS after adjusting demographics and clinical confounders.
- Those who were Self-ECog total (Odds ratio [95% confidence interval] = 1.390 [1.121-1.708]) and SP-ECog consistent (2.417 [1.591-3.655]) had higher probability of being decliners based on PAL FAMS.
- In the BHR's unsupervised online setting, baseline subjective change was feasible in predicting longitudinal decline in neuropsychological tests.
Why it matters
This study found that baseline subjective cognitive change predicted longitudinal decline on neuropsychological tests in an unsupervised online setting. Online self-administered measures might help identify individuals with cognitive impairment, but no treatment or cure is tested.
Study details
- Study designlongitudinal study
- Participants16,683
- Effect size72.04%
- Evidence strengthModerate
How this study scored 59/100
Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s Research & Therapy) |
| Journal's citation record | 1 / 4 | Alzheimer s Research & Therapy: journal h-index 146 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| 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 | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 4 / 4 | 16,683 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 | 2 / 7 | Cited 5 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 3.2× 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 5 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Rachel L. Nosheny: h-index 41 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University College London: institution h-index 2,029 (OpenAlex) |
| Multi-centre collaboration | 3 / 3 | OpenAlex lists 12 institution(s) in 4 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 39773247) |
| Free to read | 2 / 2 | Free to read |
| Total | 59 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1186/s13195-024-01641-2
- PubMed: 39773247
- Original source →
- Free full text: Alzheimer s Research & Therapy →
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
Kang, J. M., Manjavong, M., Jin, C., Diaz, A., Ashford, M. T., Eichenbaum, J., et al. (2025). Subjective cognitive decline predicts longitudinal neuropsychological test performance in an unsupervised online setting in the Brain Health Registry. Alzheimer s Research & Therapy. https://doi.org/10.1186/s13195-024-01641-2
Vancouver
Kang JM, Manjavong M, Jin C, Diaz A, Ashford MT, Eichenbaum J, et al. Subjective cognitive decline predicts longitudinal neuropsychological test performance in an unsupervised online setting in the Brain Health Registry. Alzheimer s Research & Therapy. 2025. doi:10.1186/s13195-024-01641-2. PMID: 39773247.
BibTeX
@article{kang2025-39773247,
author = {Kang, Jae Myeong and Manjavong, Manchumad and Jin, Chengshi and Diaz, Adam and Ashford, Miriam Thiel and Eichenbaum, Joseph and Thorp, Emily and Wragg, Elizabeth and others},
title = {{Subjective cognitive decline predicts longitudinal neuropsychological test performance in an unsupervised online setting in the Brain Health Registry}},
journal = {Alzheimer s Research \& Therapy},
year = {2025},
doi = {10.1186/s13195-024-01641-2},
pmid = {39773247},
url = {https://doi.org/10.1186/s13195-024-01641-2}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.