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Validation of the self-test computerised PROTECT Cognitive Test System for detection of dementia and Mild Cognitive Impairment
Corbett A, Giske KI, Palmer A, Sander M, Davis C, Stych K, O’Leary M, Hayman V et al.. medRxiv, 2026-07-27
Topic: Brain imaging, connectivity and assessment
Detection and characterisation of dementia and Mild Cognitive Impairment (MCI) is essential for diagnosis and to support recruitment of patients into trials of disease-targeted therapies. Computerised systems offer a means of improving detection in community and primary care settings in a scalable way. This study presents further validation of the self-test PROTECT Cognitive Test System of eight assessments of memory, attention and executive function in 36,941 participants (35,822 healthy, 1046 MCI, 73 dementia). PROTECT shows robust separation of dementia and non-dementia participants ( p < 0.001), and good discriminative ability for dementia (Area Under the Curve = 0.966) with 90.90% sensitivity and 87.80% specificity. An optimised detection algorithm robustly identified MCI (P<0.001) and predicted 24-month decline across cognitive domains in both amnestic MCI and non-amnestic MCI phenotypes compared with healthy controls. PROTECT cognitive data also correlated strongly with the plasma biomarkers p-tau217 and Neurofilament Light ( n = 46). The system provides a means of improving dementia and MCI detection using self-testing, offering a scalable triage and monitoring tool for clinical pathways and trials.
Key findings
- An optimised detection algorithm robustly identified MCI (P<0.001) and predicted 24-month decline across cognitive domains in both amnestic MCI and non-amnestic MCI phenotypes compared with healthy controls.
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Study details
- Participants46
- Effect size90.90%; 87.80%
- Evidence strengthLow
How this study scored 16/100
Preprint — not yet peer-reviewed. It scored 34 on the same rubric, but non-peer-reviewed sources are capped at 16, so it shows as 16. Scored zero for study design and randomised / blinded because the record does not state it. We have no data on 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 21 of the 62 points we could judge it on, which is 34 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 2 / 10 | Tier 4 — not a peer-reviewed journal (medRxiv) |
| Journal's citation record | 0 / 4 | Not a journal article, so the journal's record does not count |
| 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 | 4 / 10 | Preprint — not yet peer-reviewed. Hosted on a preprint server. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 1 / 4 | 46 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 | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Points | 21 / 62 | Scored on 12 of 20 parts. We have no data for the rest, so they are left out: 21 of the 62 points we could judge it on is 34 out of 100. |
| Total | 34 / 100 | Capped to 16 because this is not a peer-reviewed article. |
What each of these 20 components measures, and what this score is not →
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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
Corbett, A., Giske, K. I., Palmer, A., Sander, M., Davis, C., Stych, K., et al. (2026). Validation of the self-test computerised PROTECT Cognitive Test System for detection of dementia and Mild Cognitive Impairment. medRxiv. https://doi.org/10.64898/2026.07.23.26358814
Vancouver
Corbett A, Giske KI, Palmer A, Sander M, Davis C, Stych K, et al. Validation of the self-test computerised PROTECT Cognitive Test System for detection of dementia and Mild Cognitive Impairment. medRxiv. 2026. doi:10.64898/2026.07.23.26358814.
BibTeX
@article{corbett2026-5148408c,
author = {Corbett, A. and Giske, K. I. and Palmer, A. and Sander, M. and Davis, C. and Stych, K. and O’Leary, M. and Hayman, V. and others},
title = {{Validation of the self-test computerised PROTECT Cognitive Test System for detection of dementia and Mild Cognitive Impairment}},
journal = {medRxiv},
year = {2026},
doi = {10.64898/2026.07.23.26358814},
url = {https://doi.org/10.64898/2026.07.23.26358814}
}
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