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February 2, 2026Acta Paediatrica0 citations

Neurodevelopmental Assessment at 2 Years: Feasibility and Validity of Remote Touch Screen‐Based Assessment

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CBChristine T. BilleMRMarie I. S. RasmussenDMDM Murray

Key Points

  • This study aims to assess the feasibility and validity of the tablet-based assessment CogniTOT for evaluating cognitive function in children born preterm.
  • Used the Ages and Stages Questionnaire for initial assessment.
  • Parents completed the Non-Verbal Cognitive Scale and the Parent Report of Children's Abilities Revised.
  • Evaluated factors influencing completion of the CogniTOT assessment.
  • Compared CogniTOT scores with parental reports and a term-born control group.
  • 32 out of 77 preterm children and 12 term-born children completed the CogniTOT assessment.
  • No significant difference in median scores between preterm and term-born groups.
  • Frequent technical and interpersonal difficulties reported in completing CogniTOT.
  • No correlation found between CogniTOT scores and the Non-Verbal Cognitive Scale.
  • Moderate correlation between Non-Verbal Cognitive Scale and Ages and Stages Questionnaire.

Abstract

ABSTRACT Aim To evaluate the feasibility and validity of the tablet‐based application CogniTOT for remote assessment of cognitive function. Methods An ongoing follow‐up study with children born < 32 weeks of gestational age uses Ages and Stages Questionnaire (ASQ). Parents were further invited to remote CogniTOT assessment and to fill in the Non‐Verbal Cognitive Scale (NVC) of the parental questionnaire Parent Report of Children's Abilities Revised (PARCA‐R) at 2 years of age. Factors influencing successful CogniTOT completion were examined. Construct validity was explored by comparing the preterm‐born group with term‐born controls. To ensure concurrent validity, CogniTOT scores were compared to NVC PARCA‐R. Results Thirty‐two out of 77 invited preterm children completed CogniTOT along with 12 term‐born children. Median scores did not differ between groups ( p = 0.51). Difficulties in completion were frequent and both technical and interpersonal. There was no correlation between NVC PARCA‐R and CogniTOT scores (correlation coefficient 0.079, p = 0.65). The correlation between NVC PARCA‐R and ASQ was moderate (correlation coefficient 0.535, p < 0.001). Conclusion Remote assessment using a tablet‐based task is challenging and did not correlate with parental report. Technical advances may make this feasible for large‐scale assessment.

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Cite This Study

Bille et al. (2026) studied this question.

synapsesocial.com/papers/6980ff26c1c9540dea811fa9https://doi.org/10.1111/apa.70441
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