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November 1, 2008Alzheimer s & DementiaOpen Access

Status of computerized cognitive testing in aging: A systematic review

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Authors

KWKatherine WildOregon Health & Science UniversityDHDiane HowiesonOregon Health & Science UniversityFWFrank M. WebbeFlorida Institute of Technology

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Implication

Systematic review reveals variable validity and administration across computerized cognitive tests in older adults, suggesting each assessment tool requires individualized evaluation.

Key Points

  • To review the current status, psychometric validity, and clinical utility of computerized cognitive test batteries used to detect early cognitive decline in older populations.
  • Searched literature for studies evaluating computerized cognitive testing batteries designed to assess age-related cognitive changes, mild cognitive impairment, or early dementia.
  • At least two independent reviewers scored identified test batteries across criteria including normative data availability, reliability, validity evidence, comprehensiveness, and usability.
  • Of 18 identified test batteries, 11 met inclusion criteria for geriatric cognitive testing, with 5 either specifically developed for or widely evaluated in older populations.
  • Administration formats varied substantially from fully examiner-administered to self-administered, and while all showed basic reliability and validity, the degree of empirical rigor varied widely.
  • Common battery advantages included standardized stimulus delivery, real-time comparisons to age-matched norms, and millisecond-level measurement of response latencies.

Cite This Study

Wild et al. (2008) studied this question.

synapsesocial.com/papers/6a770ee9d2fa2470761e9c73https://doi.org/10.1016/j.jalz.2008.07.003
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