Validity of digital trail making test and bells test in elderlies

Francesca Lunardini, Matteo Luperto, Katia Daniele, Nicola Basilico, Sarah Damanti, Carlo Abbate, Daniela Mari, Matteo Cesari, Simona Ferrante, Nunzio Alberto Borghese

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Digital neuropsychological tests self-Administered at home have the potential to detect early signs of cognitive decline in the elderlies, thus allowing to adopt preventive measures. Usability tests and clinical validation are required before computerized assessment could juxtapose traditional paper-And-pencil tests to spot early signs of decline. We have developed a tablet-based digitized version of two neuropsychological tests commonly used in screening for dementia: Trail Making Test (A and B versions) and Bells Test. We studied system usability and acceptance, and concurrent validity of the computerized assessment compared with the corresponding paper-And-pencil tests. Results show a very high system acceptance, notwithstanding the patients' low familiarity with technology. System validation reports a good ability of the digital tests to retain the same predictive power of the corresponding paper-based tests. Altogether, results suggest that computerized neuropsychological assessment may represent an adequate, ecological and cost-effective solution for home monitoring of the elder's cognitive status, thus supporting clinicians in the identification of early signs of cognitive decline.

Original languageEnglish
Title of host publication2019 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2019 - Proceedings
PublisherInstitute of Electrical and Electronics Engineers Inc.
ISBN (Electronic)9781728108483
DOIs
Publication statusPublished - May 1 2019
Event2019 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2019 - Chicago, United States
Duration: May 19 2019May 22 2019

Publication series

Name2019 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2019 - Proceedings

Conference

Conference2019 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2019
CountryUnited States
CityChicago
Period5/19/195/22/19

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Keywords

  • Cognitive decline
  • Digital neuropsychological tests
  • Elderlies

ASJC Scopus subject areas

  • Artificial Intelligence
  • Signal Processing
  • Information Systems and Management
  • Biomedical Engineering
  • Health Informatics
  • Radiology Nuclear Medicine and imaging

Cite this

Lunardini, F., Luperto, M., Daniele, K., Basilico, N., Damanti, S., Abbate, C., Mari, D., Cesari, M., Ferrante, S., & Borghese, N. A. (2019). Validity of digital trail making test and bells test in elderlies. In 2019 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2019 - Proceedings [8834513] (2019 IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2019 - Proceedings). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/BHI.2019.8834513