Self-Administered Mobile Cognitive Assessments for Individuals With Stroke: A Feasibility and Validation Study.
To examine the feasibility, learning effects, stability, and validity of mobile cognitive assessments (MCAs) among individuals with stroke. Longitudinal observational study using frequent, brief, repeated, in vivo self-administered mobile assessments of cognitive functions. Everyday life settings. T...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 107; no. 9; pp. 2481 - 2490 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196517540&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196517540 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Sep2026 vid: 107 iid: 9 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 196517540 196517540 196517540 10.1016/j.apmr.2026.04.030 196517540 ppf: 2481 ppct: 9 formats: tig: atl: Self-Administered Mobile Cognitive Assessments for Individuals With Stroke: A Feasibility and Validation Study. aug: au: Shi, Yun Fong, Mandy W.M. Metts, Christopher L. Tomazin, Stephanie E. Kaufman, Katherine J. Munsell, Elizabeth G.S. Regan, Bridget Wong, Alex W.K. affil: Department of Neurology, New York University Grossman School of Medicine, New York, NY sug: subj: Ischemic Stroke Cognition Evaluation Mobile Applications Smartphone Human Pilot Studies Validation Studies Stroke Patients Prospective Studies Nonexperimental Studies Male Female Middle Age White Persons In Vivo Studies Self Report Health Status Neuropsychological Tests Task Performance and Analysis Middle Aged: 45-64 years Male Female ab: To examine the feasibility, learning effects, stability, and validity of mobile cognitive assessments (MCAs) among individuals with stroke. Longitudinal observational study using frequent, brief, repeated, in vivo self-administered mobile assessments of cognitive functions. Everyday life settings. Twenty participants with mild-to-moderate stroke (mean age, 55.5y; 60% men; 45% Whites; 70% ischemic stroke). Not applicable. Over 14 days, participants used smartphones to complete a digital assessment protocol. The protocol included 6 ecological momentary assessment surveys on self-reported health status, along with 4 MCAs, each administered twice daily. MCAs included the Mobile Stroop Color Word Test (M-SCWT), Mobile Spatial Memory Test Forward and Backward, Mobile Trail Making Test Parts A and B (M-TMT A & B), and Mobile Tower of Hanoi Test. Thus, participants completed the entire 14-day protocol with ≤84 ecological momentary assessment surveys and 28 MCA tasks. Participants also completed a lab-based neuropsychological test battery during the initial lab visit. High adherence rates were observed (77% for M-TMT B to 85% for M-SCWT) during repeated administration of MCAs. Learning effects were observed in nearly all tests (P <.024-.001), except for the Mobile Spatial Memory Test Forward. Stability estimates across MCAs ranged from poor to moderate, with higher reliability for M-SCWT and lower stability for M-TMT A and Mobile Tower of Hanoi Test. Agreement between MCAs and corresponding neuropsychological tests varied by domain, with stronger concordance for memory tasks and weaker agreement for inhibition and cognitive flexibility tasks. These findings are the first to demonstrate the feasibility and initial psychometric properties of smartphone-based assessments of cognitive function in individuals with stroke in daily life. MCAs may serve as a promising complement to traditional neuropsychological assessments, with further refinement needed to maximize their impact on rehabilitation research and practice. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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