Ruggeri Kai, Maguire Áine, Andrews Jack L, Martin Eric, Menon Shantanu
Policy Research Group, Department of Psychology, University of CambridgeCambridgeshire, UK; Engineering Design Centre, Department of Engineering, University of CambridgeCambridgeshire, UK.
Department of Psychology, University of Cambridge Cambridgeshire, UK.
Front Aging Neurosci. 2016 Mar 17;8:21. doi: 10.3389/fnagi.2016.00021. eCollection 2016.
This study examines implications of the expanded use of mobile platforms in testing cognitive function, and generates evidence on the impact utilizing mobile platforms for dementia screen. The Saint Louis University Mental State examination (SLUMS) was ported onto a computerized mobile application named the Cambridge University Pen to Digital Equivalence assessment (CUPDE). CUPDE was piloted and compared to the traditional pen and paper version, with a common comparator test for both groups. Sixty healthy participants (aged 50-79) completed both measurements. Differences were tested between overall outcomes, individual items, and relationship with the comparator. Significant differences in the overall scores between the two testing versions as well as within individual items were observed. Even when groups were matched by cognitive function and age, scores on SLUMS original version (M = 19.75, SD = 3) were significantly higher than those on CUPDE (M = 15.88, SD = 3.5), t (15) = 3.02, p < 0.01. Mobile platforms require the development of new normative standards, even when items can be directly translated. Furthermore, these must fit aging populations with significant variance in familiarity with mobile technology. Greater understanding of the interplay and related mechanisms between auditory and visual systems, which are not well understood yet in the context of mobile technologies, is mandatory.
本研究探讨了移动平台在认知功能测试中扩大应用的影响，并生成了关于利用移动平台进行痴呆筛查影响的证据。圣路易斯大学精神状态检查（SLUMS）被移植到一个名为剑桥大学笔到数字等效评估（CUPDE）的计算机化移动应用程序上。对CUPDE进行了试点，并与传统的纸笔版本进行了比较，两组都采用了共同的对照测试。60名健康参与者（年龄在50 - 79岁之间）完成了两项测量。对总体结果、单个项目以及与对照测试的关系进行了差异测试。观察到两个测试版本之间以及单个项目内的总体得分存在显著差异。即使根据认知功能和年龄对组进行匹配，SLUMS原始版本的得分（M = 19.75，SD = 3）也显著高于CUPDE的得分（M = 15.88，SD = 3.5），t（15） = 3.02，p < 0.01。即使项目可以直接翻译，移动平台也需要制定新的规范标准。此外，这些标准必须适用于对移动技术熟悉程度差异很大的老年人群体。必须更深入地了解听觉和视觉系统之间的相互作用及相关机制，而在移动技术背景下，这一点尚未得到充分理解。
