Newman Craig G J, Bevins Adam D, Zajicek John P, Hodges John R, Vuillermoz Emil, Dickenson Jennifer M, Kelly Denise S, Brown Simona, Noad Rupert F
Plymouth University Peninsula Schools of Medicine and Dentistry (PU PSMD), Plymouth, United Kingdom.
Older People's Psychology and Psychological Therapies Department, Devon Partnership NHS Foundation Trust, Exeter, United Kingdom.
Alzheimers Dement (Amst). 2017 Dec 29;10:182-187. doi: 10.1016/j.dadm.2017.12.003. eCollection 2018.
Ensuring reliable administration and reporting of cognitive screening tests are fundamental in establishing good clinical practice and research. This study captured the rate and type of errors in clinical practice, using the Addenbrooke's Cognitive Examination-III (ACE-III), and then the reduction in error rate using a computerized alternative, the ACEmobile app.
In study 1, we evaluated ACE-III assessments completed in National Health Service (NHS) clinics ( = 87) for administrator error. In study 2, ACEmobile and ACE-III were then evaluated for their ability to capture accurate measurement.
In study 1, 78% of clinically administered ACE-IIIs were either scored incorrectly or had arithmetical errors. In study 2, error rates seen in the ACE-III were reduced by 85%-93% using ACEmobile.
Error rates are ubiquitous in routine clinical use of cognitive screening tests and the ACE-III. ACEmobile provides a framework for supporting reduced administration, scoring, and arithmetical error during cognitive screening.
确保认知筛查测试的可靠实施和报告是建立良好临床实践和研究的基础。本研究利用Addenbrooke认知检查第三版（ACE-III）记录了临床实践中的错误率和错误类型，然后使用计算机化替代方案ACEmobile应用程序降低错误率。
在研究1中，我们评估了在国民健康服务（NHS）诊所完成的87份ACE-III评估，以查找管理员错误。在研究2中，接着评估了ACEmobile和ACE-III获取准确测量值的能力。
在研究1中，78%的临床实施的ACE-III评分错误或存在算术错误。在研究2中，使用ACEmobile，ACE-III中的错误率降低了85%-93%。
在认知筛查测试和ACE-III的常规临床使用中，错误率普遍存在。ACEmobile提供了一个框架，以支持在认知筛查期间减少实施、评分和算术错误。
