a Institute for Technology in Psychiatry , McLean Hospital , Belmont , MA , USA.
b Department of Psychiatry , Harvard Medical School , Boston , MA , USA.
Clin Neuropsychol. 2019 Feb;33(2):271-286. doi: 10.1080/13854046.2018.1535662. Epub 2019 Jan 6.
OBJECTIVE: Digital devices are now broadly accessible and have the capacity to measure aspects of human behavior with high precision and accuracy, in a standardized manner. The purpose of this article is to characterize opportunities and barriers for modern digital neuropsychology, particularly those that are unique to digital assessment. METHODS: We provide a critical overview of the state-of-the-art in digital neuropsychology, focusing on personal digital devices. RESULTS: We identify three major barriers associated with digital neuropsychology, which affect both the interpretation of test scores and test norms: (1) variability in the perceptual, motor and cognitive demands of the same test across digital device classes (e.g. personal computer, tablet and smartphone); (2) hardware and software variability between devices within the same class that affect stimulus presentation and measurement and (3) rapid changes over time in hardware, software and device ownership, which can lead to rapid obsolescence of particular tests and test norms. We offer specific recommendations to address these barriers and outline new opportunities to understand and measure neuropsychological functioning over time and in everyday environments. CONCLUSIONS: Digital neuropsychology provides new approaches for measuring and monitoring neuropsychological functioning, informed by an understanding of the limitations and potential of digital technology.
目的:数字设备现在广泛普及,并且能够以标准化的方式高精度、准确地测量人类行为的各个方面。本文旨在描述现代数字神经心理学的机会和障碍,特别是那些数字评估所特有的机会和障碍。
方法:我们对数字神经心理学的最新技术进行了批判性综述,重点关注个人数字设备。
结果:我们确定了与数字神经心理学相关的三个主要障碍,这些障碍影响测试分数和测试规范的解释:(1)同一测试在不同数字设备类别之间的感知、运动和认知需求的变化(例如,个人计算机、平板电脑和智能手机);(2)同一类别内设备之间的硬件和软件变化,影响刺激呈现和测量;(3)硬件、软件和设备所有权随时间的快速变化,这可能导致特定测试和测试规范迅速过时。我们提供了具体的建议来解决这些障碍,并概述了新的机会,可以在日常环境中随着时间的推移了解和衡量神经心理功能。
结论:数字神经心理学通过对数字技术的局限性和潜力的理解,为测量和监测神经心理功能提供了新的方法。
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