Andias Rosa, Martins Ana Isabel, Pais Joana, Cruz Vítor Tedim, Silva Anabela G, Rocha Nelson Pacheco
CINTESIS.UA@RISE, School of Health Sciences, University of Aveiro, Aveiro, Portugal.
IEETA, Department of Medical Sciences, University of Aveiro, Aveiro, Portugal.
Digit Health. 2024 Oct 18;10:20552076241287371. doi: 10.1177/20552076241287371. eCollection 2024 Jan-Dec.
Cognitive assessment and the early detection of cognitive impairments have been enhanced by the use of remote digital solutions. The Brain on Track® is one of these digital solutions used in clinical practice for online screening and monitoring of cognitive functioning.
This study aimed to explore the validity and reliability of the Brain on Track® computerized test on a tablet device in adults.
A community sample of 54 young adults, 51 middle-aged adults, and 50 older adults were invited to attend in two assessment sessions. The first session included data collection on sociodemographic data, user digital literacy, Brain on Track® on the computer and on the tablet device, and usability from the user and moderator perspective. The second session included the Montreal Cognitive Assessment Questionnaire (MoCA) and a second completion of the Brain on Track® on tablet to assess the criterion validity and test-retest reliability. Hypothesis testing was used to assess construct validity.
A weak to moderate correlation was found between the Brain on Track® tablet score and the MoCA. The ICC was 0.72, 0.84, and 0.79, and Cronbach's alpha was 0.84, 0.83, and 0.89 in young adults, middle-aged adults, and older adults, respectively.
This study suggested that the Brain on Track® administered using a tablet device has criterion validity, particularly in middle-aged and older adults, and internal consistency and test-retest reliability in adults of any age group.
远程数字解决方案的应用增强了认知评估以及认知障碍的早期检测。“Brain on Track®”是临床实践中用于在线筛查和监测认知功能的数字解决方案之一。
本研究旨在探讨在平板电脑设备上进行的“Brain on Track®”计算机化测试在成年人中的有效性和可靠性。
邀请了54名年轻成年人、51名中年成年人和50名老年人组成的社区样本参加两次评估。第一次评估包括收集社会人口统计学数据、用户数字素养、计算机和平板电脑设备上的“Brain on Track®”以及从用户和主持人角度评估的可用性。第二次评估包括蒙特利尔认知评估问卷（MoCA）以及在平板电脑上再次完成“Brain on Track®”以评估效标效度和重测信度。使用假设检验来评估结构效度。
“Brain on Track®”平板电脑得分与MoCA之间存在弱至中度相关性。年轻成年人、中年成年人和老年人的组内相关系数（ICC）分别为0.72、0.84和0.79，克朗巴哈系数（Cronbach's alpha）分别为0.84、0.83和0.89。
本研究表明，使用平板电脑设备进行的“Brain on Track®”具有效标效度，尤其是在中年人和老年人中，并且在任何年龄组的成年人中都具有内部一致性和重测信度。
