Muner Luana Comito, Martins Guilherme Domingos, Santos Honda Ana Beatriz, Becker Natália, Rodrigues Jaqueline de Carvalho
Postgraduate Program in Human Development Sciences, Universidade Presbiteriana Mackenzie, Sao Paulo 01302-907, SP, Brazil.
Departamento de Psicologia, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro 22451-900, RJ, Brazil.
Brain Sci. 2025 Jul 10;15(7):737. doi: 10.3390/brainsci15070737.
: Neuropsychological assessment tools adapted for digital formats are crucial to expanding access and improving cognitive evaluation in post-stroke patients. This study aimed to examine the reliability, convergent validity, and criterion-related validity (concurrent and known-groups) of TRIACOG-Online, a computerized cognitive screening tool designed to assess multiple domains in post-stroke adults in person or remotely. : 98 participants (47 neurologically healthy adults and 51 post-stroke patients) completed a sociodemographic questionnaire, the Mini-Mental State Examination-MMSE, G-38-Nonverbal Intelligence Test, and the TRIACOG-Online assessment. Evaluations were conducted in person, computer mediated. : TRIACOG-Online demonstrated high internal consistency (Cronbach's α = 0.872; McDonald's ω = 0.923). Statistically significant differences were found between groups in episodic memory, attention, executive functions, and numerical processing, with healthy individuals outperforming post-stroke participants. Effect sizes were medium to large in several domains, especially for visual memory. Validity evidence based on the relationship with external variables was supported by negative correlations with age and positive correlations with education and reading and writing habits, particularly in the clinical group. Educational level showed stronger associations with verbal memory and language, suggesting a protective role in post-stroke cognitive performance. TRIACOG-Online scores demonstrated evidence of convergent validity with MMSE and G-38. : TRIACOG-Online shows strong psychometric properties for the cognitive assessment of post-stroke adults. Its computerized format represents a promising tool for clinical and research use in neuropsychology, especially for bedside applications.
适用于数字格式的神经心理学评估工具对于扩大中风后患者的评估机会和改善认知评估至关重要。本研究旨在检验TRIACOG-Online的信度、聚合效度和与标准相关的效度(同时效度和已知群体效度),TRIACOG-Online是一种计算机化认知筛查工具,旨在对中风后成年人进行面对面或远程的多领域评估。98名参与者(47名神经健康成年人和51名中风后患者)完成了一份社会人口学调查问卷、简易精神状态检查表(MMSE)、G-38非言语智力测试和TRIACOG-Online评估。评估通过计算机介导进行面对面测试。TRIACOG-Online表现出较高的内部一致性(克朗巴哈α系数=0.872;麦克唐纳ω系数=0.923)。在情景记忆、注意力、执行功能和数字处理方面,两组之间存在统计学上的显著差异,健康个体的表现优于中风后参与者。在几个领域中,效应量为中等至较大,尤其是视觉记忆。基于与外部变量关系的效度证据得到了与年龄的负相关以及与教育程度、阅读和写作习惯的正相关的支持,特别是在临床组中。教育水平与言语记忆和语言表现出更强的关联,表明其对中风后认知表现具有保护作用。TRIACOG-Online得分显示出与MMSE和G-38的聚合效度证据。TRIACOG-Online在中风后成年人的认知评估中表现出强大的心理测量特性。其计算机化形式是神经心理学临床和研究应用的一个有前景的工具,特别是在床边应用方面。