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- W2547287676 abstract "Administration and scoring errors are commonly observed in the assessment of cognitive decline in the elderly. This is the case in both clinical practice and multi-centre research trials. Cognitive assessments often require the administrator to have internalized a complex administration and scoring manual and to be able to apply this invivo during testing sessions where demands on the administrator can be high. Scoring assessments requires knowledge of psychometric theory and reliable mental arithmetic skills. This project developed and evaluated an iPad based tool to support the use of the Addenbrooke's Cognitive Examination III, a cognitive assessment tool commonly used in memory clinics in the UK. Study 1: 87 ACE-III administrations from 4 NHS clinics in the South West of the UK were evaluated for scoring and reporting errors. Study 2: ACEmobile for iPad was developed across 2 years to support clinicians in the areas identified as challenging reliability and validity. The efficacy of this was evaluated using a usability methodology, where participants were recorded administering an ACE-III in role-play format (with a pre-established ‘true score’). Deviation from expected true score is interpreted as a failure to capture true measurement. Training post-doc clinical / research staff (N=22) were assessed for administration accuracy, response interpretation, scoring accuracy and mental arithmetic when using ACE-III (N=10) and ACEmobile (N=12). Study 1: 64% of the NHS administrations of ACE-III were shown to be mis-scored, with error ranges -11 to 10. Mental arithmetic errors were observed in 23% of the assessments, with error ranges -10 to 10. Study 2: Only 10% of ACE-III administrations matched true score after training (N=10) with 42% of ACEmobile administrations matching true score (N=12), with no training. Administration and scoring errors observed by clinicians using ACE-III were shown to reduce significantly with administration support from ACEmobile. The study highlight other areas where administration was prone to error so further developments were made to ACEmobile to address these. Recommendations are made for the use of ACEmobile in standard clinical assessment procedures and research trials." @default.
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- W2547287676 date "2015-07-01" @default.
- W2547287676 modified "2023-09-27" @default.
- W2547287676 title "P2-196: Supporting clinicians and researchers in reliably assessing cognitive decline in the elderly: Acemobile for ipad" @default.
- W2547287676 doi "https://doi.org/10.1016/j.jalz.2015.06.735" @default.
- W2547287676 hasPublicationYear "2015" @default.
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