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Updated: Feb 27, 2026
Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
Computerized vs. Paper-Pencil Assessment of Cognitive Change following Acute Ischemic Stroke
Maude-Marie Gagnon1,2,3, Robert Laforce1,2,3
1Département des Sciences Neurologiques, CHU de Québec-Université Laval, Québec, Canada.
Importance:
Cognitive impairment is common among patients with stroke and early recognition can optimize patient care.
Objective:
To determine the validity of computerized cognitive testing in an adult population with acute ischemic stroke.
Design:
Validation study comparing computerized vs paper-pencil assessments at two time points three months apart in a stroke unit.
Main Outcome:
Correlation analyses between computerized (using CogState Brief Battery) and paper-pencil testing (using the Montreal Cognitive Assessment) both at study entry and follow-up visits.
Results:
We found moderate to strong significant correlations between the two instruments at study entry and follow-up sessions. Executive dysfunctions were the main cognitive changes. Test-retest correlations were strong.
Conclusion And Relevance:
The CogState Brief Battery is a valid alternative for clinicians who wish to measure cognitive skills following acute ischemic stroke. Limitations of computerized testing are discussed.
