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Feasibility of using touch screen technology for early cognitive assessment in children
Deirdre M Twomey1, Conal Wrigley1,2, Caroline Ahearne1
1Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.
Insights
Touch screen tools can assess toddler cognitive capacity, even for 24-month-olds. This technology enables language and administrator-independent developmental assessments for young children.
Area of Science:
- Developmental psychology
- Human-computer interaction
- Pediatric assessment
Background:
- Assessing cognitive capacity in toddlers presents challenges due to developmental limitations.
- Traditional assessment methods often require verbal instruction and significant administrator interaction.
- Emerging technologies like touch screens offer potential for more accessible and objective evaluations.
Purpose of the Study:
- To determine the feasibility of a touch screen tool for measuring cognitive abilities in toddlers.
- To evaluate the tool's sensitivity to age-related cognitive changes in early childhood.
Main Methods:
- 112 typically developing toddlers (median age 31 months) used a touch screen cognitive assessment tool.
- Performance was compared between two age groups: 24-29 months and 30-36 months.
- Key metrics included items completed, task completion speed, and accuracy.
Main Results:
- Older toddlers (30-36 months) completed more tasks and specific working memory/object permanence tasks faster than younger toddlers (24-29 months).
- Children improved speed on working memory tasks with repeated exposure.
- Older children were more successful and faster at a novel integration task.
Conclusions:
- Toddlers as young as 24 months can engage with cognitive tasks on touch screen devices without verbal cues.
- Touch screen technology supports language and administrator-independent developmental assessments in toddlers.
- This approach holds promise for objective and scalable early childhood cognitive evaluations.
Objective:
To explore the feasibility of using a touch screen assessment tool to measure cognitive capacity in toddlers.
Design:
112 typically developing children with a median age of 31 months (IQR: 26-34) interacted with a touch screen cognitive assessment tool. We examined the sensitivity of the tool to age-related changes in cognition by comparing the number of items completed, speed of task completion and accuracy in two age groups; 24-29 months versus 30-36 months.
Results:
Children aged 30-36 months completed more tasks (median: 18, IQR: 18-18) than those aged 24-29 months (median: 17, IQR: 15-18). Older children also completed two of the three working memory tasks and an object permanence task faster than their younger peers. Children became faster at completing the working memory items with each exposure and registered similar completion times on the hidden object retrieval items, despite task demands being twofold on the second exposure. A novel item required children to integrate what they had learnt on preceding items. The older group was more likely to complete this item and to do so faster than the younger group.
Conclusions:
Children as young as 24 months can complete items requiring cognitive engagement on a touch screen device, with no verbal instruction and minimal child-administrator interaction. This paves the way for using touch screen technology for language and administrator independent developmental assessment in toddlers.
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