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Computerized cognitive performance assessments in the Brooklyn Cognitive Impairments in Health Disparities Pilot
Kerry Adler1, Samuel Apple1, Alison Friedlander2
1Department of Medicine, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA.
Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|November 23, 2019
Summary
The computerized cognitive assessment tool, Cognigram, was well-liked by adults aged 40+ in diverse Brooklyn primary care settings. This pilot study shows promise for using digital tools to detect cognitive impairment in underserved communities.
Area of Science:
- Gerontology
- Neurology
- Health Disparities Research
Background:
- Detecting cognitive impairment is crucial, especially in diverse communities facing health disparities.
- Traditional assessments may not be accessible or suitable for all populations.
- Digital health tools offer potential for wider reach and objective cognitive assessment.
Purpose of the Study:
- To investigate the quantitative aspects and user acceptance of a computerized cognitive assessment tool, Cognigram.
- To pilot Cognigram in various primary care settings within a health disparities community.
Main Methods:
- The Brooklyn Cognitive Impairments in Health Disparities Pilot Study involved 58 adults (aged 43-91) in Emergency Department, Family Medicine, and Geriatric Psychiatry clinics.
- Participants completed the Cognigram assessment and a 5-item liking survey.
- Data on user satisfaction and quantitative performance were collected.
Main Results:
- Cognigram demonstrated a high level of user acceptance, with 67% of participants scoring 4-5 (on a 2-5 scale) for liking.
- No significant differences in liking were observed based on sex or age.
- The tool was generally well-liked in primary care waiting rooms.
Conclusions:
- The computerized cognitive assessment tool, Cognigram, is well-liked and feasible for use in diverse primary care settings, including those serving health disparities communities.
- Assistance from trained personnel and clinic endorsement are critical factors for successful implementation.
- Further testing is underway to evaluate Cognigram's performance in a dense, high-risk global setting like Brooklyn.
