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The Application of a Computerized Cognitive Screening Tool in Naval Aviators
Shawnna M Chee1,2, Veronica E Bigornia1, Daniel L Logsdon1,3
1Department of Psychiatry, Naval Aerospace Medical Institute, Pensacola, FL 32508, USA.
Military Medicine
|January 27, 2021
Summary
The CogScreen-Aeromedical Edition (CogScreen-AE) reliably measures neurocognitive function in pilots. Performance remained consistent after high-performance aircraft flights, indicating its suitability for assessing aviator readiness.
Area of Science:
- Aerospace Medicine
- Neuroscience
- Human Factors
Background:
- The CogScreen-Aeromedical Edition (CogScreen-AE) is a tool for assessing pilot neurocognitive function.
- Its use in military aviators flying high-performance aircraft requires evaluation in dynamic flight environments.
Purpose of the Study:
- To assess changes in CogScreen-AE scores post-flight in Naval Aviators.
- To evaluate CogScreen-AE's utility for screening military aviator impairment, recovery, and return-to-duty status.
Main Methods:
- A within-subjects design with preflight and postflight CogScreen-AE administrations.
- Comparison between aviators flying high-performance aircraft and a control group using a flight simulator.
- Mixed model ANOVA used for data analysis of 5 composite scores.
Main Results:
- No significant differences in CogScreen-AE performance were observed between preflight and postflight sessions for aviators flying high-performance aircraft.
- CogScreen-AE performance demonstrated consistency in the dynamic flight environment.
Conclusions:
- CogScreen-AE performance is consistent preflight to post-flight, suggesting reliability.
- The tool shows potential as a clinical instrument for assessing aviator cognitive function for return-to-flight decisions.
- Future research will explore operational use and documentation of neurological recovery.

