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Web-Based Cognitive Testing in Psychiatric Research: Validation and Usability Study.

Amy Joanne Lynham1, Ian R Jones1, James T R Walters1

  • 1Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychiatry and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, United Kingdom.

Journal of Medical Internet Research
|February 10, 2022
PubMed
Summary
This summary is machine-generated.

Web-based cognitive assessments are feasible for psychiatric research, showing adequate completion rates. Participation is influenced by demographics and diagnosis, with lower performance linked to poorer functioning.

Keywords:
assessmentattentioncognitiondigitalmemorymental healthmobile phoneonlinevalidation

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Psychology

Background:

  • Cognitive impairments are prevalent in psychiatric disorders, impacting patient functioning.
  • Collecting large-scale cognitive data for psychiatric research is challenging and costly.
  • Web-based assessments offer a potential solution, but their completion rates and participant characteristics are not well understood.

Purpose of the Study:

  • Develop and validate a web-based cognitive battery for psychiatric research.
  • Compare web-based cognitive tasks with the established Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery.
  • Identify demographic and clinical factors associated with participation in web-based cognitive assessments.

Main Methods:

  • A web-based cognitive battery was developed, measuring domains specified by the MATRICS initiative.
  • Cross-validation involved 65 participants with psychiatric disorders or no psychiatric history, comparing web-based and MATRICS tasks.
  • Demographic and clinical characteristics of 961 participants completing the web-based battery were analyzed.

Main Results:

  • Correlations between web-based and MATRICS tasks ranged from 0.26 to 0.73.
  • Completion rates were adequate: 92.3% completed at least one task, and 67% completed all tasks.
  • Participation was predicted by female sex, non-White European ethnicity, higher education, eating disorder or depression/anxiety diagnoses, and absence of schizophrenia diagnosis. Poorer functioning correlated with lower performance.

Conclusions:

  • Web-based cognitive testing demonstrates feasibility and adequate completion rates in psychiatric research.
  • Participant characteristics influencing web-based assessment engagement were identified.
  • Findings provide insights into the utility and limitations of remote cognitive testing for mental health studies.