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Measuring Cognitive Function and Cognitive Decline With Response Time Data in the National Social Life, Health, and
Seth Sanders1, Lynne Steuerle Schofield2, L Philip Schumm3
1Department of Economics, Cornell University, Ithaca, New York, USA.
Response times (RTs) in surveys can predict cognitive function and decline, offering a valuable new measure for researchers and clinicians. This method enhances cognitive assessment accuracy without extending survey duration.
Area of Science:
- Gerontology
- Cognitive Science
- Survey Methodology
Background:
- Growing interest in cognitive function and dementia due to aging populations.
- Lack of adequate cognitive measures in existing research datasets.
- Potential for utilizing unexploited survey data for cognitive modeling.
Purpose of the Study:
- To investigate response times (RTs) as a novel measure of cognitive function.
- To compare RTs with a standard cognitive assessment (Montreal Cognitive Assessment - MoCA).
- To explore the predictive validity of RTs for concurrent and future cognitive decline.
Main Methods:
- Utilized response time (RT) metadata from the National Social Life, Health, and Aging Survey.
- Employed a survey-adapted version of the Montreal Cognitive Assessment (MoCA).
- Compared various RT measures against MoCA scores.
Main Results:
- RTs significantly predict concurrent and future MoCA scores.
- Longer and more variable baseline RTs predict lower MoCA scores five years later.
- Predictive effects of RTs vary by race and age, but not by gender.
Conclusions:
- Response times (RTs) represent a powerful, independent measure of cognitive functioning.
- RTs can enhance cognitive assessment accuracy without increasing administration time.
- RTs offer significant utility for both clinical and social science research.
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