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Mobile-based cognitive screening tools in multiple sclerosis: Scoping literature and app store review
Elizabeth S Gromisch1, Jaime Imitola2, Thomas Agresta3
1Mandell Center for Multiple Sclerosis, Mount Sinai Rehabilitation Hospital, Trinity Health Of New England, 490 Blue Hills Avenue, Hartford, CT, 06112, USA; Departments of Rehabilitative Medicine and, Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Road, North Haven, CT, 06473; Medical Sciences, Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Road, North Haven, CT, 06473; Department of Neurology, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT, 06030, USA.
Mobile apps offer cognitive screening for multiple sclerosis (MS) patients. While many tools exist, gaps in psychometric data and patient involvement limit their clinical use.
Area of Science:
- Neurology
- Digital Health
- Cognitive Science
Background:
- Routine cognitive screening is recommended for multiple sclerosis (MS) patients.
- Mobile-based programs offer a convenient option for cognitive assessments via smartphones or tablets.
Purpose of the Study:
- Identify available mobile-based cognitive screening tools for individuals with MS.
- Understand limitations and gaps in current tools for future development.
Main Methods:
- Systematic literature and app store searches (PubMed, MEDLINE, CINAHL, PsycINFO, Apple App Store, Google Play Store) through March 2024.
- Included mobile tools assessing cognitive domains objectively in ≤20 minutes, evaluated in adults with MS (≥18 years).
- Extracted data on availability, MS specificity, assessed domains, administration, scoring, psychometrics, and patient-reported outcomes (PROs).
Main Results:
- 32 mobile cognitive screening tools met eligibility criteria.
- More investigational tools (12/16) were MS-specific compared to commercial ones (5/16).
- Common features include multilingual availability, no technician requirement, and automated scoring; weaknesses include limited domains beyond processing speed, lack of psychometric data, and poor EHR integration.
Conclusions:
- Mobile cognitive screening tools for MS are increasing, some offering PROs like depression screening.
- Limitations persist regarding utility in clinical settings, necessitating improvements in psychometric validation and patient stakeholder involvement.
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