在痴呆症查中进行认知和功能评估的网络应用:混合方法,以用户为中心的开发方法.
Nattaporn Piyaamornpan1,2,3, Suwat Srisuwannanukorn4, Kosit Tangthamrongthanawat5
1Division of Neurology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Rd, Siriraj, Bangkok Noi, Bangkok, 10700, Thailand, 66 24197665, 66 24123009.
JMIR human factors
|February 19, 2026
概括
一个新的网络应用程序,健康大脑测试,显示强大的有效性和可用性老年泰国成年人的痴呆症查. 这种数字工具可促进可访问的认知和功能评估,有助于早期发现和基于社区的护理.
科学领域:
- 老年学是指老年学的学科.
- 数字健康数字健康
- 神经科学是一个神经科学.
背景情况:
- 泰国痴呆症患病率不断上升,需要可访问的认知查工具.
- 基于网络的认知评估的有限可用性阻碍了早期发现和基于社区的监测.
- 确保可用性和有效性对于在现实环境中实施数字健康解决方案至关重要.
研究的目的:
- 开发和验证健康大脑测试,一个用于老年泰国成年人的认知和功能评估的网络应用程序.
- 设计以用户为中心的认知模块,涵盖痴呆症查的关键认知领域.
- 建立基于网络的评估与用于确定诊断截止点的临床工具之间的相关性.
主要方法:
- 开发了健康大脑测试,一个自我管理的网络应用程序,包括数字泰国精神状态检查 (e-TMSE),时钟绘图,口语流性,IQCODE-16和IADLs.
- 基于网络的评估结果与传统的纸质测量结果相关联.
- 使用接收器操作特征 (ROC) 曲线来确定诊断准确度.
主要成果:
- 电子TMSE与传统的TMSE表现出很强的一致性 (r=0.837).
- 对于口头流利,IQCODE-16和IADL模块 (P<.001) 发现了显著的相关性.
- 电子TMSE的AUC达到0.84,截止值≤23,显示主要神经认知障碍的灵敏度为88.6%,特异性为70.1%.
结论:
- 健康大脑测试是一个有效和可用的基于网络的平台,用于老年人痴呆症查.
- 该应用程序提供了可访问的,用户友好的认知和功能状态的远程评估.
- 进一步的研究应该探索长期可行性和整合到临床工作流程中进行大规模查.
相关概念视频
Dementia
594
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
594
Cognitive Development During Adulthood
954
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
954


