๐Ÿง‘๐Ÿผโ€๐Ÿ’ป Research - September 7, 2025

Practice effects on digital cognitive assessment tools: insights from the defense automated neurobehavioral assessment battery.

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โšก Quick Summary

This study evaluated practice effects in digital cognitive assessments using the Defense Automated Neurobehavioral Assessment (DANA). Findings revealed modest practice effects and a significant association between cognitive impairment and slower response times, with classification models achieving accuracies of up to 71%.

๐Ÿ” Key Details

  • ๐Ÿ“Š Participants: 116 individuals from the Boston University Alzheimer’s Disease Research Center
  • ๐Ÿงฉ Assessment Tool: Defense Automated Neurobehavioral Assessment (DANA)
  • โณ Time Interval: Two sessions approximately 90 days apart
  • ๐Ÿ† Performance: Classification models achieved up to 71% accuracy

๐Ÿ”‘ Key Takeaways

  • ๐Ÿ“Š Modest practice effects were observed across two testing sessions.
  • ๐Ÿ’ก Cognitive impairment was significantly linked to slower response times (p < 0.001).
  • ๐Ÿง  Framework established for evaluating practice effects in digital cognitive tools.
  • ๐Ÿ” Future research should focus on expanding sample size and diversity.
  • ๐Ÿ“ˆ Classification models like logistic regression and random forest showed promising results.
  • ๐ŸŒ Study contributes to understanding cognitive assessment in clinical settings.

๐Ÿ“š Background

Digital cognitive assessments are becoming increasingly important for monitoring cognitive impairments, especially in populations at risk for conditions like Alzheimer’s disease. However, repeated use of these assessments can lead to practice effects, where participants may perform better simply due to familiarity with the tasks rather than actual improvements in cognitive function. Understanding these effects is crucial for accurate cognitive monitoring.

๐Ÿ—’๏ธ Study

The study conducted at the Boston University Alzheimer’s Disease Research Center aimed to systematically evaluate practice effects using the DANA battery. Researchers analyzed data from 116 participants, comparing their response times across two sessions spaced approximately 90 days apart. The study controlled for various factors, including cognitive status, sex, age, and education, to ensure robust findings.

๐Ÿ“ˆ Results

The analysis revealed modest practice effects across the two testing sessions. Participants with cognitive impairments exhibited significantly slower response times in several tasks. The classification models employed, including logistic regression and random forest, achieved accuracies of up to 71% in assessing cognitive status, indicating the potential effectiveness of these digital tools in clinical settings.

๐ŸŒ Impact and Implications

This study establishes a valuable framework for evaluating practice effects in digital cognitive assessment tools. The findings highlight the importance of considering practice effects when interpreting results from repeated assessments. As digital cognitive assessments become more prevalent, understanding these nuances will enhance their reliability and applicability in clinical practice, ultimately improving patient care and monitoring.

๐Ÿ”ฎ Conclusion

The insights gained from this study underscore the significance of evaluating practice effects in digital cognitive assessments. By establishing a systematic approach, researchers can better understand how repeated testing influences cognitive performance. Future research should aim to expand the sample size and diversity to enhance the generalizability of these findings, paving the way for more effective cognitive monitoring tools in healthcare.

๐Ÿ’ฌ Your comments

What are your thoughts on the implications of practice effects in digital cognitive assessments? We would love to hear your insights! ๐Ÿ’ฌ Leave your comments below or connect with us on social media:

Practice effects on digital cognitive assessment tools: insights from the defense automated neurobehavioral assessment battery.

Abstract

INTRODUCTION: Digital cognitive assessments offer a promising approach to monitoring cognitive impairments, but repeated use can introduce practice effects, potentially masking changes in cognitive status. We evaluated practice effects using the Defense Automated Neurobehavioral Assessment (DANA), a digital battery designed for cognitive monitoring.
METHODS: We analyzed data from 116 participants from the Boston University Alzheimer’s Disease Research Center, comparing response times across two DANA sessions, around 90 days apart, while controlling for cognitive status, sex, age, and education.
RESULTS: Modest practice effects were found, and cognitive impairment was associated with slower response times in several tasks. Classification models, including logistic regression and random forest classification, achieved accuracies of up to 71% in assessing cognitive status.
DISCUSSION: Our study establishes a framework for evaluating practice effects in digital cognitive assessment tools. Future work should expand the sample size and diversity to enhance the generalizability of findings in broader clinical contexts.
HIGHLIGHTS: We systematically evaluated practice effects using the DANA battery as a case study. Modest practice effects were observed across two testing sessions, with a median inter-session interval of 93 days. Cognitive impairment was significantly associated with slower response times in key tasks (pย <ย 0.001). Our framework offers a systematic approach for evaluating practice effects in digital cognitive tools.

Author: [‘Bellitti M’, ‘Lauber MV’, ‘Searls E’, ‘Lin H’, ‘Au R’, ‘Kolachalama VB’]

Journal: Alzheimers Dement

Citation: Bellitti M, et al. Practice effects on digital cognitive assessment tools: insights from the defense automated neurobehavioral assessment battery. Practice effects on digital cognitive assessment tools: insights from the defense automated neurobehavioral assessment battery. 2025; 21:e70644. doi: 10.1002/alz.70644

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