ABSTRACT

Introduction

Digital neuropsychological assessment (d-NPA) has several advantages over paper-and-pencil tests in neuropsychological assessment, such as a more standardized stimulus presentation and response acquisition. We investigated (1) the feasibility and user-experience of a d-NPA in patients with acquired brain injury (ABI) and healthy controls; (2) the applicability of conventional paper-and-pencil norms on digital tests; and (3) whether familiarity with a tablet would affect test performance on a tablet.

Method

We administered a d-NPA in stroke patients (n = 59), traumatic brain injury patients (n = 61) and healthy controls (n = 159). The neuropsychological tests were presented on a tablet and participants used a pencil stylus to respond. We examined the completion rate to assess the feasibility, and a semi-structured interview was conducted to examine the user-experience. The applicability of conventional norms was examined by the number of healthy controls performing <10^th percentile, which was expected to be no more than 10%. The effect of tablet familiarity on test performance was examined with a regression-based model.

Results

Overall, 94% of patients completed the d-NPA. The d-NPA was considered pleasant by patients and healthy controls. Conventional norms that exist for paper-and-pencil tests were not applicable on the digital version of the tests, as up to 34% of healthy controls showed an abnormal performance on half of the tests. Tablet familiarity did not affect test performance on a tablet, indicating that participants who were more experienced with working with a tablet did not perform better on digital tests.

Conclusions

The administration of a d-NPA is feasible in patients with ABI. Familiarity with a tablet did not impact test performance, which is particularly important in neuropsychological assessment. Future research should focus on developing norms in order to implement a d-NPA in clinical practice.

中文翻译：

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数字神经心理学评估：获得性脑损伤患者的可行性和适用性。

摘要

介绍

在神经心理学评估中，数字神经心理学评估（d-NPA）优于纸笔测试，例如更加标准化的刺激提示和反应获得。我们研究了（1）d-NPA在获得性脑损伤（ABI）和健康对照患者中的可行性和用户体验；（2）常规纸铅笔规范在数字测试中的适用性；（3）熟悉平板电脑是否会影响平板电脑的测试性能。

方法

我们在中风患者（n = 59），脑外伤患者（n = 61）和健康对照组（n = 159）中给予了d-NPA 。神经心理学测试在平板电脑上进行，参与者使用笔针进行响应。我们检查了完成率以评估可行性，并进行了半结构化访谈以检查用户体验。的常规规范的适用性是由健康对照的10执行数<检查^个百分位数，预期这将是不超过10％。使用基于回归的模型检查了平板电脑熟悉程度对测试性能的影响。

结果

总体而言，94％的患者完成了d-NPA。患者和健康对照者认为d-NPA令人愉快。纸笔测试存在的常规规范不适用于数字版本的测试，因为多达34％的健康对照者在一半的测试中表现出异常表现。平板电脑的熟悉程度不会影响平板电脑上的测试性能，这表明对使用平板电脑有更多经验的参与者在数字测试中的表现不会更好。

结论

d-NPA的给药在ABI患者中是可行的。熟悉平板电脑不会影响测试性能，这在神经心理学评估中尤其重要。未来的研究应侧重于制定规范，以便在临床实践中实施d-NPA。