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@ARTICLE{Polk:278568,
author = {Polk, Sarah E and Öhman, Fredrik and Hassenstab, Jason and
König, Alexandra and Papp, Kathryn V and Schöll, Michael
and Berron, David},
title = {{A} scoping review of remote and unsupervised digital
cognitive assessments in preclinical {A}lzheimer's disease.},
journal = {npj digital medicine},
volume = {8},
number = {1},
issn = {2398-6352},
address = {[Basingstoke]},
publisher = {Macmillan Publishers Limited},
reportid = {DZNE-2025-00601},
pages = {266},
year = {2025},
abstract = {Characterizing subtle cognitive changes in preclinical
Alzheimer's disease (AD) is difficult using traditional
neuropsychological assessments. Remote and unsupervised
digital assessments can improve scalability, measurement
reliability, and ecological validity, enabling the capture
of subtle changes. We evaluate such tools for use in
preclinical AD, or cognitively unimpaired individuals with
abnormal levels of AD pathology. We screened 1904 reports
for studies remotely assessing cognition in preclinical AD
samples. Twenty-three tools were identified, and their
usability, reliability, and validity, including construct
and criterion validity based on in-person neuropsychological
and Aβ/tau measures, was reported. We present a necessary
update to a rapidly evolving field, following our previous
review (Öhman et al., 2021) and address open questions of
feasibility and reliability of remote testing in older
adults. Future applications of such tools are discussed,
including longitudinal monitoring of cognition, scalable
case finding, and individualized prognostics in both
clinical trials and healthcare contexts.},
cin = {AG Berron},
ddc = {610},
cid = {I:(DE-2719)5000070},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40348870},
pmc = {pmc:PMC12065824},
doi = {10.1038/s41746-025-01583-5},
url = {https://pub.dzne.de/record/278568},
}