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Aslam RW, Bates V, Dundar Y, et al. Automated tests for diagnosing and monitoring cognitive impairment: a diagnostic accuracy review. Southampton (UK): NIHR Journals Library; 2016 Oct. (Health Technology Assessment, No. 20.77.)
Automated tests for diagnosing and monitoring cognitive impairment: a diagnostic accuracy review.
Show detailsBrief chat, any difficulties with train trip, any questions he may have. Check for comfort with recording device, assure recording will be deleted. If not, use tablet for quick typing. He mentioned his caring responsibilities. Talk slowly, pay attention to ability to retain and analyse information. Simple language.
What is LRiG. Overview of the project. Brief discussion background MCI and dementia. Explain the review process very briefly.
Intro questions from protocol.
- Was the purpose of the review clear?
- Was the purpose of the review appropriate/valid/important?
Questions relating to technology.
Explain what computerised tests are briefly. Compare to tests used in his and/or carer’s diagnosis.
- About the tests (show table on test, discuss table, clarify, make sure it is understood)
- – Different types of tests (show table), some tests look at 1–2 aspects of memory and thinking, others look at all aspects of memory and thinking (cognitive domains).
- – 2 tests look at the visual aspect (PAL), and make an assessment with a clinician present about existence of challenges with memory and thinking.
- – Our findings say it works well. Does he have any thoughts about this?
- Platform used
- – Internet-based test, iPad versus computer touchscreen versus desktop. Rating 1–4.
- – Comfort in using platform (create flow from previous questions so would talk about use of technology in the elderly).
- Professionals involved
- – Different papers used professionals differently.
- – For test administration it was (1) self-administered with minimum assistance with nurse or technician; (2) self-administered with minimum assistance with nurse or technician, which also included them typing or using the mouse to manipulate the mouse or arrows for the patient or facilitate the typing and entering of patient responses; (3) verbal directions from administration; (4) interactive system provided oral instruction through speakers and written instructions on screen; (5) self-administration, but carer can assist needed them typing or using the mouse to manipulate the mouse or arrows for the patient or facilitate the typing and entering of patient responses.
- – Rate tests from 1–5 with 1 being most preferable. Enter sixth option manually if a combination.
- – Feedback on professionals conducting the test (who).
- – What did he think of the level of involvement of the assessor in these scenarios in conducting the tests?
- – What about monitoring?
- Patient characteristics
- – Disease progression, do they go to the doctor
- – Follow-up
- – Study sample
- – Where people were recruited from
- – Only included patients (summary and variance of inclusion criteria)
- – Summary of age, gender, education, ethnicity (race).
- Follow-up questions in the end
- – Do we report on all of the important aspects of the research (show tables) (e.g. age of participants, practicality of computer tests for this age group)?
- – Was the purpose of the review clear?
- – Was the purpose of the review appropriate/valid/important?
- – What do they see as the implications for clinical practice?
- – What value do you see in the use of diagnostic tests for MCI?
- – Do you feel that the inclusion of computerised tests is a good one?
- – Should they be used instead of pen-and-paper tests?
- – When do you think they should be used?
- – What areas need further research?
- Patient and public involvement: structure of meeting - Automated tests for diagn...Patient and public involvement: structure of meeting - Automated tests for diagnosing and monitoring cognitive impairment: a diagnostic accuracy review
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