Evidence map›Paper›PMID 33827088›Full record

ArticleGerontology2021

The Survey for Memory, Attention, and Reaction Time (SMART): Development and Validation of a Brief Web-Based Measure of Cognition for Older Adults.

Katherine E Dorociak, Nora Mattek, Jonathan Lee, Mira I Leese, Nicole Bouranis, Danish Imtiaz, Bridget M Doane, John P K Bernstein, Jeffrey A Kaye, Adriana M Hughes

Abstract read
In one paragraph

Article in Gerontology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Cognitive Training with Neurofeedback Using fNIRS Improves Cognitive Function in Older Adults.International journal of environmental research and public health · 2022
    Trial
  3. Article
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  13. Validation of the Computerized Cognitive Assessment Test: NNCT.International journal of environmental research and public health · 2022
    Article
  14. Review
  15. Article
  16. Use of in-home activity monitoring technologies in older adult veterans with mild cognitive impairment: The impact of attitudes and cognition.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2021
    Article
  17. Unsupervised mobile cognitive testing for use in preclinical Alzheimer's disease.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Katherine E DorociakPalo Alto Veterans Affairs Health Care System, Palo Alto, California, USA.
Nora MattekOregon Center for Aging & Technology, Oregon Health & Science University, Portland, Oregon, USA.
Jonathan LeeOregon Center for Aging & Technology, Oregon Health & Science University, Portland, Oregon, USA.
Mira I LeeseMinneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA.
Nicole BouranisOregon Center for Aging & Technology, Oregon Health & Science University, Portland, Oregon, USA.
Danish ImtiazMinneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA.
Bridget M DoaneMinneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA.
John P K BernsteinMinneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA.
Jeffrey A KayeOregon Center for Aging & Technology, Oregon Health & Science University, Portland, Oregon, USA.
Adriana M HughesMinneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA.

Funding

Research Education ComponentP30AG066518 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Zachary Beattie · 2020 to 2026
$28.6M
Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI WOLTJER, RANDALL L · 1990 to 2019
$27.7M
Pilot CoreP30AG024978 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2004 to 2023
$9.0M
Resource CoreU2CAG054397 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2016 to 2019
$7.0M
Intelligent Systems for Detection of Aging ChangesR01AG024059 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2006 to 2010
$6.7M
Unobtrusive remote monitoring to identify and track meaningful change in daily function in community dwelling older adults at risk for Alzheimer's diseaseR01AG058687 · NIA · UNIVERSITY OF MINNESOTA · PI HUGHES, ADRIANA · 2018 to 2022
$2.8M
Ambient Independence Measures for Guiding Care TransitionsR01AG042191 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 2013 to 2017
$2.7M
Novel Ecologically Valid Markers of Cognitive and Functional Decline to Improve Early Detection, Diagnosis, and Monitoring of Mild Cognitive Impairment and Alzheimer’s disease in Aging VeteransI21CX001669 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI HUGHES, ADRIANA · 2018 to 2019
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CSRD VA I21 CX001669NIA NIH HHS P30 AG008017NIA NIH HHS P30 AG024978NIA NIH HHS P30 AG066518NIA NIH HHS R01 AG024059NIA NIH HHS R01 AG042191NIA NIH HHS R01 AG058687NIA NIH HHS U2C AG054397
6 · The paper itself

Abstract

introductionBrief, Web-based, and self-administered cognitive assessments hold promise for early detection of cognitive decline in individuals at risk for dementia. The current study describes the design, implementation, and convergent validity of a fWeb-based cognitive assessment tool, the Survey for Memory, Attention, and Reaction Time (SMART), for older adults.

methodsA community-dwelling sample of older adults (n = 69) was included, classified as cognitively intact (n = 44) or diagnosed with mild cognitive impairment (MCI, n = 25). Participants completed the SMART at home using their computer, tablet, or other Internet-connected device. The SMART consists of 4 face-valid cognitive tasks available in the public domain assessing visual memory, attention/processing speed, and executive functioning. Participants also completed a battery of standardized neuropsychological tests, a cognitive screener, and a daily function questionnaire. Primary SMART outcome measures consisted of subtest completion time (CT); secondary meta-metrics included outcomes indirectly assessed or calculated within the SMART (e.g., click count, total CT, time to complete practice items, and time of day the test was completed).

resultsRegarding validity, total SMART CT, which includes time to complete test items, practice items, and directions, had the strongest relationship with global cognition (β = -0.47, p < 0.01). Test item CT was significantly greater for the MCI group (F = 5.20, p = 0.026). Of the SMART tasks, the executive functioning subtests had the strongest relationship with cognitive status as compared to the attention/processing speed and visual memory subtests. The primary outcome measures demonstrated fair to excellent test-retest reliability (intraclass correlation coefficient = 0.50-0.76).

conclusionsThis study provides preliminary evidence for the use of the SMART protocol as a feasible, reliable, and valid assessment method to monitor cognitive performance in cognitively intact and MCI older adults.

Indexed as

CognitionCognitive DysfunctionAgedAttentionHumansInternetNeuropsychological TestsReaction TimeReproducibility of ResultsSurveys and QuestionnairesCognitionCognitive screeningComputerized testingMild cognitive impairmentTechnology

Identifiers

PMID33827088
PMCPMC8494835

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.