Evidence map›Paper›PMID 34342879›Full record

Trial reportJournal of the American Geriatrics Society2021

Utility of the iPad NIH Toolbox Cognition Battery in a clinical trial of older adults.

Carolyn M Parsey, Justina E Bagger, Emily H Trittschuh, Angela J Hanson

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Effects of NADThe Journal of pharmacology and experimental therapeutics · 2025
    Trial
  3. Trial
  4. Article
  5. Article
  6. Test-Retest Reliability and Reliable Change on the NIH Toolbox Cognition Battery.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. 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

4 authors at 1 institution in 1 country.

Carolyn M ParseyAlzheimer's Disease Research Center, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-8555-6512
Justina E BaggerAlzheimer's Disease Research Center, University of Washington, Seattle, Washington, USA.
Emily H TrittschuhSchool of Medicine (Psychiatry and Behavioral Sciences), University of Washington, Seattle, Washington, USA.
Angela J HansonAlzheimer's Disease Research Center, University of Washington, Seattle, Washington, USA.
University of Washington · US

Funding

THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI GRABOWSKI, THOMAS J. · 1985 to 2019
$57.2M
University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI ALI SHOJAIE · 2020 to 2026
$29.0M
APOE genotype and diet influences on Alzheimer's biomarkersK23AG047978 · NIA · UNIVERSITY OF WASHINGTON · PI HANSON, ANGELA JEAN · 2015 to 2019
$875k
NIA NIH HHS K23 AG047978NIA NIH HHS K23AG047978NIA NIH HHS P30 AG066509NIA NIH HHS P50 AG005136
6 · The paper itself

Abstract

backgroundTo demonstrate feasibility and utility of the iPad version of the NIH Toolbox Cognition Battery (NIHTB-CB) in a clinical trial of older adults.

methodsFifty-one adults, aged 55 and older without dementia were tested twice on NIHTB-CB and more traditional paper-and-pencil neuropsychological measures after meal ingestion, with approximately a 4-week interval. We also compared performances at Time 1 and Time 2 for significant change. We also extracted the response times and errors for available NIHTB-CB subtests to determine subtle changes in performance.

resultsOver the interval, improvement in fluid cognitive measures was noted at Time 2 (t = -3.07, p = 0.004), whereas crystallized measures were unchanged. Tests of fluid cognition negatively correlated with age, particularly for the second visit. Analysis of the average speed per item showed that, for two of the tests, speed increased at Time 2. Traditional neuropsychological tests correlated with many of the NIHTB-CB measures. Response times for all five timed tests decreased at Time 2, although only statistically significant for Picture Sequence and Picture Vocabulary.

conclusionsThe iPad version of the NIH Toolbox Cognition Battery appears to be an adequate measure to assess cognitive functioning in a clinical trial of older adults. Psychometric analyses suggest stability in measures of crystallized functioning, whereas measures of fluid abilities revealed improvements over the short time frame of the study. Response times and errors for individual tests revealed intriguing relationships that should be further evaluated to determine the utility in clinical sample analysis, as this could aid identification of subtle cognitive change over short periods. Additional studies with larger sample sizes will be helpful to understanding the reliability, sensitivity, and specificity of the NIHTB-CB sub-scores in older adults. In addition, further evaluations with clinical populations, including individuals with cognitive impairment, are warranted.

Indexed as

Computers, HandheldNeuropsychological TestsAgedCognition DisordersFemaleGeriatric AssessmentHumansMaleMiddle AgedPsychometricsReaction TimeReproducibility of ResultsUser-Computer Interfaceagingclinical trialcognitionneuropsychologypsychometrics

Identifiers

PMID34342879
PMCPMC8648969
OpenAlexW3190267294

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.