Evidence map›Paper›PMID 34967751›Full record

Observational studyJournal of medical Internet research2021

Assessing Cognitive Function in Multiple Sclerosis With Digital Tools: Observational Study.

Wan-Yu Hsu, William Rowles, Joaquin A Anguera, Annika Anderson, Jessica W Younger, Samuel Friedman, Adam Gazzaley, Riley Bove

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03569618 (Effect of a Digital Therapeutic on Processing Speed in Adults With Multiple Sclerosis), which is not on this 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.

NCT03569618 nacompletednot on this map

Effect of a Digital Therapeutic on Processing Speed in Adults With Multiple Sclerosis

TypeinterventionalSponsorUniversity of California, San FranciscoRan2018 to 2019Enrolled44ConditionsMultiple Sclerosis, Cognitive DeclineArmsTablet-based Game
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. A pilot study of a targeted cognitive intervention for cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Trial
  4. Article
  5. Remote group intervention for adults with cancer-related cognitive impairment: a feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Plateau of practice effects and noise with repeat SDMT testing in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Cognitive impairment in multiple sclerosis: from phenomenology to neurobiological mechanisms.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  15. Article
  16. Article
  17. Review
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

8 authors.

Wan-Yu Hsu *Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0003-1410-8429
William Rowles *Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-5613-0483
Joaquin A AngueraDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-7216-0674
Annika AndersonDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-7288-6344
Jessica W YoungerDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-4440-9081
Samuel FriedmanDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-7232-9759
Adam GazzaleyDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-1232-9431
Riley BoveDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States.ORCID 0000-0002-2034-8800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment (CI) is one of the most prevalent symptoms of multiple sclerosis (MS). However, it is difficult to include cognitive assessment as part of MS standard care since the comprehensive neuropsychological examinations are usually time-consuming and extensive.

objectiveTo improve access to CI assessment, we evaluated the feasibility and potential assessment sensitivity of a tablet-based cognitive battery in patients with MS.

methodsIn total, 53 participants with MS (24 [45%] with CI and 29 [55%] without CI) and 24 non-MS participants were assessed with a tablet-based cognitive battery (Adaptive Cognitive Evaluation [ACE]) and standard cognitive measures, including the Symbol Digit Modalities Test (SDMT) and the Paced Auditory Serial Addition Test (PASAT). Associations between performance in ACE and the SDMT/PASAT were explored, with group comparisons to evaluate whether ACE modules can capture group-level differences.

resultsCorrelations between performance in ACE and the SDMT (R=-0.57, P<.001), as well as PASAT (R=-0.39, P=.01), were observed. Compared to non-MS and non-CI MS groups, the CI MS group showed a slower reaction time (CI MS vs non-MS: P<.001; CI MS vs non-CI MS: P=.004) and a higher attention cost (CI MS vs non-MS: P=.02; CI MS vs non-CI MS: P<.001).

conclusionsThese results provide preliminary evidence that ACE, a tablet-based cognitive assessment battery, provides modules that could potentially serve as a digital cognitive assessment for people with MS.

trial registrationClinicalTrials.gov NCT03569618; https://clinicaltrials.gov/ct2/show/NCT03569618.

Indexed as

Cognition DisordersCognitive DysfunctionMultiple SclerosisCognitionHumansNeuropsychological Testscognitioncognitive assessmentdigital healthmHealthmultiple sclerosis

Identifiers

PMID34967751
PMCPMC8759021

What OpenQuestion holds

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Registered trials

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.