Evidence map›Paper›PMID 36705951›Full record

ArticleJMIR aging2023

A Novel Digital Digit-Symbol Substitution Test Measuring Processing Speed in Adults At Risk for Alzheimer Disease: Validation Study.

Anthony Campitelli, Sally Paulson, Josh L Gills, Megan D Jones, Erica N Madero, Jennifer Myers, Jordan M Glenn, Michelle Gray

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04559789 (Digital Cognitive Multidomain Alzheimer's Risk Velocity Study), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT04559789 naunknown statusnot on this map

Digital Cognitive Multidomain Alzheimer's Risk Velocity Study (DC-MARVEL)

TypeinterventionalSponsorNeurotrack Technologies, Inc.Ran2021 to 2024Enrolled200ConditionsAlzheimer Disease, Dementia, Mild Cognitive Impairment, Cognitive DeclineArmsMindMate + Health Coaching, Health Education
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Reproductive health history and later life cognition in African Caribbean women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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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 at 2 institutions in 1 country.

Anthony CampitelliExercise Science Research Center, University of Arkansas, Fayetteville, AR, United States.ORCID https://orcid.org/0000-0001-9191-9263
Sally PaulsonExercise Science Research Center, University of Arkansas, Fayetteville, AR, United States.ORCID https://orcid.org/0000-0001-8411-5259
Josh L GillsExercise Science Research Center, University of Arkansas, Fayetteville, AR, United States.ORCID https://orcid.org/0000-0003-3321-4120
Megan D JonesExercise Science Research Center, University of Arkansas, Fayetteville, AR, United States.ORCID https://orcid.org/0000-0003-1023-310X
Erica N MaderoNeurotrack Technologies, Inc, Redwood City, CA, United States.ORCID https://orcid.org/0000-0002-5112-2441
Jennifer MyersNeurotrack Technologies, Inc, Redwood City, CA, United States.ORCID https://orcid.org/0000-0003-1754-3784
Jordan M GlennNeurotrack Technologies, Inc, Redwood City, CA, United States.ORCID https://orcid.org/0000-0002-2563-4291
Michelle GrayExercise Science Research Center, University of Arkansas, Fayetteville, AR, United States.ORCID https://orcid.org/0000-0001-5721-9087
University of Arkansas at Fayetteville · USNeurotrack Technologies (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing cognitive constructs affected by Alzheimer disease, such as processing speed (PS), is important to screen for potential disease and allow for early detection. Digital PS assessments have been developed to provide widespread, efficient cognitive testing, but all have been validated only based on the correlation between test scores. Best statistical practices dictate that concurrent validity should be assessed for agreement or equivalence rather than using correlation alone.

objectiveThis study aimed to assess the concurrent validity of a novel digital PS assessment against a gold-standard measure of PS.

methodsAdults aged 45-75 years (n=191) participated in this study. Participants completed the novel digital digit-symbol substitution test (DDSST) and the Repeatable Battery for the Assessment of Neuropsychological Status coding test (RBANS-C). The correlation between the test scores was determined using a Pearson product-moment correlation, and a difference in mean test scores between tests was checked for using a 2-tailed dependent samples t test. Data were analyzed for agreement between the 2 tests using Bland-Altman limits of agreement and equivalency using a two one-sided t tests (TOST) approach.

resultsA significant moderate, positive correlation was found between DDSST and RBANS-C scores (r=.577; P<.001), and no difference in mean scores was detected between the tests (P=.93). Bias was nearly zero (0.04). Scores between the tests were found to display adequate agreement with 90% of score differences falling between -22.66 and 22.75 (90% limits of agreement=-22.91 to 22.99), and the scores were equivalent (P=.049).

conclusionsAnalyses indicate that the DDSST is a valid digital assessment of PS. The DDSST appears to be a suitable option for widespread, immediate, and efficient PS testing.

trial registrationClinicalTrials.gov NCT04559789; https://clinicaltrials.gov/ct2/show/NCT04559789.

Indexed as

agingAlzheimer diseasecognitivedementiadigit-symbol substitutionprocessing speed

Identifiers

PMID36705951
PMCPMC9919459
OpenAlexW4312886906

What OpenQuestion holds

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LicenceCC BY
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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.