Evidence map›Paper›PMID 39806194›Full record

ArticleNPJ digital medicine2025

Detecting early cognitive deficits in preclinical Alzheimer's disease using a remote digital multi-day learning paradigm.

Roos J Jutten, Daniel Soberanes, Cassidy P Molinare, Stephanie Hsieh, Michelle E Farrell, Aaron S Schultz, Dorene M Rentz, Gad A Marshall, Keith A Johnson, Reisa A Sperling and 2 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Combining p-tau217 and digital cognitive testing to predict cognitive decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Article
  8. 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

12 authors.

Roos J JuttenDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA. rjutten@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-3712-4790
Daniel SoberanesDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0001-9099-7294
Cassidy P MolinareDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.
Stephanie HsiehDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.
Michelle E FarrellDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Aaron S SchultzDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Dorene M RentzDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Gad A MarshallDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Keith A JohnsonDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Reisa A SperlingDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Rebecca E AmariglioDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.
Kathryn V PappDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA. kpapp@bwh.harvard.edu.

Funding

Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Hyun-Sik Yang · 2010 to 2026
$50.2M
Novel automated performance-based ADL outcomes for early AD clinical trialsR01AG053184 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI MARSHALL, GAD ASHER · 2018 to 2023
$4.5M
Characterizing the evolution of Subjective Cognitive Decline in preclinical Alzheimer's diseaseR01AG058825 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI AMARIGLIO, REBECCA E · 2019 to 2024
$4.0M
Neural Correlates of Apathy Across the Alzheimer's Disease ContinuumR01AG067021 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI MARSHALL, GAD ASHER · 2020 to 2025
$3.6M
Ahead of the Curve: Early detection and monitoring of learning decrements in Alzheimers diseaseR01AG084017 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI Kathryn Victoria Papp · 2024 to 2026
$2.5M
Alzheimer's Association AARF-22-967786NIA NIH HHS P01 AG036694NIA NIH HHS R01 AG053184NIA NIH HHS R01 AG058825NIA NIH HHS R01 AG067021NIA NIH HHS R01 AG084017U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) P01AG036694U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG058825-01AU.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG067021
6 · The paper itself

Abstract

Remote, digital cognitive testing on an individual's own device provides the opportunity to deploy previously understudied but promising cognitive paradigms in preclinical Alzheimer's disease (AD). The Boston Remote Assessment for NeuroCognitive Health (BRANCH) captures a personalized learning curve for the same information presented over seven consecutive days. Here, we examined BRANCH multi-day learning curves (MDLCs) in 167 cognitively unimpaired older adults (age = 74.3 ± 7.5, 63% female) with different amyloid-β (A) and tau (T) biomarker profiles on positron emission tomography. MDLC scores decreased across ascending biomarker groups, with the A + T- group performing numerically worse (β = -0.24, 95%CI[-0.55,0.07], p = 0.128) and the A + T+ group performing significantly worse (β = -0.58, 95%CI[-1.06,-0.10], p = 0.018) than the A-T- group. Further, lower MDLC scores were associated with greater cortical thinning (β = 0.18, 95%CI[0.04,0.34], p = 0.013). Our results suggest that diminished MDLCs track with advanced AD pathophysiology, and demonstrate how a digital multi-day learning paradigm can provide novel insights about cognitive decline during preclinical AD.

Identifiers

PMID39806194
PMCPMC11729905

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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.