Evidence map›Paper›PMID 40348870›Full record

ArticleNPJ digital medicine2025

A scoping review of remote and unsupervised digital cognitive assessments in preclinical Alzheimer's disease.

Sarah E Polk, Fredrik Öhman, Jason Hassenstab, Alexandra König, Kathryn V Papp, Michael Schöll, David Berron

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 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Technology-natives and technology-adopters: Age differences in remote cognitive assessment in Alzheimer disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  7. Review
  8. Article
  9. Quantification of practice effects in a self-administered online cognitive pre-screening test.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  10. Article
  11. Article
  12. Article
  13. Cognitive Trajectories from Preclinical Alzheimer's Disease to Dementia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Sarah E PolkClinical Cognitive Neuroscience, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany. sarah.polk@dzne.de.
Fredrik ÖhmanWallenberg Centre for Molecular and Translational Medicine, University of Gothenburg, Gothenburg, Sweden.
Jason HassenstabDepartment of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.
Alexandra Königki:elements UG, Saarbrücken, Germany.
Kathryn V PappMass General Brigham, Department of Neurology, Harvard Medical School, Boston, MA, USA.
Michael Schöll *Wallenberg Centre for Molecular and Translational Medicine, University of Gothenburg, Gothenburg, Sweden.
David Berron *Clinical Cognitive Neuroscience, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany. david.berron@dzne.de.

Funding

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
EU Joint Programme - Neurodegenerative Disease Research 01ED2401NIA NIH HHS R01 AG084017NIH/NIA 1R01AG084017-01A1
6 · The paper itself

Abstract

Characterizing subtle cognitive changes in preclinical Alzheimer's disease (AD) is difficult using traditional neuropsychological assessments. Remote and unsupervised digital assessments can improve scalability, measurement reliability, and ecological validity, enabling the capture of subtle changes. We evaluate such tools for use in preclinical AD, or cognitively unimpaired individuals with abnormal levels of AD pathology. We screened 1904 reports for studies remotely assessing cognition in preclinical AD samples. Twenty-three tools were identified, and their usability, reliability, and validity, including construct and criterion validity based on in-person neuropsychological and Aβ/tau measures, was reported. We present a necessary update to a rapidly evolving field, following our previous review (Öhman et al., 2021) and address open questions of feasibility and reliability of remote testing in older adults. Future applications of such tools are discussed, including longitudinal monitoring of cognition, scalable case finding, and individualized prognostics in both clinical trials and healthcare contexts.

Identifiers

PMID40348870
PMCPMC12065824

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Registered trials

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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.