Evidence map›Paper›PMID 42067109›Full record

Observational studyArchives of physical medicine and rehabilitation2026

Self-Administered Mobile Cognitive Assessments for Individuals With Stroke: A Feasibility and Validation Study.

Yun Shi, Mandy W M Fong, Christopher L Metts, Stephanie E Tomazin, Katherine J Kaufman, Elizabeth G S Munsell, Bridget Regan, Alex W K Wong

Abstract readValidation StudyObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yun ShiDepartment of Neurology, New York University Grossman School of Medicine, New York, NY.
Mandy W M FongMichigan Avenue Neuropsychologists, Chicago, IL.
Christopher L MettsDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC.
Stephanie E TomazinCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Katherine J KaufmanCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Elizabeth G S MunsellCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Center for Education in Health Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.
Bridget ReganCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Alex W K WongCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL. Electronic address: wwong@sralab.org.

Funding

Technology Development ComponentP2CHD101899 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI JAYARAMAN, ARUN · 2020 to 2024
$5.6M
Mobile Rehabilitation for Daily Life Participation Post-StrokeK01HD095388 · NICHD · WASHINGTON UNIVERSITY · PI WONG, WING KAI · 2019 to 2023
$642k
NICHD NIH HHS K01 HD095388NICHD NIH HHS P2C HD101899
6 · The paper itself

Abstract

objectiveTo examine the feasibility, learning effects, stability, and validity of mobile cognitive assessments (MCAs) among individuals with stroke.

designLongitudinal observational study using frequent, brief, repeated, in vivo self-administered mobile assessments of cognitive functions.

settingEveryday life settings.

participantsTwenty participants with mild-to-moderate stroke (mean age, 55.5y; 60% men; 45% Whites; 70% ischemic stroke).

interventionNot applicable.

main outcome measuresOver 14 days, participants used smartphones to complete a digital assessment protocol. The protocol included 6 ecological momentary assessment surveys on self-reported health status, along with 4 MCAs, each administered twice daily. MCAs included the Mobile Stroop Color Word Test (M-SCWT), Mobile Spatial Memory Test Forward and Backward, Mobile Trail Making Test Parts A and B (M-TMT A & B), and Mobile Tower of Hanoi Test. Thus, participants completed the entire 14-day protocol with ≤84 ecological momentary assessment surveys and 28 MCA tasks. Participants also completed a lab-based neuropsychological test battery during the initial lab visit.

resultsHigh adherence rates were observed (77% for M-TMT B to 85% for M-SCWT) during repeated administration of MCAs. Learning effects were observed in nearly all tests (P<.024-.001), except for the Mobile Spatial Memory Test Forward. Stability estimates across MCAs ranged from poor to moderate, with higher reliability for M-SCWT and lower stability for M-TMT A and Mobile Tower of Hanoi Test. Agreement between MCAs and corresponding neuropsychological tests varied by domain, with stronger concordance for memory tasks and weaker agreement for inhibition and cognitive flexibility tasks.

conclusionsThese findings are the first to demonstrate the feasibility and initial psychometric properties of smartphone-based assessments of cognitive function in individuals with stroke in daily life. MCAs may serve as a promising complement to traditional neuropsychological assessments, with further refinement needed to maximize their impact on rehabilitation research and practice.

Indexed as

CognitionMobile ApplicationsNeuropsychological TestsStrokeAgedEcological Momentary AssessmentFeasibility StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedReproducibility of ResultsSmartphoneStroke RehabilitationCognitionMobile healthOutcome measuresPsychometricsRehabilitationSmartphoneStroke

Identifiers

PMID42067109
PMCPMC13676323

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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.