Evidence map›Paper›PMID 42608580›Full record

Trial reportEuropean archives of psychiatry and clinical neuroscience2026

Diagnostic accuracy of a self-administered digital cognitive test battery for differentiating early Alzheimer's disease from controls.

Sophia Rutt, Paulina Tegethoff, Marleen Taute, Fortese Neziraj, Anna Hufnagel, Robert Perneczky, Carolin Kurz, Boris-Stephan Rauchmann

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06711952 (German Validation Study of the Subjective Cognitive Decline Questionnaire), which is not on this map. Not yet cited in PubMed.

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

NCT06711952 narecruitingnot on this map

German Validation Study of the Subjective Cognitive Decline Questionnaire (SCD-Q) and Its Potential Use in Large Cohorts

TypeinterventionalSponsorLudwig-Maximilians - University of MunichRan2023 to 2025Enrolled300ConditionsAlzheimer Disease, Subjective Cognitive DeclineArmsSubjective Cognitive Decline-Questionnaire (SCD-Q), Cognitive Failure Questionnaire (CFQ), biomarkers, Cognitive Tests
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.

Sophia RuttDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany.ORCID http://orcid.org/0009-0001-0123-6344
Paulina TegethoffDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany.ORCID http://orcid.org/0000-0002-4701-4309
Marleen TauteDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany.ORCID http://orcid.org/0009-0007-5687-7011
Fortese NezirajDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany.ORCID http://orcid.org/0009-0003-9601-6436
Anna HufnagelDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany.ORCID http://orcid.org/0009-0005-5807-017X
Robert Perneczky *Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany. Robert.Perneczky@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-1981-7435
Carolin Kurz *Department of Psychiatry and Psychotherapy, School of Medicine and Health, Technical University Munich , Ismaninger Str. 22, 81675, Munich, Germany.ORCID http://orcid.org/0000-0003-4299-6240
Boris-Stephan Rauchmann *Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 81377, Munich, Germany.ORCID http://orcid.org/0000-0003-4547-6240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPaper-pencil assessments face limitations in accessibility, lengthy administration, and interrater reliability. Digital tools may overcome these by offering user-friendly, non-verbal, and scalable assessments. This study investigated the diagnostic accuracy of BraincheX, a novel digital test battery focused on accessibility and usability, by comparing its subtest performance to CERAD-Plus equivalents.

methodsFifty-six participants with early AD and amyloid negative cognitively healthy controls were recruited from the LMU hospital memory clinic. Diagnostic groups were defined by amyloid positivity and clinical expert consensus according to the IWG-2 criteria. Participants completed the BraincheX digital battery and CERAD-Plus. BraincheX total score was calculated by summing standardized subtest scores. Data were analyzed using ROC analysis and the Youden Index. Correlations between subtests were examined, and group differences analyzed via ANOVA.

resultsROC analysis revealed strong diagnostic accuracy for the BraincheX total score in differentiating between early AD and controls (AUC = 0.86; optimal cut-off = - 1.51), with high sensitivity of 89.7% and moderate specificity of 68.0%. BraincheX total scores correlated with CERAD total scores (r = .73, p < .001). BraincheX demonstrated good internal consistency (Cronbach's α = 0.84). ANOVA confirmed significant group differences across all BraincheX subtests (p < .01). Individual subtests showed strong correlations with CERAD-Plus equivalents.

conclusionsFindings suggest BraincheX as a promising, accessible digital screening tool for cognitive decline, offering automated scoring, immediate feedback, and reduced examiner bias. Future research is required to validate BraincheX in larger and more diverse populations and to establish BraincheX's clinical applicability. TRIAL REGISTRY: This analysis was conducted within the framework of the prospectively registered German SCD-Q validation study (NCT06711952). The registered study protocol included digital cognitive testing as part of the assessment protocol. The present manuscript reports a secondary analysis focusing on the diagnostic performance of BraincheX.

Indexed as

Alzheimer DiseaseCognitive DysfunctionNeuropsychological TestsPsychometricsAgedAged, 80 and overEarly DiagnosisFemaleHumansMaleMiddle AgedReproducibility of ResultsSensitivity and SpecificityCognitive ImpairmentDigital cognitive assessmentEarly Alzheimer's diseaseEarly DetectionSelf-administered testing

Identifiers

PMID42608580
PMCPMC13562115

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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.