Reliability and Validity of a Home-Based Self-Administered Computerized Test of Learning and Memory Using Speech Recognition

Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2022 Sep;29(5):867-881. doi: 10.1080/13825585.2021.1927961. Epub 2021 Jun 17.

Abstract

Introduction: The objective of this study is to evaluate the reliability and validity of the ReVeReTM word list recall test (RWLRT), which uses speech recognition, when administered remotely and unsupervised.

Methods: Prospective cohort study. Participants included 249 cognitively intact community dwelling older adults. Measures included clinician administered neuropsychological assessments at baseline and unsupervised remotely administered tests of cognition from six time-points over six months.

Results: The RWLRT showed acceptable validity. Reliability coefficients varied across time points, with poor reliability between times 1 and 2 and fair-to-good reliability across the remaining five testing sessions. Practice effects were observed with repeated administration as expected.

Discussion: Unsupervised computerized tests of cognition, particularly word list learning and memory tests that use speech recognition, have significant potential for large scale early detection and long-term tracking of cognitive decline due to AD.

Keywords: Online cognitive tests; memory; reliability; revere; speech recognition; validity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cognition
  • Humans
  • Learning
  • Neuropsychological Tests
  • Prospective Studies
  • Reproducibility of Results
  • Speech Perception*