Unsupervised assessment of cognition in the Healthy Brain Project : Implications for web-based registries of individuals at risk for Alzheimer's disease

Journal article

Perin, Stephanie, Buckley, Rachel F., Pase, Matthew P., Yassi, Nawaf, Lavale, Alexandra, Wilson, Peter H., Schembri, Adrian, Maruff, Paul and Lim, Yen Ying. (2020). Unsupervised assessment of cognition in the Healthy Brain Project : Implications for web-based registries of individuals at risk for Alzheimer's disease. Alzheimer's and Dementia: Translational Research and Clinical Interventions. 6(1), p. e12043. https://doi.org/10.1002/trc2.12043
AuthorsPerin, Stephanie, Buckley, Rachel F., Pase, Matthew P., Yassi, Nawaf, Lavale, Alexandra, Wilson, Peter H., Schembri, Adrian, Maruff, Paul and Lim, Yen Ying
Abstract

Introduction
Web-based platforms are used increasingly to assess cognitive function in unsupervised settings. The utility of cognitive data arising from unsupervised assessments remains unclear. We examined the acceptability, usability, and validity of unsupervised cognitive testing in middle-aged adults enrolled in the Healthy Brain Project.

Methods
A total of 1594 participants completed unsupervised assessments of the Cogstate Brief Battery. Acceptability was defined by the amount of missing data, and usability by examining error of test performance and the time taken to read task instructions and complete tests (learnability).

Results
Overall, we observed high acceptability (98% complete data) and high usability (95% met criteria for low error rates and high learnability). Test validity was confirmed by observation of expected inverse relationships between performance and increasing test difficulty and age.

Conclusion
Consideration of test design paired with acceptability and usability criteria can provide valid indices of cognition in the unsupervised settings used to develop registries of individuals at risk for Alzheimer's disease.

Keywordsacceptability; Alzheimer’s disease; neuropsychological test; neuropsychology; neuroscience; online systems; psychological test; usability; validity
Year2020
JournalAlzheimer's and Dementia: Translational Research and Clinical Interventions
Journal citation6 (1), p. e12043
PublisherWiley Open Access
ISSN2352-8737
Digital Object Identifier (DOI)https://doi.org/10.1002/trc2.12043
Scopus EID2-s2.0-85095956572
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-11
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online26 Jun 2020
Publication process dates
Deposited08 Jul 2021
Grant IDNHMRC/1158384
NHMRC/1147465
NHMRC/1111603
NHMRC/1105576
NHMRC/1104273
NHMRC/1158384
NHMRC/1171816
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Smits-Engelsman, Bouwein C. M., Magalhaes, L. C., Oliveira, M. A. and Wilson, Peter. (2015). DCD research: how are we moving along? Human Movement Science. 42, pp. 289 - 292. https://doi.org/10.1016/j.humov.2015.06.012.
Mild impairments of motor imagery skills in children with DCD
Noten, Malou, Wilson, Peter, Ruddock, Scott and Steenbergen, Bert. (2014). Mild impairments of motor imagery skills in children with DCD. Research in Developmental Disabilities. 35(5), pp. 1152 - 1159. https://doi.org/10.1016/j.ridd.2014.01.026
Hot executive function in children with Developmental Coordination Disorder: Evidence for heightened sensitivity to immediate reward
Rahimi-Golkhandan, Shahin, Piek, Jan, Steenbergen, Bert and Wilson, Peter. (2014). Hot executive function in children with Developmental Coordination Disorder: Evidence for heightened sensitivity to immediate reward. Cognitive Development. 32, pp. 23 - 37. https://doi.org/10.1016/j.cogdev.2014.06.002
Tabletop computer game mechanics for group rehabilitation of individuals with brain injury
Duckworth, Jonathan, Bayliss, Jessica, Thomas, Patrick, Shum, David, Mumford, Nicholas and Wilson, Peter H.. (2014). Tabletop computer game mechanics for group rehabilitation of individuals with brain injury. Lecture Notes in Computer Science. 8514, pp. 501 - 512. https://doi.org/10.1007/978-3-319-07440-5_46
Applications of VR technologies for childhood disability
Green, Dido and Wilson, Peter. (2014). Applications of VR technologies for childhood disability. In In P. L. Weiss, E. A. Keshner and M. F. Levin (Ed.). Virtual reality for physical and motor rehabilitation pp. 203 - 216 Springer. https://doi.org/10.1007/978-1-4939-0968-1_10
Compromised motor control in children with DCD: A deficit in the internal model? - A systematic review
Adams, Imke, Lust, Jessica, Wilson, Peter H. and Steenbergen, Bert. (2014). Compromised motor control in children with DCD: A deficit in the internal model? - A systematic review. Neuroscience and Biobehavioral Reviews. 47, pp. 225 - 244. https://doi.org/10.1016/j.neubiorev.2014.08.011
Deficits of hot executive function in developmental coordination disorder: Sensitivity to positive social cues
Rahimi-Golkhandan, Shahin, Steenbergen, Bert, Piek, Jan and Wilson, Peter H.. (2014). Deficits of hot executive function in developmental coordination disorder: Sensitivity to positive social cues. Human Movement Science. 38, pp. 209 - 224. https://doi.org/10.1016/j.humov.2014.09.008
The application of enhanced virtual environments for co-located childhood movement disorder rehabilitation
Mumford, Nicholas, Duckworth, Jonathan and Wilson, Peter. (2014). The application of enhanced virtual environments for co-located childhood movement disorder rehabilitation. In P. Sharkey, L. Pareto and J. Broeren & M, Rydmark (Ed.). 10 International Conference on Disability, Virtual Reality and Associated Technologies (ICDVRAT 2014). United Kingdom: University of Reading. pp. 139 - 145
Executive systems constrain the flexibility of online control in children during goal-directed reaching
Ruddock, Scott, Hyde, Christian, Piek, Jan, Sugden, David, Morris, Susan and Wilson, Peter. (2014). Executive systems constrain the flexibility of online control in children during goal-directed reaching. Developmental Neuropsychology. 39(1), pp. 51 - 68. https://doi.org/10.1080/87565641.2013.855215
The development of rapid online control in children aged 6 - 12 years : Reaching performance
Wilson, Peter and Hyde, Christian. (2013). The development of rapid online control in children aged 6 - 12 years : Reaching performance. Human Movement Science. https://doi.org/10.1016/j.humov.2013.02.008
Noise, variability, and motor performance in developmental coordination disorder
Smits-Engelsman, Bouwien and Wilson, Peter. (2013). Noise, variability, and motor performance in developmental coordination disorder. Developmental Medicine and Child Neurology. https://doi.org/10.1111/dmcn.12311
Efficacy of interventions to improve motor performance in children with developmental coordination disorder : a combined systematic review and meta-analysis
Smits-Engelsman, Bouwien, Blank, Rainer, Van Der Kaay, Anne-Claire, Mosterd-Van Der Meijs, Rianne, Vlugt-Van Den Brand, Ellen, Polatajko, Helene and Wilson, Peter H.. (2013). Efficacy of interventions to improve motor performance in children with developmental coordination disorder : a combined systematic review and meta-analysis. Developmental Medicine and Child Neurology. https://doi.org/10.1111/dmcn.12008
Implementation of the interteaching model: implications for staff
Chester, Andrea, Kienhuis, Mandy and Wilson, Peter. (2013). Implementation of the interteaching model: implications for staff. Innovations in Education and Teaching International. https://doi.org/10.1080/14703297.2013.845536
Deficits in the covert orienting of attention in children with Developmental Coordination Disorder : Does severity of DCD count?
Chen, Wei-Ying, Wilson, Peter and Wu, Sheng-K. (2013). Deficits in the covert orienting of attention in children with Developmental Coordination Disorder : Does severity of DCD count? Research in Developmental Disabilities. https://doi.org/10.1016/j.ridd.2012.03.005
Designing co-located tabletop interaction for rehabilitation of brain injury
Duckworth, Jonathan, Thomas, Patrick, Shum, David and Wilson, Peter. (2013). Designing co-located tabletop interaction for rehabilitation of brain injury. In A. Marcus (Ed.). Design, User Experience, and Usability 2013. Germany: Springer. pp. 391 - 400 https://doi.org/10.1007/978-3-642-39241-2_43
An 18-month follow-up investigation of motor coordination and working memory in primary school children
Rigoli, Daniela, Piek, Jan, Kane, Robert, Whillier, Alexander, Baxter, Claire and Wilson, Peter. (2013). An 18-month follow-up investigation of motor coordination and working memory in primary school children. Human Movement Science. https://doi.org/10.1016/j.humov.2013.07.014
Age-related changes in motor imagery from early childhood to adulthood : Probing the internal representation of speed-accuracy trade-offs
Smits-Engelsman, Bouwien and Wilson, Peter. (2013). Age-related changes in motor imagery from early childhood to adulthood : Probing the internal representation of speed-accuracy trade-offs. Human Movement Science. https://doi.org/10.1016/j.humov.2012.06.006
Impaired online control in children with developmental coordination disorder reflects developmental immaturity
Hyde, Christian and Wilson, Peter. (2013). Impaired online control in children with developmental coordination disorder reflects developmental immaturity. Developmental Neuropsychology. https://doi.org/10.1080/87565641.2012.718820
Understanding performance deficits in developmental coordination disorder: A meta-analysis of recent research
Wilson, Peter, Ruddock, Scott, Smits-Engelsman, Bouwien, Polatajko, Helene and Blank, Rainer. (2013). Understanding performance deficits in developmental coordination disorder: A meta-analysis of recent research. Developmental Medicine and Child Neurology. 55(3), pp. 217 - 228. https://doi.org/10.1111/j.1469-8749.2012.04436.x
Barriers to repeated assessment of verbal learning and memory : A comparison of international shopping list task and rey auditory verbal learning test on build-up of proactive interference
Rahimi Golkhandan, Shahin, Maruff, Paul Thomas, Darby, D and Wilson, Peter. (2012). Barriers to repeated assessment of verbal learning and memory : A comparison of international shopping list task and rey auditory verbal learning test on build-up of proactive interference. Archives of Clinical Neuropsychology. 27(7), pp. 790 - 795. https://doi.org/10.1093/arclin/acs074
Use of virtual reality in rehabilitation of movement in children with hemiplegia : A multiple case study evaluation
Green, Dido and Wilson, Peter Henry. (2012). Use of virtual reality in rehabilitation of movement in children with hemiplegia : A multiple case study evaluation. Disability and Rehabilitation. 34(7), pp. 593 - 604. https://doi.org/10.3109/09638288.2011.613520
European Academy for Childhood Disability (EACD) : Recommendations on the definition, diagnosis and intervention of developmental coordination disorder (long version)
Blank, Rainer, Smits-Engelsman, Bouwien, Polatajko, Helene and Wilson, Peter Henry. (2012). European Academy for Childhood Disability (EACD) : Recommendations on the definition, diagnosis and intervention of developmental coordination disorder (long version). Developmental Medicine and Child Neurology. 54(1), pp. 54 - 93. https://doi.org/10.1111/j.1469-8749.2011.04171.x
Upper-limb virtual rehabilitation for traumatic brain injury : A preliminary within-group evaluation of the elements system
Mumford, Nicholas, Duckworth, Jonathan, Thomas, Patrick, Shum, David, Williams, Gavin and Wilson, Peter Henry. (2012). Upper-limb virtual rehabilitation for traumatic brain injury : A preliminary within-group evaluation of the elements system. Brain Injury. 26(2), pp. 166 - 176. https://doi.org/10.3109/02699052.2011.648706
Dissecting online control in Developmental Coordination Disorder :A kinematic analysis of double-step reaching
Hyde, Christian and Wilson, Peter Henry. (2011). Dissecting online control in Developmental Coordination Disorder :A kinematic analysis of double-step reaching. Brain and Cognition. 75(3), pp. 232 - 241. https://doi.org/10.1016/j.bandc.2010.12.004
A comparison of motor imagery performance in children with spastic hemiplegia and developmental coordination disorder
Williams, Jacqueline Louise, Anderson, Vicki, Reddihough, Dinah, Reid, Susan M., Vijayakumar, Nandita and Wilson, Peter Henry. (2011). A comparison of motor imagery performance in children with spastic hemiplegia and developmental coordination disorder. Journal of Clinical and Experimental Neuropsychology. 33(3), pp. 273 - 282. https://doi.org/10.1080/13803395.2010.509714
Sensitivity and test-retest reliability of the international shopping list test in assessing verbal learning and memory in mild alzheimer's disease
Thompson, Taisia, Wilson, Peter, Snyder, Peter, Pietrzak, Robert, Darby, David, Maruff, Paul Thomas and Buschke, Herman. (2011). Sensitivity and test-retest reliability of the international shopping list test in assessing verbal learning and memory in mild alzheimer's disease. Archives of Clinical Neuropsychology. 26(5), pp. 412 - 424. https://doi.org/10.1093/arclin/acr039
Online motor control in children with developmental coordination disorder :chronometric analysis of double-step reaching performance
Hyde, Christian and Wilson, Peter Henry. (2011). Online motor control in children with developmental coordination disorder :chronometric analysis of double-step reaching performance. Child: Care, Health and Development. 37(1), pp. 111 - 122. https://doi.org/10.1111/j.1365-2214.2010.01131.x
Upper limb virtual rehabilitation for traumatic brain injury : Initial evaluation of the elements system
Mumford, Nicholas, Duckworth, Jonathan, Thomas, Patrick Robert, Shum, David, Williams, Gavin and Wilson, Peter Henry. (2010). Upper limb virtual rehabilitation for traumatic brain injury : Initial evaluation of the elements system. Brain Injury. 24(5), pp. 780 - 791. https://doi.org/10.3109/02699051003652807
Adult Age Differences in the Ability to Mentally Transform Object and Body Stimuli
Devlin, Anna and Wilson, Peter Henry. (2010). Adult Age Differences in the Ability to Mentally Transform Object and Body Stimuli. Neuropsychology, Development and Cognition. Section B: Aging, Neuropsychology and Cognition: a journal on normal and dysfunctional development. 17(6), pp. 709 - 729. https://doi.org/10.1080/13825585.2010.510554
Motor imagery development in primary school children
Caeyenberghs, Karen, Tsoupas, Jenny, Wilson, Peter and Smits-Engelsman, Bouwein C. M.. (2009). Motor imagery development in primary school children. Developmental Neuropsychology. 34(1), pp. 103 - 121. https://doi.org/10.1080/87565640802499183
Embodiment and play in designing an interactive art system for movement rehabilitation
Duckworth, Jonathan and Wilson, Peter Henry. (2009). Embodiment and play in designing an interactive art system for movement rehabilitation. Second Nature: International journal of creative media. Australia: RMIT Publishing. pp. 120 - 137
Increasing convergence between imagined and executed movement across development: Evidence for the emergence of movement representations
Caeyenberghs, Karen, Wilson, Peter, Van Roon, Dominique, Swinnen, Stephen and Smits-Engelsman, Bouwein C. M.. (2009). Increasing convergence between imagined and executed movement across development: Evidence for the emergence of movement representations. Developmental Science. 12(3), pp. 474 - 483. https://doi.org/10.1111/j.1467-7687.2008.00803.x
Virtual reality in aquired brain injury upper limb rehabilitation: Evidence-based evaluation of clinical research
Mumford, Nicholas and Wilson, Peter. (2009). Virtual reality in aquired brain injury upper limb rehabilitation: Evidence-based evaluation of clinical research. Brain Injury. 23(3), pp. 171 - 191. https://doi.org/10.1080/02699050802695566
A virtual tabletop workspace for upper-limb rehabilitation in Traumatic Brain Injury (TBI): A multiple case study evaluation
Mumford, Nicholas, Duckworth, Jonathan, Eldridge, Ross, Gugliemetti, Mark, Thomas, Patrick Robert, Rudolph, Heiko and Wilson, Peter Henry. (2008). A virtual tabletop workspace for upper-limb rehabilitation in Traumatic Brain Injury (TBI): A multiple case study evaluation. Proceedings of the Annual Conference on Virtual Rehabilitation 2008. United States of America: IEEE Computer Society. pp. 175 - 180
Postural control in children with developmental coordination disorder
Geuze, Reint and Wilson, Peter. (2008). Postural control in children with developmental coordination disorder. In Postural Control: A Key Issue in Developmental Disorders pp. 229 - 252 Mac Keith Press.
New and emerging approaches to understanding developmental coordination disorder
Wilson, Peter and Larkin, Dawne. (2008). New and emerging approaches to understanding developmental coordination disorder. Human Movement Science. 27(2), pp. 171 - 176. https://doi.org/10.1016/j.humov.2008.02.017
Differences in motor imagery between children with developmental coordination disorder with and without the combined type of ADHD
Lewis, Matthew, Vance, Alasdair, Maruff, Paul Thomas, Wilson, Peter and Cairney, Sheree. (2008). Differences in motor imagery between children with developmental coordination disorder with and without the combined type of ADHD. Developmental Medicine and Child Neurology. 50(8), pp. 608 - 612. https://doi.org/10.1111/j.1469-8749.2008.03030.x
Role of visual-perceptual skills (non-motor) in children with developmental coordination disorder
Tsai, Chia, Wilson, Peter and Wu, Sheng-K. (2008). Role of visual-perceptual skills (non-motor) in children with developmental coordination disorder. Human Movement Science. 27(4), pp. 649 - 664. https://doi.org/10.1016/j.humov.2007.10.002
Objective tests of movement imagery predict movement skill performance
Callanan, John and Wilson, Peter Henry. (2008). Objective tests of movement imagery predict movement skill performance. 43rd Australian Psychological Society (APS) Conference 2008. Australia: Australian Psychological Society. pp. 81 - 85
The link between motor impairment level and motor imagery ability in children with developmental coordination disorder
Willia, Jacqueline Louise, Thomas, Patrick, Maruff, Paul Thomas and Wilson, Peter. (2008). The link between motor impairment level and motor imagery ability in children with developmental coordination disorder. Human Movement Science. 27(2), pp. 270 - 285. https://doi.org/10.1016/j.humov.2008.02.008
Elements: Art and play in a multi-modal interactive workspace for upper limb movement rehabilitation
Duckworth, Jonathan, Wilson, Peter, Mumford, Nicholas, Eldridge, Ross, Thomas, Patrick Robert and Ho Keung Shum, David. (2008). Elements: Art and play in a multi-modal interactive workspace for upper limb movement rehabilitation. ISEA2008. Singapore: International Symposium on Electronic Art (ISEA) Ltd. pp. 150 - 152
Improved background removal through polarisation in vision-based tabletop interface
Eldridge, Ross, Rudolph, Heiko, Duckworth, Jonathan and Wilson, Peter. (2007). Improved background removal through polarisation in vision-based tabletop interface. International Conference on Computer and Information Science. United States of America: IEEE Computer Society. pp. 326 - 331
A virtual tabletop workspace for the assessment of upper limb function in Traumatic Brain Injury (TBI)
Wilson, Peter H., Duckworth, Jonathan, Mumford, Nick, Eldridge, Ross, Gugliemetti, Mark, Thomas, Patrick, Shum, David and Rudolph, Heiko. (2007). A virtual tabletop workspace for the assessment of upper limb function in Traumatic Brain Injury (TBI). 2007 Virtual Rehabilitation. Venice, Italy 27 - 29 Sep 2007 Piscataway, New Jersey: IEEE Computer Society. pp. 14-19 https://doi.org/10.1109/ICVR.2007.4362122
Elements: Game Technologies and Virtual Environments for the Therapeutic Treatment of Lower Limb Function for use in Traumatic Brain Injury (TBI)
Mumford, Nicholas, Gugliemetti, Nicholas, Wilson, Peter, Watson, Greg, Duckworth, Jonathan and Eldridge, Ross. (2007). Elements: Game Technologies and Virtual Environments for the Therapeutic Treatment of Lower Limb Function for use in Traumatic Brain Injury (TBI). International Conference on Virtual Systems and Multimedia. Belgium: Acid Press. pp. 222 - 232
A multilevel model for movement rehabilitation in Traumatic Brain Injury (TBI) using virtual environments
Wilson, Peter H., Thomas, Patrick, Shum, David, Duckworth, Jonathan, Gugliemetti, Mark, Rudolph, Heiko, Mumford, Nicholas and Eldridge, Ross. (2006). A multilevel model for movement rehabilitation in Traumatic Brain Injury (TBI) using virtual environments. 2006 International Workshop on Virtual Rehabilitation. Marriott Marquis Hotel, New York City, New York, United States of America 29 - 30 Aug 2006 New York, New York: IEEE Computer Society. pp. 47-52 https://doi.org/10.1109/IWVR.2006.1707526
An EEG study of mental rotation-related negativity in children with Developmental Coordination Disorder
Geuze, Reint, Wilson, Peter, Lust, Jessica and Wijers, A. (2006). An EEG study of mental rotation-related negativity in children with Developmental Coordination Disorder. Child: Care, Health and Development. 32(6), pp. 649 - 663. https://doi.org/10.1111/j.1365-2214.2006.00683.x
Motor, visual and egocentric transformations in children with developmental coordination disorder
Williams, Jacqueline Louise, Thomas, Patrick, Maruff, Paul Thomas, Butson, Michael Lloyd and Wilson, Peter. (2006). Motor, visual and egocentric transformations in children with developmental coordination disorder. Child: Care, Health and Development. 32(6), pp. 633 - 647. https://doi.org/10.1111/j.1365-2214.2006.00688.x
Developmental changes in motor imagery in primary school-aged children
Wilson, Peter, Thomas, Patrick, Maruff, Paul Thomas, Butson, Michael Lloyd and Williams, Jacqueline Louise. (2006). Developmental changes in motor imagery in primary school-aged children. Joint Conference of the Australian Psychological Society and the New Zealand Psychological Society. Australia: Australian Psychological Society. pp. 1 - 10
Developmental coordination disorder: current issues
Wilson, Peter, Zoia, Stefania, Barnett, Anna and Hill, Elizabeth. (2006). Developmental coordination disorder: current issues. Child: Care, Health and Development. 32(6), pp. 613 - 618.
Practitioner review: Approaches to assessment and treatment of children with DCD: an evaluative review
Wilson, Peter. (2005). Practitioner review: Approaches to assessment and treatment of children with DCD: an evaluative review. Journal of Child Psychology and Psychiatry. 46(8), pp. 806 - 823. https://doi.org/10.1111/j.1469-7610.2005.01409.x
Deficits underlying developmental coordination disorder
Wilson, Peter H. and Butson, Michael Lloyd. (2005). Deficits underlying developmental coordination disorder. In In Geuze, Reint H. (Ed.). Le trouble de l'acquisition de la coordination : Évaluation et rééducation de la maladresse chez l'enfant pp. 117-146 Solal Éditeurs.
Spatio-visual memory of children with specific language impairment: Evidence for generalized processing problems
Bavin, Edith, Wilson, Peter, Maruff, Paul Thomas and Sleeman, Felicity. (2005). Spatio-visual memory of children with specific language impairment: Evidence for generalized processing problems. International Journal of Language and Communication Disorders. 40(3), pp. 319 - 332. https://doi.org/10.1080/13682820400027750
The relationship between friendship factors and adolescent girls' body image concern, body dissatisfaction, and restrained eating
Gerner, Bibi and Wilson, Peter. (2005). The relationship between friendship factors and adolescent girls' body image concern, body dissatisfaction, and restrained eating. International Journal of Eating Disorders. 37(4), pp. 313 - 320. https://doi.org/10.1002/eat.20094