Tracking cognitive impairment in multiple sclerosis using the Brain on Track test: a validation study

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Ruano, L (Author) FMUP; Branco, M (Author) Other; Severo, M (Author) Other; Sousa, A (Author) Other; Castelo, J (Author) Other; Araujo, I (Author) Other; Pais, J (Author) Other; Cerqueira, J (Author) Other; Amato, MP (Author) Other; Lunet N (Author) FMUP; Cruz, VT (Author) Other

Journal

Title: Neurological Sciences

Vol. 41

Pages: 183-191

ISSN: 1590-1874

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 5 Citations

Scopus - 6 Citations

Other information

Authenticus ID: P-00R-928

DOI: 10.1007/s10072-019-04088-8

Abstract (EN): Background The accurate and regular monitoring cognitive performance in multiple sclerosis (MS) patients is critical to develop new prevention and management strategies for cognitive impairment (CI). The Brain on Track (BoT) test is a self-administered web-based tool developed for cognitive screening and monitoring. The objective of this study was to validate the use of the BoT in MS, by assessing its ability to distinguish between MS patients and matched controls, as well as detect CI among MS patients, by analysing its correlation with standard cognitive tests and its reliability and learning effects in repeatable use. Methods The BoT was applied in 30 patients with MS consecutively selected and 30 age- and education-matched controls, first in a hospital clinic, under supervision, and then 1 week later from home. After these first two trials, MS patients repeated the test from home every 4 weeks for 3 months. A standard neuropsychological battery was also applied to MS patients at baseline. Results The Cronbach's alpha was 0.89. Test scores were significantly different between MS patients and controls (Cohen's d = 0.87; p < 0.01). Among MS patients, scores were significantly lower in those with CI documented in the standard neuropsychological battery than in their cognitively preserved counterparts (Cohen's d = 2.0; p < 0.001). The BoT scores presented a good correlation with standard neuropsychological tests, particularly for information processing speed. Regarding test-retest reliability, 10/11 subtests presented two-way mixed single intraclass consistency correlation coefficients > 0.70. Conclusion The BoT showed good neuropsychological parameters in MS patients, endorsing the use of self-administered computerized tests in this setting.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9