The purpose of the study was to contrast the relative utility of the various systems in differentiating patients with Huntington’s disease (HD) and AD from each other, as well as from a control group. The authors concluded that, the CDR system was able
to reliably discriminate the two types of dementia, whereas the other assessments described above were not. Further, in terms of the ability of the various tests to accurately classify the three groups, the computerized tests scored best, overall, being able, for example, to accurately identify 77% of the AD patients, compared with the selleckchem Romidepsin ADAS-COG, which managed to classify 67% Inhibitors,research,lifescience,medical correctly. Another notable superiority was 86% accuracy in classifying HD patients with the automated tests, in comparison to 43% with the ADAS-COG, little better than chance. Mohr et al concluded that, the assessment, of cognitive
speed possible with computerization was an important factor in the superiority of the automated system to the other tests.6 The International Working Inhibitors,research,lifescience,medical Group on Harmonization of Dementia Drug Guidelines has formally recognized the importance of automated cognitive testing in dementia research.7 In a position paper on “objective psychometric tests in clinical trials of dementia drugs,” the group acknowledged the utility of computerized testing: Automated testing can Inhibitors,research,lifescience,medical have clear advantages for clinical trials in this field. The task
information is always presented in a standard fashion; the recording of responses is done automatically and precisely, without any bias; and there are no grey areas involving differences of interpretation. These advantages Inhibitors,research,lifescience,medical can reduce variability both from session to session for a patient, and also between different national and international sites. Automated procedures have been shown to be more sensitive than the standard tests that are used extensively in this field. Inhibitors,research,lifescience,medical For a detailed comparison of computerized versus pencil and paper assessment testing see Wesnes et al.8 Another important landmark from the position paper was that it acknowledged that the importance of deficits to attention and information processing in the cognitive symptomatology of AD and other dementias had been largely AV-951 overlooked, and identified these as domains which selleck chemical should in future be assessed in AD trials. The group also recognized that the ADAS is not appropriate for mildly impaired or at-risk populations. As speed is such a crucial assessment in cognitive testing, everything possible should be achieved to ensure that, it is assessed as accurately as possible. Software should be able to resolve reaction times to the nearest, millisecond, which, it should be noted, is not the same as simply giving a score in milliseconds, but with a resolution of say 50 ms. Everything should be done to get.
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