Comparison of Computerized and Standard Cognitive Test in Thai Memory Clinic

Abstract

Background:Computer-based Thai Cognitive Test or Computer-based Thai Mental State Examination (cTMSE) was developed aiming to help doctors to easily get the accurate results of TMSE in a routine, busy outpatient clinics. The purpose of this study was to compare the evaluation process in terms of feasibility, duration of the test, participants/administrator preference, and the results of cognitive test between cTMSE and the standard Thai Mental State Examination (sTMSE).Methods:Twenty-two elderly participants (>60 years old) who were not demented and 22 patients with mild-to-moderate dementia were included in the study. All participants would be asked to have TMSE by standard method (sTMSE) and computer-based method (cTMSE), at least 2 weeks and up to 2 months apart. Scores and duration of the test were compared using dependent paired t-test. Agreement of the tests between two methods and Kappa statistics were analyzed.Results:Paired t-test showed no significant difference in scores between the two methods (mean sTMSE vs. cTMSE: 22.84 vs. 22.62, 95% confidence interval [CI]: [−0.465] to 0.987, P = 0.524). Percent of agreement between the two methods was 92.5%, with the Kappa of 0.85 (P < 0.001). Duration of the test by sTMSE was slightly shorter than the cTMSE (7.31 min vs. 7.97 min, 95% CI: [−1.159] to [−0.175], P = 0.09). Overall, participants liked being tested by cTMSE more than sTMSE.Conclusion:Computer-based TMSE was feasible to use and accurate for screening in aging adults and for cognitive evaluation in patients with mild-to-moderate dementia.

Utilidad de una evaluación neuropsicológica informatizada de la memoria verbal, el Cogval-Verbal, para la detección del deterioro cognitivo. Datos preliminares.

“…Además, el desarrollo de aplicaciones para la evaluación cognitiva, destinadas a ser usadas en evaluaciones ambulatorias en el hogar o en la clínica, son consideradas como factibles, aceptables y válidas por la población en general que han participado en estudios de validación de éstas herramientas informatizadas (Mielke et al, 2015). Es por ello que actualmente las valoraciones informatizadas utilizadas práctica clínica habitual con la finalidad de la detección de la demencia y el seguimiento de paciente, se indican como fáciles de usar y precisas para el cribado cognitivo (Dharmasaroja, Ratanakorn, Nidhinandana, & Charernboon, 2018). En este sentido, los resultados de este estudio son congruentes con un estudio preliminar sobre la versión diseñada de la prueba Cogval para cribado cognitivo, donde se indicó que puede ser útil para la detección del deterioro cognitivo, mostrando un âROC, una sensibilidad y una especificidad adecuadas (Solís Rodríguez, 2014), además de ser fácil de usar, tanto por españoles y panameños (Solís-Rodríguez et al, 2017).…”

Electroconvulsive Therapy Practice in Thailand: A Nationwide Survey

“…Various assessment tools were used, including the Brief Psychiatric Rating Scale (BPRS), 17 Positive and Negative Syndrome Scale (PANSS), 18 Young Mania Rating Scale (YMRS), 19 Hamilton Depression Rating Scale (HAM-D), 20 Montgomery-Åsberg Depression Rating Scale (MADRS), 21 Health of the Nation Outcome Scales (HoNOs), 22 and Clinical Global Impression (CGI) scale. 23 Twelve hospitals assessed patients' cognitive function using the Thai Mental State Examination (TMSE), 24 Mini-Mental State Examination-Thai version (MMSE-Thai) 25 and/or Montreal Cognitive Assessment-Thai version (MoCA-T), 26 while 22 (64.7%) hospitals did not perform any cognitive assessments.…”