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. 2024 Nov 11;36(1):216.
doi: 10.1007/s40520-024-02862-z.

Auto-Global Examination of Mental State (Auto-GEMS): a web-based self-administered cognitive screening

Veronica Pucci  1 , Giulio Contemori  2 , Maria Silvia Saccani  3   4 , Giorgio Arcara  5   4 , Sara Mondini  6   4 , Mario Bonato  7   8
Affiliations

Auto-Global Examination of Mental State (Auto-GEMS): a web-based self-administered cognitive screening

Veronica Pucci et al. Aging Clin Exp Res. .

Abstract

Recent methodological developments have contributed to a significant advance in computerised neuropsychological instruments and procedures, including those accessible from remote. In this paper we present Auto-GEMS, a newly developed, web-based, self-administered screening test allowing to quickly estimate an individual's cognitive state also considering their cognitive reserve. Auto-GEMS measures cognitive functioning on eleven items similarly to the in-person paper-and-pencil version (GEMS) and to the remote (phone or video call) version (Tele-GEMS) of the same screening. We collected normative data on a sample of 1308 Italian-speaking participants (age range 18-93) to verify its psychometric properties and computed regression models on demographic variables to establish clinical cut-offs. The psychometric properties of Auto-GEMS have shown good internal consistency, test-retest reliability and convergent validity. This short and user-friendly tool has a number of potential applications. For instance, it can be useful in clinical practice to monitor the cognitive profile of patients or vulnerable individuals, or even administered in a face-to-face, standard clinical setting. It can also be used in research studies to screen participants. The testing materials and the collected data are freely available in a digital archive along with a web App to visualise the test outcome with reference to its normative data.

Keywords: Computerized screening; Digital health; Self-administration; Tele-neuropsychology; Web-based cognitive screening.

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Conflict of interest statement

Declarations Competing interests The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
The Figure describes the data collection design of the present study. The upper box represents data collected at T0 by using Auto-GEMS, while the lower ones represent data collected at T1 (4–6 weeks after T0)
Fig. 2
Fig. 2
The figure shows the correlation between Auto-GEMS and GEMS (left panel) or Auto-GEMS and Tele-GEMS (right panel)
See this image and copyright information in PMC

References

    1. Aiello EN, Pucci V, Diana L, Niang A, Preti AN, Ponti D, Sangalli A, Scarano G, Tesio S, Zago L, Difonzo S, Appollonio T, Mondini I, S., Bolognini N (2022) Telephone-based Frontal Assessment Battery (t-FAB): standardization for the Italian population and clinical usability in neurological diseases. Aging Clin Exp Res 34(7). 10.1007/s40520-022-02155-3 - PMC - PubMed
    1. Appollonio I, Leone M, Isella V, Piamarta F, Consoli T, Villa ML, Forapani E, Russo A, Nichelli P (2005) The Frontal Assessment Battery (FAB): normative values in an Italian population sample. Neurol Sciences: Official J Italian Neurol Soc Italian Soc Clin Neurophysiol 26(2):108–116. 10.1007/s10072-005-0443-4 - PubMed
    1. Bilder RM, Postal KS, Barisa M, Aase DM, Cullum M, Gillaspy C, Harder SR, Kanter L, Lanca G, Lechuga M, Morgan DM, Most JM, Puente R, Salinas AE, C. M., Woodhouse J (2020) Inter organizational practice committee recommendations/guidance for teleneuropsychology in response to the covid-19 pandemic. Arch Clin Neuropsychol 35(6):647–659. 10.1093/arclin/acaa046 - PMC - PubMed
    1. Carotenuto A, Traini E, Fasanaro AM, Battineni G, Amenta F (2021) Tele-neuropsychological assessment of Alzheimer’s disease. J Personalized Med 11(8). 10.3390/jpm11080688 - PMC - PubMed
    1. Casaletto KB, Heaton RK (2017) Neuropsychological assessment: Past and future. In Journal of the International Neuropsychological Society (Vol. 23, Issues 9–10 Special Issue, pp. 778–790). Cambridge University Press. 10.1017/S1355617717001060 - PMC - PubMed

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