Publication: Comparison of computerized and standard cognitive test in Thai memory clinic
Issued Date
2018-01-01
Resource Type
ISSN
09763155
09763147
09763147
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2-s2.0-85041106063
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Neurosciences in Rural Practice. Vol.9, No.1 (2018), 140-142
Suggested Citation
Pornpatr A. Dharmasaroja, Disya Ratanakorn, Samart Nidhinandana, Thammanard Charernboon Comparison of computerized and standard cognitive test in Thai memory clinic. Journal of Neurosciences in Rural Practice. Vol.9, No.1 (2018), 140-142. doi:10.4103/jnrp.jnrp_373_17 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/47211
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Title
Comparison of computerized and standard cognitive test in Thai memory clinic
Abstract
© 2018 Journal of Neurosciences in Rural Practice | Published by Wolters Kluwer - Medknow. 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.