An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment
Objectives: To help promote early detection of cognitive impairment in primary care, MyCog Mobile was designed as a cognitive screener that can be self-administered remotely on a personal smartphone. We explore the potential utility of MyCog Mobile in primary care by comparing MyCog Mobile to a comm...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319241297771 |
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| author | Stephanie Ruth Young Elizabeth Dworak Greg Byrne Yusuke Shono Manrui Zhang Julia Yoshino Benavente Lihua Yao Mike Bass Laura Curtis Maria Varela Diaz Callie Jones Richard Gershon Michael Wolf Cindy Nowinski |
| author_facet | Stephanie Ruth Young Elizabeth Dworak Greg Byrne Yusuke Shono Manrui Zhang Julia Yoshino Benavente Lihua Yao Mike Bass Laura Curtis Maria Varela Diaz Callie Jones Richard Gershon Michael Wolf Cindy Nowinski |
| author_sort | Stephanie Ruth Young |
| collection | DOAJ |
| description | Objectives: To help promote early detection of cognitive impairment in primary care, MyCog Mobile was designed as a cognitive screener that can be self-administered remotely on a personal smartphone. We explore the potential utility of MyCog Mobile in primary care by comparing MyCog Mobile to a commonly used screener, Mini-Cog. Methods: A sample of 200 older adults 65+ years (mean age = 72.56 years), completed the Mini-Cog and MyCog Mobile, which includes 2 memory measures and 2 executive functioning measures. A logistic regression model was conducted to predict failing Mini-Cog scores (≤2) based on MyCog Mobile measures. Results: A total of 20 participants earned a Mini-Cog score ≤2. MyCog Mobile demonstrated an AUC of 0.83 (95% bootstrap CI [0.75, 0.95]), sensitivity of 0.76 (95% bootstrap CI [0.63, 0.97]), and specificity of .88 (95% bootstrap CI [0.63, 0.10]). The subtest Name Matching from MyFaces and MySorting were the only significant predictors of failed Mini-Cogs. Conclusions: MyCog Mobile demonstrated sensitivity and specificity to identify participants who failed the Mini-Cog, and may show promise as a screening tool for cognitive impairment in older adults. Further research is necessary to establish the clinical utility of MyCog Mobile in a larger sample using documented clinical diagnoses. |
| format | Article |
| id | doaj-art-db682b2b803f4eb3b402e19b41116c4d |
| institution | Kabale University |
| issn | 2150-1327 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj-art-db682b2b803f4eb3b402e19b41116c4d2024-11-25T14:04:18ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272024-11-011510.1177/21501319241297771An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive ImpairmentStephanie Ruth Young0Elizabeth Dworak1Greg Byrne2Yusuke Shono3Manrui Zhang4Julia Yoshino Benavente5Lihua Yao6Mike Bass7Laura Curtis8Maria Varela Diaz9Callie Jones10Richard Gershon11Michael Wolf12Cindy Nowinski13Northwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USAClaremont Colleges, Claremont, CA, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USANorthwestern University, Chicago, IL, USAObjectives: To help promote early detection of cognitive impairment in primary care, MyCog Mobile was designed as a cognitive screener that can be self-administered remotely on a personal smartphone. We explore the potential utility of MyCog Mobile in primary care by comparing MyCog Mobile to a commonly used screener, Mini-Cog. Methods: A sample of 200 older adults 65+ years (mean age = 72.56 years), completed the Mini-Cog and MyCog Mobile, which includes 2 memory measures and 2 executive functioning measures. A logistic regression model was conducted to predict failing Mini-Cog scores (≤2) based on MyCog Mobile measures. Results: A total of 20 participants earned a Mini-Cog score ≤2. MyCog Mobile demonstrated an AUC of 0.83 (95% bootstrap CI [0.75, 0.95]), sensitivity of 0.76 (95% bootstrap CI [0.63, 0.97]), and specificity of .88 (95% bootstrap CI [0.63, 0.10]). The subtest Name Matching from MyFaces and MySorting were the only significant predictors of failed Mini-Cogs. Conclusions: MyCog Mobile demonstrated sensitivity and specificity to identify participants who failed the Mini-Cog, and may show promise as a screening tool for cognitive impairment in older adults. Further research is necessary to establish the clinical utility of MyCog Mobile in a larger sample using documented clinical diagnoses.https://doi.org/10.1177/21501319241297771 |
| spellingShingle | Stephanie Ruth Young Elizabeth Dworak Greg Byrne Yusuke Shono Manrui Zhang Julia Yoshino Benavente Lihua Yao Mike Bass Laura Curtis Maria Varela Diaz Callie Jones Richard Gershon Michael Wolf Cindy Nowinski An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment Journal of Primary Care & Community Health |
| title | An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment |
| title_full | An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment |
| title_fullStr | An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment |
| title_full_unstemmed | An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment |
| title_short | An Initial Exploratory Examination of the Sensitivity and Specificity of MyCog Mobile Using the Mini-Cog as a Proxy for Suspected Cognitive Impairment |
| title_sort | initial exploratory examination of the sensitivity and specificity of mycog mobile using the mini cog as a proxy for suspected cognitive impairment |
| url | https://doi.org/10.1177/21501319241297771 |
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