{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T09:11:36Z","timestamp":1783761096443,"version":"3.55.0"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W00710X\/1"],"award-info":[{"award-number":["MR\/W00710X\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W016095\/1"],"award-info":[{"award-number":["MR\/W016095\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W030098\/1"],"award-info":[{"award-number":["MR\/W030098\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017510","name":"UK Dementia Research Institute","doi-asserted-by":"publisher","award":["UKDRI\u20107201"],"award-info":[{"award-number":["UKDRI\u20107201"]}],"id":[{"id":"10.13039\/501100017510","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ann Clin Transl Neurol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the utility, accessibility, and equivalence to supervised scales of online cognitive assessment in older individuals with cognitive impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients with Alzheimer's disease (AD,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931), idiopathic normal pressure hydrocephalus (iNPH,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200926), and traumatic brain injury (TBI,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) completed online cognitive tasks (Cognitron). We evaluated cognition relative to a large normative dataset (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009\u2248\u2009400,000), adjusting for device and demographics which can affect performance. Principal Component Analysis (PCA) was used to derive domain\u2010specific and total composite scores. We compared clinical groups and correlated performance with standard assessments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Uptake was ~70%. PCA identified components across memory, processing speed, language, and executive functions. AD showed memory and language impairments compared with the norms and other groups. iNPH had greater executive and processing speed deficits, consistent with a subcortical impairment profile. TBI showed milder deficits in memory, working memory, and language. Cognitron total composite was associated with standard supervised tests (ADAS\u2010Cog:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.76,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 and ACE\u2010III:\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.69,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In iNPH, Cognitron composite predicted walking speed (estimate\u2009=\u20091.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), a core clinical feature of the disease which is difficult to evaluate remotely. We selected five tasks with high completion rates, discriminability between conditions, and broad cognitive coverage. The derived short composite showed very high accuracy in separating AD (AUC\u2009=\u20090.94) and iNPH (AUC\u2009=\u20090.90) from age\u2010matched norms; performance was weaker for TBI (AUC\u2009=\u20090.66).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Online assessment in older clinical populations is feasible and sensitive to subtle disease\u2010specific cognitive deficits. A demographically adjusted, 15\u2010min battery offers a scalable adjunct to standard testing, with potential to reduce burden on patients and healthcare systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acn3.70451","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T08:11:42Z","timestamp":1783757502000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital Cognitive Phenotyping for Differential Diagnosis and Monitoring in Neurological Conditions"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3476-8494","authenticated-orcid":false,"given":"Martina","family":"Del Giovane","sequence":"first","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"UK Dementia Research Institute Care Research and Technology Centre, Sir Michael Uren Hub Imperial College London  London UK"},{"name":"Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Giunchiglia","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"Department of Biomedical Informatics Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael C. B.","family":"David","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"UK Dementia Research Institute Care Research and Technology Centre, Sir Michael Uren Hub Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena A.","family":"Kolanko","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"UK Dementia Research Institute Care Research and Technology Centre, Sir Michael Uren Hub Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Trender","sequence":"additional","affiliation":[{"name":"Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Hellyer","sequence":"additional","affiliation":[{"name":"Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmeena","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Sharp","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"UK Dementia Research Institute Care Research and Technology Centre, Sir Michael Uren Hub Imperial College London  London UK"},{"name":"Department of Neurology Imperial College Healthcare NHS Trust, Charing Cross Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9007-7017","authenticated-orcid":false,"given":"Christopher","family":"Carswell","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"Department of Neurology Imperial College Healthcare NHS Trust, Charing Cross Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1897-0780","authenticated-orcid":false,"given":"Paresh A.","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"UK Dementia Research Institute Care Research and Technology Centre, Sir Michael Uren Hub Imperial College London  London UK"},{"name":"Department of Neurology Imperial College Healthcare NHS Trust, Charing Cross Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Hampshire","sequence":"additional","affiliation":[{"name":"Department of Brain Sciences Imperial College London  London UK"},{"name":"Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"152","DOI":"10.5770\/cgj.21.297","article-title":"The Lost Years: Delay Between the Onset of Cognitive Symptoms and Clinical Assessment at a Memory Clinic","volume":"21","author":"Claveau J.\u2010S.","year":"2018","journal-title":"Canadian Geriatrics Journal"},{"issue":"8","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1002\/gps.1355","article-title":"The Need for a Consensus in the Use of Assessment Tools for Alzheimer's Disease: The Feasibility Study (Assessment Tools for Dementia in Alzheimer Centres Across Europe), a European Alzheimer's Disease Consortium's (EADC) Survey","volume":"20","author":"Paulino Ramirez Diaz S.","year":"2005","journal-title":"International Journal of Geriatric Psychiatry"},{"issue":"2","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1111\/j.1468-1331.2010.03134.x","article-title":"The Use of Neuropsychological Tests Across Europe: The Need for a Consensus in the Use of Assessment Tools for Dementia","volume":"18","author":"Maruta C.","year":"2011","journal-title":"European Journal of Neurology"},{"issue":"2","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.1002\/alz.14572","article-title":"Remote Cognitive Tests Predict Neurodegenerative Biomarkers in the Insight 46 Cohort","volume":"21","author":"Del Giovane M.","year":"2025","journal-title":"Alzheimer's & Dementia"},{"issue":"3","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.3233\/JAD-160766","article-title":"Memory Correlates of Alzheimer's Disease Cerebrospinal Fluid Markers: A Longitudinal Cohort Study","volume":"60","author":"Reijs B. 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