{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T06:31:16Z","timestamp":1772951476428,"version":"3.50.1"},"posted":{"date-parts":[[2025,8,21]]},"group-title":"Geriatric Medicine","reference-count":30,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>Improved methods of cognitive testing are urgently needed for primary care settings faced with a growing older adult population and higher rates of dementia. We tested the feasibility and acceptability of a novel online cognitive test that can be completed at home prior to an annual exam.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>32 older adults completed testing at home on personal devices 1-4 weeks prior to an annual exam with their primary care provider. Additional cognitive screening was completed in-clinic for validation. Completion rates were examined to assess feasibility, and patient acceptability was assessed via survey.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Completion rate was 78.5% for at-home testing online. Participants reported that they generally preferred at-home over in-clinic testing. At-home test performance was moderately correlated with the standard Montreal Cognitive Assessment completed in clinic.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>CONCLUSION<\/jats:title>\n                  <jats:p>Findings support the acceptability of self-administered online cognitive screening in older adults. Completion rates were slightly below expectation, suggesting that additional support may be needed to facilitate at-home testing in routine care.<\/jats:p>\n                <\/jats:sec>","DOI":"10.1101\/2025.08.19.25333983","type":"posted-content","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T21:40:16Z","timestamp":1755812416000},"source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of at-home online cognitive screening prior to primary care wellness visits for older adults"],"prefix":"10.64898","author":[{"given":"Louisa","family":"Thompson","sequence":"first","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA"},{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Eaton","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"},{"name":"Department of Epidemiology, School of Public Health, Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Prieto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Czech","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Rosenbaum","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Anthony","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabin","family":"Chandran","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivy","family":"Ngo","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Gillooly","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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