{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:37:52Z","timestamp":1785224272682,"version":"3.55.0"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":103,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"crossref","award":["462762"],"award-info":[{"award-number":["462762"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["462762"],"award-info":[{"award-number":["462762"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Post-stroke cognitive impairment is associated with impaired quality of life. Remote testing provides a potential avenue to measure cognitive outcomes efficiently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Prospective cognitive outcomes were collected at 90\u2013180\u2009days using both telephone MoCA (T-MoCA; range 0\u201322; &amp;lt;17 impairment) and Creyos, a computerized cognitive battery. Key variables associated with completion were assessed using logistic regressions. Mixed methods brief structured interviews and exit survey were performed to explore barriers to completing computer testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 791 potentially eligible patients (mean age 70\u2009\u00b1\u200914\u2009years), there was low feasibility of remote cognitive testing, with only 401 (51%) completing the T-MoCA, and 242 (31%) completing Creyos. Our regression models show that age (ORT-MoCA: 0.95 (95% Confidence Interval\u2009(CI): 0.94\u20130.97); ORCreyos: 0.95 (95% CI: 0.94\u20130.96)), functional impairment (mRS 2\u20135; ORT-MoCA: 0.55 (95% CI: 0.37\u20130.81); ORCreyos: 0.66 (95% CI: 0.44\u20130.98)), quality of life (EQ-VAS; ORT-MoCA: 1.02 (95% CI: 1.01\u20131.03); ORCreyos: OR:1.02 (95% CI: 1.01\u20131.03)) and length of hospital stay (ORT-MoCA: 0.98 (95% CI: 0.96\u20130.99); ORCreyos: 0.97 (95% CI: 0.94\u20130.99)) predicted both telephone and computer cognitive test completion; computer literacy predicted computer test completion (ORCreyos: 1.12 (95% CI: 1.04\u20131.21)). In interviews, a preference for accessibility of computerized testing was reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Remote cognitive testing has limited feasibility as a secondary outcome in large acute stroke trials. Patients who are older, with worse quality of life, or severe functional impairment post-stroke are less likely to complete remote cognitive outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Innovative approaches to post-stroke cognitive outcomes in acute stroke trials are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Access<\/jats:title>\n                    <jats:p>Data available upon request.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873251323171","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T06:24:16Z","timestamp":1741760656000},"page":"968-977","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Feasibility of telephone and computerized cognitive testing as a secondary outcome in an acute stroke clinical trial: A mixed methods sub-study of the AcT Trial"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-3977","authenticated-orcid":false,"given":"Sajeevan","family":"Sujanthan","sequence":"first","affiliation":[{"name":"Faculty of Graduate Studies, Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada 1"},{"name":"Department of Medicine (Neurology), Hurvitz Brain Sciences Program, SB Centre for Brain Resilience and Recovery, Sunnybrook HSC, ON, Canada 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pugaliya","family":"Puveendrakumaran","sequence":"additional","affiliation":[{"name":"Department of Medicine (Neurology), Hurvitz Brain Sciences Program, SB Centre for Brain Resilience and Recovery, Sunnybrook HSC, ON, Canada 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie 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7"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishita","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Neurology, Rady Faculty of Medicine, University of Manitoba, Calgary, MB, Canada 8"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian H","family":"Buck","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Neurology, University of Alberta, Edmonton, AB, Canada 9"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Houman","family":"Khosravani","sequence":"additional","affiliation":[{"name":"Department of Medicine (Neurology), Hurvitz Brain Sciences Program, SB Centre for Brain Resilience and Recovery, Sunnybrook HSC, ON, Canada 2"},{"name":"Faculty of Medicine, Department of Medicine, Division of Neurology, University of Toronto, Toronto, ON, Canada 10"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelagh 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