{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T10:22:48Z","timestamp":1793701368663,"version":"4.5.1"},"reference-count":55,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:00:00Z","timestamp":1603756800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2020,10,27]]},"abstract":"<jats:p>Background: Literature supports the use of serious games and virtual environments to assess cognitive functions and detect cognitive decline. This promising assessment method, however, has not yet been translated into self-administered screening instruments for pre-clinical dementia. Objective: The aim of this study is to assess the performance of a novel self-administered serious game-based test, namely the Virtual Supermarket Test (VST), in detecting mild cognitive impairment (MCI) in a sample of older adults with subjective memory complaints (SMC), in comparison with two well-established screening instruments, the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE). Methods: Two groups, one of healthy older adults with SMC (N\u200a=\u200a48) and one of MCI patients (N\u200a=\u200a47) were recruited from day centers for cognitive disorders and administered the VST, the MoCA, the MMSE, and an extended pencil and paper neuropsychological test battery. Results: The VST displayed a correct classification rate (CCR) of 81.91% when differentiating between MCI patients and older adults with SMC, while the MoCA displayed of CCR of 72.04% and the MMSE displayed a CCR of 64.89%. Conclusion: The three instruments assessed in this study displayed significantly different performances in differentiating between healthy older adults with SMC and MCI patients. The VST displayed a good CCR, while the MoCA displayed an average CCR and the MMSE displayed a poor CCR. The VST appears to be a robust tool for detecting MCI in a population of older adults with SMC.<\/jats:p>","DOI":"10.3233\/jad-200880","type":"journal-article","created":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T12:58:47Z","timestamp":1601038727000},"page":"405-412","source":"Crossref","is-referenced-by-count":47,"title":["Detection of Mild Cognitive Impairment in an At-Risk Group of Older Adults: Can a Novel Self-Administered Serious Game-Based Screening Test Improve Diagnostic Accuracy?"],"prefix":"10.1177","volume":"78","author":[{"given":"Stelios","family":"Zygouris","sequence":"first","affiliation":[{"name":"School of Medicine, Aristotle University of Thessaloniki, Greece"},{"name":"Network Aging Research, Heidelberg University, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paraskevi","family":"Iliadou","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eftychia","family":"Lazarou","sequence":"additional","affiliation":[{"name":"Greek Association of Alzheimer\u2019s Disease and Related Disorders, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Giakoumis","sequence":"additional","affiliation":[{"name":"Centre for Research and Technology Hellas\/ Information Technologies Institute, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Votis","sequence":"additional","affiliation":[{"name":"Centre for Research and Technology Hellas\/ Information Technologies Institute, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasios","family":"Alexiadis","sequence":"additional","affiliation":[{"name":"Centre for Research and Technology Hellas\/ Information Technologies Institute, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Triantafyllidis","sequence":"additional","affiliation":[{"name":"Centre for Research and Technology Hellas\/ Information Technologies Institute, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Segkouli","sequence":"additional","affiliation":[{"name":"Centre for Research and Technology Hellas\/ Information Technologies Institute, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Tzovaras","sequence":"additional","affiliation":[{"name":"Centre for Research and Technology Hellas\/ Information Technologies Institute, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thrasyvoulos","family":"Tsiatsos","sequence":"additional","affiliation":[{"name":"School of Informatics, Aristotle University of Thessaloniki, 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