{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:21:09Z","timestamp":1788448869828,"version":"build-2803163510"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<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\u20134 weeks prior to an annual exam with their primary care provider. Additional cognitive screening was completed in-clinic to provide preliminary validation evidence. 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 provide initial support for the acceptability of self-administered online cognitive screening for older adults in primary care. Completion rates were slightly below a preset benchmark, suggesting that additional support may be needed to facilitate at-home testing in routine care. Further validation research is needed in larger samples including examination of digital measure convergence with clinical diagnoses and additional cognitive testing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fdgth.2026.1823218","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:53:12Z","timestamp":1788447192000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A pilot study of at-home online cognitive screening prior to primary care wellness visits for older adults"],"prefix":"10.3389","volume":"8","author":[{"given":"Louisa","family":"Thompson","sequence":"first","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University","place":["Providence, RI, United States"]},{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Eaton","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]},{"name":"Department of Epidemiology, School of Public Health, Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Prieto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Czech","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Rosenbaum","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Anthony","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabin","family":"Chandran","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivy","family":"Ngo","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnold","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Gillooly","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Alpert Medical School of Brown University","place":["Providence, RI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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