{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:18:31Z","timestamp":1792790311611,"version":"4.5.0"},"posted":{"date-parts":[[2026,9,16]]},"group-title":"Neurology","reference-count":31,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"National Institute on Aging of the National Institutes of Health","award":["R01AG081955"],"award-info":[{"award-number":["R01AG081955"]}]},{"name":"National Institute on Aging of the National Institutes of Health","award":["R21 AG073967"],"award-info":[{"award-number":["R21 AG073967"]}]},{"name":"National Institute on Aging of the National Institutes of Health","award":["P30 AG062677"],"award-info":[{"award-number":["P30 AG062677"]}]},{"name":"National Institute on Aging of the National Institutes of Health","award":["U01 AG006786"],"award-info":[{"award-number":["U01 AG006786"]}]},{"name":"National Institute on Aging of the National Institutes of Health","award":["R01 AG034676"],"award-info":[{"award-number":["R01 AG034676"]}]},{"name":"Kevin Merszei Career Development Award in Neurodegenerative Diseases Research IHO Janet Vittone, MD","id":[{"id":"https:\/\/ror.org\/02xjhr934","id-type":"ROR","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/05ahavf04","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Mayo Foundation for Medical Education and Research"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,9,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Remote cognitive assessments offer an accessible, scalable way to support clinical characterization and longitudinal monitoring of cognition. This study evaluates the feasibility of implementing Mayo Test Drive (MTD), a remote, self-administered digital cognitive assessment, within a specialized clinic focused on eligibility assessments for anti-amyloid therapies for Alzheimer\u2019s disease (AD).<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>\n                    Two-hundred and nine (\n                    <jats:italic>N<\/jats:italic>\n                    =209) patients (M\n                    <jats:sub>age<\/jats:sub>\n                    =71.2, 53% female) were evaluated through the Mayo Clinic Rochester Alzheimer\u2019s Disease Treatment Clinic (ADTC) and had the opportunity to complete MTD, either as a remote, patient-initiated session through a patient-facing healthcare portal or during an in-clinic neuropsychological evaluation.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>\n                    Clinical diagnoses included 55.2% mild cognitive impairment (MCI), 31.0% mild dementia, and 11.6% moderate dementia, in addition to 2.2% cognitively unimpaired (CU), as determined by neurology consensus at a multidisciplinary case conference. Among those who initiated MTD (\n                    <jats:italic>n<\/jats:italic>\n                    =197\/209), 97.5% completed a session (70.6% remotely, 26.9% in clinic). Completion rates were high across diagnostic groups and did not significantly differ by clinical severity (\n                    <jats:italic>p<\/jats:italic>\n                    =.12): CU (100%), MCI (99.1%), mild dementia (97.0%), and moderate dementia (89.5%). Remote completion rates overall were high (97.9%). Among completers, administration setting (remote vs. in-clinic) did not significantly differ by clinical stage, \u03c7\u00b2(3)=2.37,\n                    <jats:italic>p<\/jats:italic>\n                    =.49. Reasons for non-initiation included not receiving or opening portal messages and other\/unknown factors.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Remote digital cognitive assessment is feasible within the context of clinic eligibility evaluations for AD therapies. The high completion rates of MTD across clinical impairment levels in this setting support development of paths for broader use in cognitive characterization in AD care.<\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.09.15.26362283","type":"posted-content","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:15:34Z","timestamp":1789622134000},"source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of remote self-administered cognitive assessment in an Alzheimer\u2019s disease treatment clinic"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3224-1637","authenticated-orcid":false,"given":"Alyssa N.","family":"Kaser","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5349-8541","authenticated-orcid":false,"given":"John L.","family":"Stricker","sequence":"additional","affiliation":[{"name":"Department of Information Technology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7615-9532","authenticated-orcid":false,"given":"Morgan A.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6561-9870","authenticated-orcid":false,"given":"Nick","family":"Corriveau-Lecavalier","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4721-3703","authenticated-orcid":false,"given":"Elizabeth A.","family":"Boots","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4834-5967","authenticated-orcid":false,"given":"Mary M.","family":"Machulda","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A.","family":"Fields","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4807-9833","authenticated-orcid":false,"given":"David T.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart J.","family":"McCarter","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4390-685X","authenticated-orcid":false,"given":"Hugo","family":"Botha","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0878-0630","authenticated-orcid":false,"given":"Ryan P.","family":"Coburn","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9461-5094","authenticated-orcid":false,"given":"Camilo","family":"Bermudez","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, 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