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doi:10.1093/arclin/acz034.121
Abstract
Poster Session B
Thursday, November 14, 2019 11:30 am – 1:00 pm
NEUROLOGICAL AND NEUROPSYCHIATRIC DISORDERS: PSYCHIATRIC ILLNESS
B-38
Gamified Mobile Cognitive Tests: Preliminary Feasibility and Acceptability in Persons with Bipolar Disorder
Filip T, Kamarsu S, Lomas D, Eyler L, Depp C, Moore R
Objective: Current measurements of cognitive functioning are time-consuming and costly, often done as point-in-time
assessments. We examined the feasibility and acceptability of six newly developed smartphone-based mobile cognitive tests
(MCTs), completed in the real-world, among persons with bipolar disorder (BD) and healthy controls (HC). Methods: Thirteen
community-dwelling participants (seven BD and six HC), aged 18-65, completed in-person neurobehavioral assessments at
baseline and our MCTs three times daily for the following 14 days. The MCTs measure cognition in the following domains:
reaction time, executive functions, attention, processing speed, working memory, and learning and memory. Our protocol
delivered 1-2 MCTs per session, and each test was only administered once daily. Timing of the MCTs was adjusted according
to individual sleep/wake schedules. Results: MCT adherence was, on average, high (82.38%). The two groups did not differ in
terms of adherence (p =0.45, 95% CI =-29.51, 13.96) or average completion time (5.21 mins, SD =1.54 min per each
assessment period; t(11) =1.12, p =.29, 95% CI =-0.91, 2.81). There was no relationship between age and adherence
(r =.296, p =.326). Acceptability was measured at follow-up via a Likert-scale rating from 0 =not at all to 4 =very much;
mean likeability was high (M =3.0, SD =1.28). Most participants noted a high willingness to complete additional MCT testing
in the future. Conclusion: Our preliminary findings indicate mobile cognitive testing is feasible and accepted among bipolar
disorder and comparison participants. The implications of using smartphone-based MCTs are far reaching, including increased
visibility of cognitive changes over time as well as examining real-time temporal relationships between cognition and other
lifestyle and environmental factors.
Archives of Clinical Neuropsychology 34 (2019) 860–1099
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