학술논문

Feasibility and acceptability of remote smartphone cognitive testing in frontotemporal dementia research
Document Type
article
Source
Alzheimer's & Dementia Diagnosis Assessment & Disease Monitoring. 15(2)
Subject
Biological Psychology
Biomedical and Clinical Sciences
Neurosciences
Psychology
Frontotemporal Dementia (FTD)
Behavioral and Social Science
Brain Disorders
Dementia
Aging
Neurodegenerative
Acquired Cognitive Impairment
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Clinical Research
Rare Diseases
Neurological
adherence
digital technology
smartphone
cognition
neuropsychology
frontotemporal lobar degeneration
primary progressive aphasia
Genetics
Biological psychology
Language
Abstract
IntroductionRemote smartphone assessments of cognition, speech/language, and motor functioning in frontotemporal dementia (FTD) could enable decentralized clinical trials and improve access to research. We studied the feasibility and acceptability of remote smartphone data collection in FTD research using the ALLFTD Mobile App (ALLFTD-mApp).MethodsA diagnostically mixed sample of 214 participants with FTD or from familial FTD kindreds (asymptomatic: CDR®+NACC-FTLD = 0 [N = 101]; prodromal: 0.5 [N = 49]; symptomatic ≥1 [N = 51]; not measured [N = 13]) were asked to complete ALLFTD-mApp tests on their smartphone three times within 12 days. They completed smartphone familiarity and participation experience surveys.ResultsIt was feasible for participants to complete the ALLFTD-mApp on their own smartphones. Participants reported high smartphone familiarity, completed ∼ 70% of tasks, and considered the time commitment acceptable (98% of respondents). Greater disease severity was associated with poorer performance across several tests.DiscussionThese findings suggest that the ALLFTD-mApp study protocol is feasible and acceptable for remote FTD research.HighlightsThe ALLFTD Mobile App is a smartphone-based platform for remote, self-administered data collection.The ALLFTD Mobile App consists of a comprehensive battery of surveys and tests of executive functioning, memory, speech and language, and motor abilities.Remote digital data collection using the ALLFTD Mobile App was feasible in a multicenter research consortium that studies FTD. Data was collected in healthy controls and participants with a range of diagnoses, particularly FTD spectrum disorders.Remote digital data collection was well accepted by participants with a variety of diagnoses.