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Nosheny RL, Camacho MR, Insel PS, Flenniken D, Fockler J, Truran D, Finley S, Ulbricht A, Maruff P, Yaffe K, Mackin RS, Weiner MW. Online study partner-reported cognitive decline in the Brain Health Registry. ALZHEIMER'S & DEMENTIA (NEW YORK, N. Y.) 2018; 4:565-574. [PMID: 30386821 PMCID: PMC6205111 DOI: 10.1016/j.trci.2018.09.008] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Methods for efficiently identifying cognitive decline and Alzheimer's disease (AD) are a critical unmet need. The goal of this work was to validate novel online study partner (SP)-reported outcomes to identify cognitive decline in older adults. METHODS In older adults enrolled in the Brain Health Registry, we analyzed associations between SP-reported cognitive decline, measured by the Everyday Cognition Scale, and either (1) participant cognition, assessed by Cogstate Brief Battery or (2) participant-reported diagnosis of mild cognitive impairment or AD. RESULTS We found strong associations between SP-reported Everyday Cognition Scale and both Cogstate scores and participant diagnosis. The associations were cognitive domain specific, dependant on participant diagnosis, and were stronger in spouse dyads and those who knew each other longer. DISCUSSION Collecting SP-reported data online from a large cohort is feasible. Results support the construct validity of our approach, which has the potential to facilitate clinical AD and aging research.
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Affiliation(s)
- Rachel L. Nosheny
- UCSF Department of Psychiatry, San Francisco, CA, USA
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Monica R. Camacho
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Philip S. Insel
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
- UCSF Department of Radiology and Biomedical Imaging, San Francisco, CA, USA
| | - Derek Flenniken
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Juliet Fockler
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Diana Truran
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Shannon Finley
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Aaron Ulbricht
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | | | - Kristine Yaffe
- UCSF Department of Psychiatry, San Francisco, CA, USA
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - R. Scott Mackin
- UCSF Department of Psychiatry, San Francisco, CA, USA
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
| | - Michael W. Weiner
- UCSF Department of Psychiatry, San Francisco, CA, USA
- San Francisco Veteran's Administration Medical Center, San Francisco, CA, USA
- UCSF Department of Radiology and Biomedical Imaging, San Francisco, CA, USA
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