Scientific & Operational Expertise Selecting and Adapting Instruments for Remote

Cogstate’s science and operations teams have experience in all variations of virtual cognitive assessment and can offer guidance and suggestions through every step of a trial. As leaders in cognitive testing, our team can help weigh the feasibility of adapting traditional and digital clinical outcome assessments (COA) into a remote format. Areas of consideration include test manipulatives, length and equivalency of assessments, permissions, method of administration, cultural-linguistic assessment nuances for translated scales, capture in EDC, and more.

Of the various types of COAs, direct-report (PRO, ObsRO), interview-based (ClinRO), and auditory-verbal tasks (PerfO) may all be highly amenable to remote assessment contexts. Cogstate’s team can talk through the viability of a scale for remote use and offer adaptation options where required.

Remote Administration of Conventional Clinical Outcome Assessment

Many paper-and-pencil cognitive assessments—in conventional or eCOA format—can still be viable to conduct remotely. Cogstate has worked on delivery of multiple COAs for ‘remote-supervised’ assessment and can share lessons learned and feasible adaptations to help your research progress. Scales delivered remotely include the Clinical Dementia Rating, MOCA, Vineland Scales, Clinical Global Impression Scale, and more.

Cogstate’s team includes a network of more than 175 clinicians and scientists who are highly trained in the areas of psychology, neuropsychology, psychiatry, and neurology. These professionals help sponsor teams collect high quality data in 40+ languages via central rating, central scoring, and rater training.

Cogstate Self-Administered Digital Cognitive Assessments

Clinical trial teams need testing solutions they can rely on to be effective and equivalent when deployed outside of the clinical site. The Cogstate battery has been utilized for in-clinic, supervised settings, and remote settings where assessment may be supervised or unsupervised. The optimal approach depends on the nature of the patient population, the test paradigm, and the type of devices utilized.

Cogstate digital cognitive tests can be organized into batteries to match the patient population and research paradigm. Cogstate tests are rapid, reliable, simple, and sensitive. Each test has been shown to be valid for use in different cultures and language groups with comparative/normative data available for both clinical samples and healthy controls. Tests have been used in all phases of drug trials and maintain excellent reliability across repeated testing and cross-sectional research designs.

Cogstate digital cognitive assessments are ideal for remote administration:

• Adapted for self-administration with online learning modules to train participants
• Fully web-based and can be accessed via tablet or PC devices
• Brief and repeatable assessments
• Email reminders sent when participants need to take their next test, increasing patient engagement

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