We offer a collection of 30+ Cognitive Check-Ins that can be flexibly combined to create assessment batteries of virtually any length: as brief as 3 minutes or as long as 3 hours. These assessments may be administered in person or remotely to accommodate integration into clinical healthcare settings, large-scale residential community programs, and clinical research including decentralized trials.
In this article we will go over the following use cases for Cognitive Check-Ins:
- Cognitive Check-Ins as a cognitive assessment aid
- Personalization of training or intervention programs
- Evaluation of cognitive change over time
- Custom use case
Cognitive Check-Ins as a cognitive assessment aid
Cognitive Check-ins offer a wide range of goals from rapid cognitive screening to complementing comprehensive neuropsychological evaluations.
Brief Cognitive Check-in: A 10-minute Brief Cognitive Check-in provides a fast, sensitive, snapshot of cognitive functioning that is ideal for screening, routine monitoring of brain health, or large-scale population studies. A typical brief battery may include two targeted visual (or auditory) Check-Ins that assess processing speed and executive function to minimize patient burden while maintaining sensitivity to cognitive change. An example includes a battery using Hawk Eye and Right Turn and is automatically available through the portal.
Comprehensive Cognitive Check-in: A 60-minute Comprehensive Cognitive Check-in provides multidomain evaluation that complements modern neuropsychological testing and is ideal for clinical trials, intervention outcome measurement, or detailed cognitive phenotyping in healthcare or community settings. A typical battery may include ten Check-Ins that assess processing speed across sensory modalities, attention, memory, executive functioning, and social functioning to provide a detailed cognitive profile. An example includes a battery using Double Decision, Divided Attention, Target tracker, Mixed Signals, Sound Sweeps, Syllable Stacks, Mind Bender, Optic Flow, Right Turn, Face to Face and is automatically available through the portal.
Personalization of training or intervention programs
By evaluating patterns of performance, clinicians and researchers can assess which cognitive systems may benefit most from training, whether users are progressing as expected, and whether training intensity or exercise selection should be modified.
Target engagement: Target Engagement Cognitive Check-Ins are especially useful for this purpose. These batteries are designed to mirror the exercises included in the training program. For example, if a user is training on Sound Sweeps, then the Sound Sweeps assessment should also be included in the Check-In battery. If a program emphasizes visual processing speed, then corresponding visual speed assessments should be administered at baseline and post-test. This approach helps confirm task-specific learning and that users are improving on the specific cognitive exercises that are being trained.
Evaluation Cognitive Check-Ins: Evaluation Cognitive Check-Ins can serve as outcome measures in clinical programs and research trials. These batteries are typically designed to measure generalized benefit. Unlike target engagement batteries, evaluation batteries should include assessments that mechanistically overlap but are non-identical to the trained exercises to assess whether the intervention produces meaningful real-world benefit.
Evaluation of cognitive change over time
Repeated administration of these Cognitive Check-ins allows clinicians, researchers, and community admins to monitor cognitive trajectories over time, and response to treatment or intervention. You may find that a user improves, declines or plateaus over time.
Improvement: Noting performance improvements on the Clinician Report generally indicate successful engagement with training, cognitive gains, and continued progress. In these cases, users should generally continue their current training program.
Decline: Declines in performance may occur for different reasons. The most common is reduced training compliance. Clinicians should first review usage patterns within the portal to determine whether users are completing the recommended training frequency and duration. If compliance is adequate (e.g., >70% adherence with approximately two hours of weekly training), larger or persistent declines may warrant additional clinical evaluation. Small temporary declines may simply reflect normal test-retest variability.
Plateaus: Plateaus can indicate insufficient engagement, or a training program that is too difficult or too easy. For example, high-performing plateaus may indicate that the user has mastered the current training exercise and would benefit from more challenging exercises, such as the continuous performance tasks. Low-performing plateaus may reflect low behavioral engagement, or broader learning difficulties requiring additional support or clinical consultation. If you suspect insufficient engagement, reach out to your user and discuss the importance of staying attentive and putting their best foot forward while training.
Custom use case
Cognitive Check-Ins can be fully customized to match the project aims, logistical constraints, and characteristics of your target population. Customization options include selection of specific cognitive domains, adjustment of total assessment duration, consideration of remote/hybrid/in-person administration, longitudinal monitoring schedules, and alignment with clinical endpoints or research biomarkers. Our scientists can help design an assessment battery tailored to your program or study. Detailed descriptions of each Cognitive Check-In are available to download at the bottom of this article.
Still have questions?
To learn more about Cognitive Check-Ins, check out these articles: Cognitive Check-Ins
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