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Correlation between computerised and standard cognitive testing in people with HIV and HIV-negative individuals

De Francesco, Davide; Underwood, Jonathan; Anderson, Jane; Boffito, Marta; Post, Frank A; Sachikonye, Memory; Mallon, Patrick WG; ... Winston, Alan; + view all (2020) Correlation between computerised and standard cognitive testing in people with HIV and HIV-negative individuals. AIDS Care , 33 (10) pp. 1296-1307. 10.1080/09540121.2020.1865518. Green open access

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Abstract

We investigated the correlations and agreement between cognitive assessments made using a computerised (CogState™, six domains) and a standard pen-and-paper battery (five domains) in PWH and lifestyle-similar HIV-negative individuals. Demographically adjusted domain and global T-scores were obtained and used to define cognitive impairment according to the multivariate normative comparison (MNC) criteria. Correlations between T-scores and the agreement between the classifications of cognitive impairment obtained from the two batteries were assessed using the Spearman's rank correlation and Cohen's κ, respectively. The correlation between global T-scores from the two batteries was 0.52 (95% CI 0.44-0.60) in PWH and 0.45 (0.29-0.59) in controls (p = 0.38 for their difference). Correlations were generally stronger between domains within the same battery than between those from different batteries. The agreement between the two batteries in classifying individuals as cognitively impaired or not impaired was fair in PWH (κ = 0.24) and poor in HIV-negative individuals (κ = -0.02). The moderate correlation between overall cognitive function and the modest agreement between binary classifications of cognitive impairment obtained from two different batteries indicate the two batteries may assess slightly different components of cognition.

Type: Article
Title: Correlation between computerised and standard cognitive testing in people with HIV and HIV-negative individuals
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/09540121.2020.1865518
Publisher version: https://doi.org/10.1080/09540121.2020.1865518
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: CogState, HIV, cognitive battery, cognitive impairment, computerised cognitive battery
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10145748
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