Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke

<b>Background/Objectives</b>: Neuropsychological assessment tools adapted for digital formats are crucial to expanding access and improving cognitive evaluation in post-stroke patients. This study aimed to examine the reliability, convergent validity, and criterion-related validity (conc...

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Main Authors: Luana Comito Muner, Guilherme Domingos Martins, Ana Beatriz Santos Honda, Natália Becker, Jaqueline de Carvalho Rodrigues
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/15/7/737
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author Luana Comito Muner
Guilherme Domingos Martins
Ana Beatriz Santos Honda
Natália Becker
Jaqueline de Carvalho Rodrigues
author_facet Luana Comito Muner
Guilherme Domingos Martins
Ana Beatriz Santos Honda
Natália Becker
Jaqueline de Carvalho Rodrigues
author_sort Luana Comito Muner
collection DOAJ
description <b>Background/Objectives</b>: Neuropsychological assessment tools adapted for digital formats are crucial to expanding access and improving cognitive evaluation in post-stroke patients. This study aimed to examine the reliability, convergent validity, and criterion-related validity (concurrent and known-groups) of TRIACOG-Online, a computerized cognitive screening tool designed to assess multiple domains in post-stroke adults in person or remotely. <b>Methods</b>: 98 participants (47 neurologically healthy adults and 51 post-stroke patients) completed a sociodemographic questionnaire, the Mini-Mental State Examination—MMSE, G-38—Nonverbal Intelligence Test, and the TRIACOG-Online assessment. Evaluations were conducted in person, computer mediated. <b>Results</b>: TRIACOG-Online demonstrated high internal consistency (Cronbach’s α = 0.872; McDonald’s ω = 0.923). Statistically significant differences were found between groups in episodic memory, attention, executive functions, and numerical processing, with healthy individuals outperforming post-stroke participants. Effect sizes were medium to large in several domains, especially for visual memory. Validity evidence based on the relationship with external variables was supported by negative correlations with age and positive correlations with education and reading and writing habits, particularly in the clinical group. Educational level showed stronger associations with verbal memory and language, suggesting a protective role in post-stroke cognitive performance. TRIACOG-Online scores demonstrated evidence of convergent validity with MMSE and G-38. <b>Conclusions</b>: TRIACOG-Online shows strong psychometric properties for the cognitive assessment of post-stroke adults. Its computerized format represents a promising tool for clinical and research use in neuropsychology, especially for bedside applications.
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spelling doaj-art-029669c8d97e49e9b04f97af3e1cef802025-08-20T02:45:53ZengMDPI AGBrain Sciences2076-34252025-07-0115773710.3390/brainsci15070737Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post StrokeLuana Comito Muner0Guilherme Domingos Martins1Ana Beatriz Santos Honda2Natália Becker3Jaqueline de Carvalho Rodrigues4Postgraduate Program in Human Development Sciences, Universidade Presbiteriana Mackenzie, Sao Paulo 01302-907, SP, BrazilDepartamento de Psicologia, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro 22451-900, RJ, BrazilPostgraduate Program in Human Development Sciences, Universidade Presbiteriana Mackenzie, Sao Paulo 01302-907, SP, BrazilPostgraduate Program in Human Development Sciences, Universidade Presbiteriana Mackenzie, Sao Paulo 01302-907, SP, BrazilDepartamento de Psicologia, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro 22451-900, RJ, Brazil<b>Background/Objectives</b>: Neuropsychological assessment tools adapted for digital formats are crucial to expanding access and improving cognitive evaluation in post-stroke patients. This study aimed to examine the reliability, convergent validity, and criterion-related validity (concurrent and known-groups) of TRIACOG-Online, a computerized cognitive screening tool designed to assess multiple domains in post-stroke adults in person or remotely. <b>Methods</b>: 98 participants (47 neurologically healthy adults and 51 post-stroke patients) completed a sociodemographic questionnaire, the Mini-Mental State Examination—MMSE, G-38—Nonverbal Intelligence Test, and the TRIACOG-Online assessment. Evaluations were conducted in person, computer mediated. <b>Results</b>: TRIACOG-Online demonstrated high internal consistency (Cronbach’s α = 0.872; McDonald’s ω = 0.923). Statistically significant differences were found between groups in episodic memory, attention, executive functions, and numerical processing, with healthy individuals outperforming post-stroke participants. Effect sizes were medium to large in several domains, especially for visual memory. Validity evidence based on the relationship with external variables was supported by negative correlations with age and positive correlations with education and reading and writing habits, particularly in the clinical group. Educational level showed stronger associations with verbal memory and language, suggesting a protective role in post-stroke cognitive performance. TRIACOG-Online scores demonstrated evidence of convergent validity with MMSE and G-38. <b>Conclusions</b>: TRIACOG-Online shows strong psychometric properties for the cognitive assessment of post-stroke adults. Its computerized format represents a promising tool for clinical and research use in neuropsychology, especially for bedside applications.https://www.mdpi.com/2076-3425/15/7/737neuropsychological assessmentvalidity evidencecomputerized testing
spellingShingle Luana Comito Muner
Guilherme Domingos Martins
Ana Beatriz Santos Honda
Natália Becker
Jaqueline de Carvalho Rodrigues
Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke
Brain Sciences
neuropsychological assessment
validity evidence
computerized testing
title Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke
title_full Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke
title_fullStr Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke
title_full_unstemmed Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke
title_short Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke
title_sort validity evidence of the triacog online administered in person to adults post stroke
topic neuropsychological assessment
validity evidence
computerized testing
url https://www.mdpi.com/2076-3425/15/7/737
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