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Improving Diagnostics of Cognitive Change: A Workshop

In formation

Accurately measuring cognitive change over time is essential for understanding healthy aging, identifying cognitive decline, and evaluating the effectiveness of interventions. Current cognitive assessments are widely used in research, clinical care, and other high-stakes settings, creating ongoing interest in how best to assess meaningful changes in an individual’s cognitive functioning over time. This National Academies workshop will explore opportunities to improve the diagnostics used to assess cognitive change, including approaches for distinguishing normal and pathological trajectories, integrating population-level norms with individual-level information, determining appropriate assessment intervals, and increasing the feasibility of more frequent cognitive measurement.

Description

] A planning committee of the National Academies of Sciences, Engineering, and Medicine will organize and convene a two-day public workshop focused on improving the diagnostics used to assess cognitive change. The workshop will inform the work of NIH’s National Institutes of Aging, among others. Prior to the workshop, a commissioned paper regarding best practices for cognitive assessments will be drafted to help frame the workshop discussion. The following key questions will be addressed in the workshop:
• What is the state of the science for change measurement in cognitive diagnostics and what standards would modern change-assessment methods have to meet in order to identify both normal and pathological trajectories?
• What are the most promising developments in statistical modeling of change that integrate both population-level norms and individual-level score information?
• What are best practices and intervals for assessing change in cognitive functioning, for short- and long-term applications, and how might that inform the future of cognitive testing?
• What are the potential benefits and costs of moving from cognitive-status-based cross-sectional population norms towards population change norms?
• What assessment methods can be used to improve measurement density in a feasible manner?
The planning committee will develop the agenda, identify meeting objectives, commission the paper on best practices, and select appropriate participants. A proceedings-in-brief will be prepared by a designated rapporteur in accordance with institutional guidelines.

Contributors

Sponsors

Department of Health and Human Services

Staff

John Ben Soileau

Lead

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