Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test

ObjectiveThe ability to assess cognitive skills remotely is increasing with the widespread use and availability of smartphones. The Mobile Toolbox (MTB) is a measurement system that includes Sequences, a new measure of working memory designed specifically for smartphones. This study describes the de...

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Main Authors: Jerry Slotkin, Aaron J. Kaat, Stephanie Ruth Young, Elizabeth M. Dworak, Miriam A. Novack, Yusuke Shono, Hubert Adam, Cindy J. Nowinski, Sarah Pila, Zahra Hosseinian, Maria Varela Diaz, Anyelo Almonte-Correa, Keith Alperin, Monica R. Camacho, Bernard Landavazo, Rachel L. Nosheny, Michael W. Weiner, Richard C. Gershon
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1497816/full
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author Jerry Slotkin
Aaron J. Kaat
Stephanie Ruth Young
Elizabeth M. Dworak
Miriam A. Novack
Yusuke Shono
Hubert Adam
Cindy J. Nowinski
Sarah Pila
Zahra Hosseinian
Maria Varela Diaz
Anyelo Almonte-Correa
Keith Alperin
Monica R. Camacho
Monica R. Camacho
Bernard Landavazo
Bernard Landavazo
Rachel L. Nosheny
Rachel L. Nosheny
Michael W. Weiner
Michael W. Weiner
Richard C. Gershon
author_facet Jerry Slotkin
Aaron J. Kaat
Stephanie Ruth Young
Elizabeth M. Dworak
Miriam A. Novack
Yusuke Shono
Hubert Adam
Cindy J. Nowinski
Sarah Pila
Zahra Hosseinian
Maria Varela Diaz
Anyelo Almonte-Correa
Keith Alperin
Monica R. Camacho
Monica R. Camacho
Bernard Landavazo
Bernard Landavazo
Rachel L. Nosheny
Rachel L. Nosheny
Michael W. Weiner
Michael W. Weiner
Richard C. Gershon
author_sort Jerry Slotkin
collection DOAJ
description ObjectiveThe ability to assess cognitive skills remotely is increasing with the widespread use and availability of smartphones. The Mobile Toolbox (MTB) is a measurement system that includes Sequences, a new measure of working memory designed specifically for smartphones. This study describes the development of Sequences and presents the studies conducted to evaluate its psychometric properties.MethodsWe developed a new measure of working memory that can be self-administered remotely using an iOS or Android smartphone. In Sequences, a series of numbers and letters are shown on the screen one at a time, and the participant must first tap the letters they see in alphabetical order, followed by tapping the numbers in ascending numerical order. The Sequences measure was evaluated for usability and feasibility across two pilot studies and then assessed in this validation study (which included a total sample size of N = 1,246). Psychometric properties of the new measure were evaluated in three studies involving participants aged 18–90 years. In Study 1 (N = 92), participants completed MTB measures in a laboratory setting. They were also administered both an equivalent NIH Toolbox (NIHTB) measure along with external measures of similar constructs. In Study 2 (N = 1,007), participants were administered NIHTB measures in the laboratory and then completed MTB measures remotely on their own devices. In Study 3 (N = 147), participants completed MTB measures twice, remotely on their own devices, with a 2–week interval between sessions.ResultsSequences exhibited moderately high correlations with a comparable NIHTB test and external measures of a similar construct, while exhibiting a lower correlation with an unrelated test, as hypothesized. Internal consistency was high, but test-retest reliability was moderate. When controlling for age, phone operating system (iOS vs. Android) and sex assigned at birth did not significantly impact performance; however, there was a significant difference between individuals who completed college and those with a high school education or lower.ConclusionThe results support the validity of Sequences as a measure of working memory for remote self-administered use. The internal consistency was strong, with moderate test-retest reliability that is likely a function of the test's unproctored self-administration method. The findings suggest that Sequences is appropriate for use with adults aged 18–90 years in remote self-administered designs that focus on group results.
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spelling doaj-art-315a8549250e44b2a8264b13fed143352025-01-22T07:11:10ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011510.3389/fpsyg.2024.14978161497816Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory testJerry Slotkin0Aaron J. Kaat1Stephanie Ruth Young2Elizabeth M. Dworak3Miriam A. Novack4Yusuke Shono5Hubert Adam6Cindy J. Nowinski7Sarah Pila8Zahra Hosseinian9Maria Varela Diaz10Anyelo Almonte-Correa11Keith Alperin12Monica R. Camacho13Monica R. Camacho14Bernard Landavazo15Bernard Landavazo16Rachel L. Nosheny17Rachel L. Nosheny18Michael W. Weiner19Michael W. Weiner20Richard C. Gershon21Center for Health Assessment Research and Translation, University of Delaware, Newark, DE, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesSchool of Community and Global Health, Claremont Graduate University, Claremont, CA, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesHelium Foot Software, Inc, Chicago, IL, United StatesUniversity of California, San Francisco, San Francisco, CA, United StatesNorthern California Institute for Research and Education, San Francisco Veteran's Administration Medical Center, San Francisco, CA, United StatesUniversity of California, San Francisco, San Francisco, CA, United StatesNorthern California Institute for Research and Education, San Francisco Veteran's Administration Medical Center, San Francisco, CA, United StatesUniversity of California, San Francisco, San Francisco, CA, United StatesNorthern California Institute for Research and Education, San Francisco Veteran's Administration Medical Center, San Francisco, CA, United StatesUniversity of California, San Francisco, San Francisco, CA, United StatesNorthern California Institute for Research and Education, San Francisco Veteran's Administration Medical Center, San Francisco, CA, United StatesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesObjectiveThe ability to assess cognitive skills remotely is increasing with the widespread use and availability of smartphones. The Mobile Toolbox (MTB) is a measurement system that includes Sequences, a new measure of working memory designed specifically for smartphones. This study describes the development of Sequences and presents the studies conducted to evaluate its psychometric properties.MethodsWe developed a new measure of working memory that can be self-administered remotely using an iOS or Android smartphone. In Sequences, a series of numbers and letters are shown on the screen one at a time, and the participant must first tap the letters they see in alphabetical order, followed by tapping the numbers in ascending numerical order. The Sequences measure was evaluated for usability and feasibility across two pilot studies and then assessed in this validation study (which included a total sample size of N = 1,246). Psychometric properties of the new measure were evaluated in three studies involving participants aged 18–90 years. In Study 1 (N = 92), participants completed MTB measures in a laboratory setting. They were also administered both an equivalent NIH Toolbox (NIHTB) measure along with external measures of similar constructs. In Study 2 (N = 1,007), participants were administered NIHTB measures in the laboratory and then completed MTB measures remotely on their own devices. In Study 3 (N = 147), participants completed MTB measures twice, remotely on their own devices, with a 2–week interval between sessions.ResultsSequences exhibited moderately high correlations with a comparable NIHTB test and external measures of a similar construct, while exhibiting a lower correlation with an unrelated test, as hypothesized. Internal consistency was high, but test-retest reliability was moderate. When controlling for age, phone operating system (iOS vs. Android) and sex assigned at birth did not significantly impact performance; however, there was a significant difference between individuals who completed college and those with a high school education or lower.ConclusionThe results support the validity of Sequences as a measure of working memory for remote self-administered use. The internal consistency was strong, with moderate test-retest reliability that is likely a function of the test's unproctored self-administration method. The findings suggest that Sequences is appropriate for use with adults aged 18–90 years in remote self-administered designs that focus on group results.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1497816/fullcognitionworking memorymobile assessmentNIH Toolboxvalidation
spellingShingle Jerry Slotkin
Aaron J. Kaat
Stephanie Ruth Young
Elizabeth M. Dworak
Miriam A. Novack
Yusuke Shono
Hubert Adam
Cindy J. Nowinski
Sarah Pila
Zahra Hosseinian
Maria Varela Diaz
Anyelo Almonte-Correa
Keith Alperin
Monica R. Camacho
Monica R. Camacho
Bernard Landavazo
Bernard Landavazo
Rachel L. Nosheny
Rachel L. Nosheny
Michael W. Weiner
Michael W. Weiner
Richard C. Gershon
Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test
Frontiers in Psychology
cognition
working memory
mobile assessment
NIH Toolbox
validation
title Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test
title_full Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test
title_fullStr Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test
title_full_unstemmed Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test
title_short Mobile Toolbox sequences task: development and validation of a remote, smartphone-based working memory test
title_sort mobile toolbox sequences task development and validation of a remote smartphone based working memory test
topic cognition
working memory
mobile assessment
NIH Toolbox
validation
url https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1497816/full
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