The assessment and rehabilitation of patients with cognitive dysfunc-tion is a field that currently requires assistive technology. While the pa-per-and-pencil test, such as the line tracing test, is one of the commonly used assessment methods for cognitive dysfunction, accuracy, and time-consuming assessment process needed technological applica-tion. The aim of this study was therefore to establish a computer-based real-time assessment system (e-system) for patients without compro-mising the usefulness of the conventional paper-and-pencil based user tools with 50 healthy participants. The comparison of the e-system with the golden-standard assessment (evaluator) results showed high con-cordance correlation coefficients of 0.89 and 0.87 and small effective sizes of 0.27 and 0.27 between two repeated measures. The Bland-Alt-man plots also showed smaller degree of error and greater repeatability in comparison to the repeated measures. Moreover, the accuracy rates of 96.5% and 96.4% were shown. The results indicated feasibility of the novice e-system. The e-system may assist rehabilitation specialists to assess and diagnose patients with cognitive dysfunction. This system can be applied to a range of assessment and rehabilitation modalities based on pen and paper. It can also be used for various patients such as those with Parkinson disease, stroke, or different forms of brain le-sions.
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Abstract INTRODUCTION MATERIALS AND METHODS Participants Novice electronic psychometric assessment system: e-system Line tracing test LTT procedure Statistical analysis RESULTS DISCUSSION CONFLICT OF INTEREST REFERENCES