Practical Concerns

One of the issues that is at the forefront of interventions aimed at enhancing cognitive or functional performance is whether behavioral and computerized interventions can be self-administered at home (Fisher et al., 2015). Like pharmacological interventions, behavioral interventions can be delivered outside the clinic setting. As these interventions transition toward wider use, with the anticipated approval of drugs or medical devices for cognitive remediation treatment, assessments may also need to be performed outside of the clinic. This would require the ability to use remotely deliverable cognitive and functional assessment strategies, with the same reliability and validity standards that are conventionally applied to paper-and-pencil and other in-person testing procedures.

Cognitive tests and functional capacity measures have already been developed for remote administration. The issues associated with computerization and remote delivery of these assessments are the same as in-person assessments. There needs to be considerable evidence supporting the psychometric characteristics of the instruments, and a match between the content of the instrument and clinically relevant community outcomes. Questions related to the usability of these techniques are also important. This is likely to be a major area for future technology development, and these procedures will be more successful if they are flexibly adapted across emerging technology.

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