Feasibility of Remote Unsupervised Cognitive Screening With SATURN in Older Adults

J Appl Gerontol. 2023 Sep;42(9):1903-1910. doi: 10.1177/07334648231166894. Epub 2023 Mar 31.


Widespread cognitive test screening as part of tele-public health initiatives necessitates a test that is self-administered online and automatically scored, with no clinician effort. The feasibility of unsupervised cognitive screening is unclear. We adapted the Self-Administered Tasks Uncovering Risk of Neurodegeneration (SATURN) to make it suitable for self-administration and automatic scoring. A sample of 364 healthy older adults completed SATURN via a web browser, in a fully independent manner. SATURN's overall score was not modulated by gender, education, reading speed, the time of day at which the test was taken, or an individual's familiarity with technology. SATURN proved extremely portable across operating systems. Importantly, comments from participants reported satisfaction with the experience and the clarity of the instructions. SATURN represents a fast and easy screening tool that can be used for a first assessment, during a routine test or clinical evaluation, or during periodic health monitoring, in person or remotely.

Keywords: Cognitive screening; computer-based test; e-health; self-administered cognitive test; telecare.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Cognition
  • Extraterrestrial Environment
  • Feasibility Studies
  • Humans
  • Saturn*