PROJECT SUMMARY/ABSTRACT
Millions of children around the globe are afflicted with conditions that can alter neuropsychological
development, including human immunodeficiency virus (HIV), traumatic brain injury (TBI), cerebral
malaria, and a host of other developmental and acquired diseases and disorders. Early assessment and
intervention are critical in overcoming cognitive and developmental deficiencies and are increasingly becoming
a standard of care in western countries. However, in resource-limited settings, children often do not have
access to these essential evaluations due, in part, to lack of trained personnel and culturally or linguistically
appropriate assessment tools. Creare, in collaboration with its clinical and research partners, proposes to
develop a highly adaptable developmentally appropriate, computer administered repeatable assessment
battery for children. This battery covers the major domains of neurocognitive and neurobehavioral function, and
is also sensitive to the sometimes subtle effects of disease. The test battery is administered on a tablet
computer that is low cost, highly mobile, and provides a very intuitive user interface for test administrators and
children taking the test. In addition to neurocognitive tasks that cover major cognitive domains, the
assessment battery includes a number of standardized, psychometrically sound questionnaires for parents or
caregivers that gather developmentally-relevant functional behaviors. The test battery is designed to be widely
applicable for school-aged children and includes tests of attention, executive function, processing speed,
learning, and memory. Creare has assembled a world class team to develop and commercialize this
innovation. Our system is made possible by algorithms and software that Creare has previously developed for
smartphone and tablet-based neurocognitive testing and hearing screening as well as training, therapy, data
sharing, and assessment. We have teamed with Dr. Betsy Kammerer, a developmental neuropsychologist at
Boston Children's Hospital experienced in assessment of children in the context of disease in international
settings (e.g., Kenya, Botswana, Peru). We have also partnered with Drs. Peter Isquith of Boston Children's
Hospital and Gerard Gioia (affiliated with Children's National Health Systems), developmental
neuropsychologists with expertise in assessment. Both have extensive experience in developing and
publishing measures, both rating scale and computer-administered tests, that are sensitive to a variety of
conditions and have been translated and adapted for multiple languages and cultures.