Digital Tools in Adult Neuropsychological Assessment: A Systematic Review of Adoption, Accessibility, and Availability for Evaluating Attention and Executive Functions

This systematic literature review examines the adoption, accessibility, and availability of digital assessment tools for neuropsychological evaluation of adults, with a focus on attentive abilities and executive functions. Following PRISMA guidelines, initial searches were carried out in Embase, PubMed and Scopus databases which were subsequently screened and filtered. Preliminary findings suggest a continued prevalence of traditional paper-and-pencil tests, with digital tools being primarily PC-based and clinician-administered. The review process led to refined search queries and exclusion criteria to better align with the research scope. Memory, attention, and executive functions emerged as the most commonly assessed cognitive domains. Notable challenges include limited data availability and restricted access to digital tools. The study considers a complementary data collection to compare traditional and computerized neuropsychological tests, including tools such as the Useful Field of View (UFOV), Auto-GEMS, and spatial dual task. This comparison aims to evaluate the potential differences in diagnostic accuracy and reliability between traditional and digital assessments, particularly in patients with neurological conditions like neglect syndrome. However, further research is needed to draw definitive conclusions about the efficacy of digital tools in neuropsychological assessment.