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BackgroundComputerized cognitive assessments may improve Alzheimer's disease (AD) secondary prevention trial efficiency and accuracy. However, they require validation against standard outcomes and relevant biomarkers.ObjectiveTo assess the feasibility and validity of the tablet-based Computerized Cognitive Composite (C3).DesignCross-sectional analysis of cognitive screening data from the A4 study (Anti-Amyloid in Asymptomatic AD).SettingMulti-center international study.ParticipantsClinically normal (CN) older adults (65-85; n=4486).MeasurementsParticipants underwent florbetapir-Positron Emission Tomography for Aβ+/- classification. They completed the C3 and standard paper and pencil measures included in the Preclinical Alzheimer's Cognitive Composite (PACC). The C3 combines memory measures sensitive to change over time (Cogstate Brief Battery-One Card Learning) and measures shown to be declining early in AD including pattern separation (Behavioral Pattern Separation Test- Object- Lure Discrimination Index) and associative memory (Face Name Associative Memory Exam- Face-Name Matching). C3 acceptability and completion rates were assessed using qualitative and quantitative methods. C3 performance was explored in relation to Aβ+/- groups (n=1323/3163) and PACC.ResultsC3 was feasible for CN older adults to complete. Rates of incomplete or invalid administrations were extremely low, even in the bottom quartile of cognitive performers (PACC). C3 was moderately correlated with PACC (r=0.39). Aβ+ performed worse on C3 compared with Aβ- [unadjusted Cohen's d=-0.22 (95%CI: -0.31,-0.13) p

The purpose of memory is to guide current and future behavior based on previous experiences. Part of this process involves either discriminating between or generalizing across similar experiences that contain overlapping conditions (such as space, time, or internal state), which we often conceptualize as "contexts". In this review, we highlight major challenges facing the field as we attempt a neuroscience-based approach to the study of context and its impact on learning and memory. Here, we review some of the methodologies and approaches used to investigate context in both animals and humans, including the neurobiological mechanisms involved. Finally, we propose three tenets for operationalizing context in the experimental setting: 1) contexts must be stable over time along an experiential dimension; 2) contexts must be at least moderately complex in nature and their representations must be modifiable or adaptable, and 3) contexts must have some behavioral relevance (be it overt or incidental) so that its role can be measured.