Usability and User Experience of Tablet-Based Teleneuropsychology Platform for the Diagnosis of Mild Cognitive Impairment: the Italian Experience.

The COVID-19 pandemic has accelerated the adoption of digital health technologies across disciplines, including clinical neuropsychology, where accessible and efficient platforms for cognitive diagnosis and monitoring are needed. However, limited user-friendliness often prevents their use, particularly among the elderly. Few studies have explored usability (Us) and user experience (UX) of teleneuropsychology platforms in real-world clinical settings. This study reports Us and UX data of a certified tablet-based teleneuropsychology platform developed for mild cognitive impairment (MCI) detection. Examiner and User interfaces were evaluated respectively by clinical neuropsychologists (n = 15, mean age 29.7 ± 3.8 years) and healthy volunteers (n = 15, mean age 58 ± 8.1 years). Us and UX were assessed using validated questionnaires: System Usability Scale (SUS), Post-Study System Usability Questionnaire (PSSUQ), Telehealth Usability Questionnaire (TUQ), and User Experience Questionnaire (UEQ). Familiarity with technology was measured using the Information Technology Familiarity Questionnaire (ITF). Non-parametric tests compared Us, UX, and ITF scores between groups; correlation analyses explored associations between demographic variables and questionnaire outcomes. Both groups showed good-to-excellent Us and UX, with no significant differences between them. Technology familiarity was significantly higher in the Examiner group. Correlation analyses revealed significant associations between ITF scores and demographic variables, with younger and more educated individuals reporting better familiarity. This study emphasise how intuitive design and engaging interfaces, like those of the tested platform, can mitigate technological barriers in sensitive context and foster acceptance, even among older users with lower digital familiarity. Future work should refine usability metrics, develop standardized teleneuropsychology guidelines, and promote digital literacy.