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. 2025 Mar 5;3(2):100205. doi: 10.1016/j.mcpdig.2025.100205

Table 2.

Comparison of Speech Elicitation Tasks in Cognitive Assessment

Task description Advantages Disadvantages Potential impact Studies
Picture description Standardized, easy to administer, assesses multiple cognitive domains Limited to visual processing and descriptive abilities Early detection of cognitive decline, language impairment assessment 16,19,20,24,25,27,28,32,35,37,41,48,52,59
Story recall Assesses memory and language abilities, can be standardized May be influenced by education and cultural background Memory impairment detection, language assessment 24,42,44
Spontaneous speech Natural, reflects real-world communication Difficult to standardize, variable content Detecting subtle changes in language use, pragmatic deficits 5,14,26,31,34,47,56, 57, 58
Neuropsychological test interviews Comprehensive, assesses multiple cognitive domains Time-consuming, requires trained administrators Detailed cognitive profiling, early detection of various impairments 23,45,51
Voice commands Easy to administer, reflects real-world technology use Limited scope of language use, potential technological barriers Monitoring cognitive health through everyday technology 53,55
Conversational artificial intelligence interactions Natural interaction, can be done remotely Requires technology access, potential for misunderstandings Continuous monitoring of cognitive health 6,29,40,46
Video scene description Dynamic stimuli, assesses visual processing and narrative skills Requires equipment, may be influenced by visual acuity Detecting subtle changes in cognitive processing and language 59