Abstract:

Digital neuropsychology integrates digital technologies with neuropsychological principles to enhance cognitive impairment screening and early intervention in primary health care. This narrative review and conceptual framework examines technology-enhanced learning (TEL) tools designed for primary care, addressing three research questions: which cognitive-health constructs can be assessed within physical health contexts; what parameters constitute clinically meaningful screening solutions; and what theoretical foundations underpin these tools. A structured literature search was conducted across PubMed, PsycINFO, Scopus, and Web of Science using key terms related to digital neuropsychology, cognitive screening, primary care, and technology-enhanced learning. Studies were selected based on relevance to the research questions and critically synthesized to construct an integrated conceptual framework. The framework draws upon three theories: Cognitive Aging, Neuropsychological Assessment, and Digital Health Behavior. Available screening instruments—including the Montreal Cognitive Assessment, Mini-Mental Status Examination, clock-drawing test, and Mini-Cog—are critically evaluated for diagnostic accuracy, validity, and feasibility in primary care settings, with particular attention to how TEL principles enhance their implementation and scalability. User-centered design principles, accessibility standards, and adaptations for telehealth and underserved populations are examined. Implementation barriers, facilitators, and workforce development requirements are discussed alongside case studies of integrated screening pathways within electronic health records. Future research priorities include validation studies across diverse populations and continued development of digital health modules grounded in TEL design principles. This work establishes an integrated conceptual framework for cognitive screening and early intervention adapted to contemporary primary care delivery models.

Keywords:

Digital neuropsychology, cognitive impairment screening, primary health care, technology-enhanced learning, early intervention, dementia prevention, telehealth, neuropsychological assessment, narrative review, conceptual framework.