A Pilot Trial of Neuropsychological Evaluations Conducted via Telemedicine in the Veterans Health Administration

Turner, Travis H.; Horner, Michael David; VanKirk, Kathryn K.; Myrick, Hugh; Tuerk, Peter W.

doi:10.1089/tmj.2011.0272

Cited by 31 publications

(25 citation statements)

References 24 publications

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“…Good agreement was found across most tests examined, with intraclass correlations ranging from .58 to .88. Together with other encouraging findings from the literature using various brief assessments in small groups (Harrell, Wilkins, Connor, & Chodosh, 2014; Jacobsen, Sprenger, Andersson, & Krogstad, 2003; Kirkwood, Peck, & Bennie, 2000; Turner, Horner, VanKirk, Myrick, & Tuerk, 2012; Vestal et al, 2006), these results suggested that VTC-based neuropsychological assessment in older individuals with and without cognitive impairment was feasible and had promising reliability despite that no large-scale studies more definitively establishing reliability had been conducted. Consumer acceptability of VTC-based neuropsychological assessment has also been explored in a recent investigation, with results suggesting good acceptance of VTC-based testing among healthy and cognitively impaired older individuals (Parikh et al, 2013).…”

Section: Introductionmentioning

confidence: 75%

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Cullum

Hynan²,

Grosch

et al. 2014

J Int Neuropsychol Soc

215

136

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The use of videoconference technology to deliver health care diagnostics and treatment continues to grow at a rapid pace. Telepsychiatry and telepsychology applications are well-accepted by patients and providers, and both diagnostic and treatment outcomes have generally been similar to traditional face-to-face interactions. Preliminary applications of videoconference-based neuropsychological assessment (teleneuropsychology) have yielded promising results in the feasibility and reliability of several standard tests, although large-scale studies are lacking. This investigation was conducted to determine the reliability of video teleconference (VTC) - based neuropsychological assessment using a brief battery of standard neuropsychological tests commonly used in the evaluation of known or suspected dementia. Tests included the Mini-Mental State Examination (MMSE), Hopkins Verbal Learning Test-Revised, Digit Span forward and backward, short form Boston Naming Test, Letter and Category Fluency, and Clock Drawing. Tests were administered via VTC and in-person to subjects, counterbalanced using alternate test forms and standard instructions. Two hundred two adult subjects were tested in both rural and urban settings, including 83 with cognitive impairment and 119 healthy controls. We found highly similar results across VTC and in-person conditions, with significant intraclass correlations (mean = .74; range: 0.55–0.91) between test scores. Findings remained consistent in subjects with or without cognitive impairment and in persons with MMSE scores as low as 15. VTC-based neuropsychological testing is a valid and reliable alternative to traditional face-to-face assessment using selected measures. More VTC-based studies using additional tests in different populations are needed to fully explore the utility of this new testing medium.

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Section: Introductionmentioning

confidence: 75%

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Cullum

Hynan²,

Grosch

et al. 2014

J Int Neuropsychol Soc

215

136

View full text Add to dashboard Cite

show abstract

“…Two studies compared the accuracy of diagnoses made using the SCID [59,60] , two studies evaluated reliability of child assessments [42,61] , four studies evaluated reliability of neuropsychological assessments [62][63][64][65] , and three studies evaluated reliability of measures of depressive symptom severity [66][67][68] . The remaining studies evaluated a range of targets such as alcohol use severity [69] , diagnostic accuracy [70][71][72] , competency to stand trial [73] , psychosis [26] , and adult autism [21] .…”

Section: Hubley S Et Al Telepsychiatry Reviewmentioning

confidence: 99%

Review of key telepsychiatry outcomes

Hubley¹,

Lynch²,

Schneck³

et al. 2016

WJP

422

400

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“…While it has been suggested that cognitive screening using telemedicine may be feasible, (23), previous studies have not conducted direct comparisons within subjects. While one recent pilot study compared telemedicine and face-to-face testing (24) and demonstrated that these were comparable, our study looked at interactions over two testing sessions, and included within-subject comparisons. Our study also adds to the growing evidence of applicability of telemedicine-based services for psychiatric care in rural areas (25;26).…”

Section: Discussionmentioning

confidence: 99%

Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults

Vahia

Camacho

et al. 2015

The American Journal of Geriatric Psychiatry

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As the population of older Latinos in the U.S. increases, availability of culturally-adapted geriatric psychiatry services is becoming a growing concern. This issue is exacerbated for rural Latino populations. In this study, we assessed whether neurocognitive assessment via telepsychiatry (TP) using a Spanish-language battery would be comparable to in-person (IP) testing using the same battery in a sample of Spanish-speaking older adults in a rural setting. Patients (N=22) received IP and TP testing 2 weeks apart. The order of IP and TP test administrations in individual subjects was determined randomly. Comparison of scores indicated that there were no significant differences between IP and TP test performance though both groups scored non-significantly higher at the second visit. This study demonstrates feasibility and utility of neurocognitive testing in Spanish using TP among older rural Latinos.

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A Pilot Trial of Neuropsychological Evaluations Conducted via Telemedicine in the Veterans Health Administration

Cited by 31 publications

References 24 publications

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Review of key telepsychiatry outcomes

Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults

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