An Integrated Telehealth System for Remote Administration of an Adult Autism Assessment

Parmanto, Bambang; Pulantara, I Wayan; Schutte, Jamie; Saptono, Andi; McCue, Michael

doi:10.1089/tmj.2012.0104

Cited by 45 publications

(46 citation statements)

References 13 publications

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“…The technology use survey focused on prior experience with wireless and cellular phones, computing devices (desktops, laptops, smartphones, tablet computers), and Internet-enabled virtual communication (e.g., use of Skype and FaceTime). The usability survey, adapted from Parmanto et al, 34 focused on the simplicity and learnability of the RAND system, the quality of audiovisual interactions with the researcher, the ease of producing motor responses, comparison with face-toface interactions, satisfaction with the testing, and likelihood of future use. The responses to each item were provided using a seven-point Likert scale where 1 signified that the participant disagreed with the statement and 7 signified agreement.…”

Section: Usability Evaluationmentioning

confidence: 99%

“…20,27,32 A solution is to combine videoconferencing with accessories for collaborative stimulus delivery and response monitoring. 20,33,34 However, past solutions of this type have involved special-purpose equipment and software, and so, the systems could not be easily deployed in home-based settings without considerable technical assistance. Related work has involved computer-based test administration, which diminishes the need for administration expertise.…”

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confidence: 99%

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A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

Durisko

McCue

Doyle

et al. 2016

Telemedicine and e-Health

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Background: Neuropsychological testing is a central aspect of stroke research because it provides critical information about the cognitive-behavioral status of stroke survivors, as well as the diagnosis and treatment of stroke-related disorders. Standard neuropsychological methods rely upon face-to-face interactions between a patient and researcher, which creates geographic and logistical barriers that impede research progress and treatment advances. Introduction: To overcome these barriers, we created a flexible and integrated system for the remote acquisition of neuropsychological data (RAND). The system we developed has a secure architecture that permits collaborative videoconferencing. The system supports shared audiovisual feeds that can provide continuous virtual interaction between a participant and researcher throughout a testing session. Shared presentation and computing controls can be used to deliver auditory and visual test items adapted from standard face-to-face materials or execute computerbased assessments. Spoken and manual responses can be acquired, and the components of the session can be recorded for offline data analysis. Materials and Methods: To evaluate its feasibility, our RAND system was used to administer a speechlanguage test battery to 16 stroke survivors with a variety of communication, sensory, and motor impairments. The sessions were initiated virtually without prior face-to-face instruction in the RAND technology or test battery. Results: Neuropsychological data were successfully acquired from all participants, including those with limited technology experience,

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Section: Usability Evaluationmentioning

confidence: 99%

mentioning

confidence: 99%

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

Durisko

McCue

Doyle

et al. 2016

Telemedicine and e-Health

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show abstract

“…The system integrates videoconferencing, presentation of stimuli, scoring, data storage, report generation, and report sharing into an integrated and intuitive Web portal environment. 17 The objective of this study was to determine the feasibility of remotely administering the ADOS Module 4, including usability from a client perspective, and reliability compared with face-to-face administration. Researchers hypothesized that participants would find the remote administration system to be an acceptable way to receive diagnostic services and that standard (face-to-face) administration and remote administration scores would have a high degree of agreement.…”

mentioning

confidence: 99%

“…The remote ADOS delivery system features videoconferencing, simulated eye contact, layout control, stimuli presentation, electronic scoring system, and session recording/archiving 17 …”

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confidence: 99%

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Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4

Schutte

McCue

Parmanto

et al. 2015

Telemedicine and e-Health

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Introduction: The Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). Materials and Methods: VISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey. Results: Participant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient = 0.92). Nonagreement may have been due to outside factors or practice effect despite a washout period. Conclusions: The results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability.

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Feasibility and acceptability of a telehealth model for autism diagnostic evaluations in children, adolescents, and adults

Matthews

Skepnek²,

Mammen

et al. 2021

Autism Research

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This study examined the feasibility and acceptability of a telehealth diagnostic model deployed at an autism center in the southwestern United States to safely provide autism spectrum disorder (ASD) diagnostic evaluations to children, adolescents, and adults during the COVID-19 pandemic. Participants included all clients for whom a telehealth diagnostic evaluation was scheduled at the diagnostic clinic (n = 121) over a 6-month period. Of 121 scheduled clients, 102 (84%) completed the telehealth evaluation. A diagnostic determination was made for 91% of clients (93 out of 102) using only telehealth procedures. Nine participants (two females; ages 3 to 11 years) required an in-person evaluation. Responses from psychologist and parent acceptability surveys indicated the model was acceptable for most clients. Psychologist ratings suggested that telehealth modalities used in the current study may be less acceptable for evaluating school-aged children with subtle presentations compared to children in the early developmental period, adolescents, and adults. Parents of females reported higher acceptability than parents of males. Findings contribute to the small but growing literature on feasibility and acceptability of telehealth evaluations for ASD and have implications for improving access to care during and after the COVID-19 pandemic. Lay SummaryThis study described telehealth methods for evaluating children, adolescents, and adults for autism spectrum disorder. Telehealth methods were generally acceptable to psychologists conducting the evaluations and parents of diagnostic clients. Psychologists reported the methods to be less acceptable for school-aged children and parents of males found the methods less acceptable than parents of females. The telehealth methods described may help to increase access to diagnostic professionals and reduce wait times for evaluations during and after the COVID-19 pandemic.

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An Integrated Telehealth System for Remote Administration of an Adult Autism Assessment

Cited by 45 publications

References 13 publications

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4

Feasibility and acceptability of a telehealth model for autism diagnostic evaluations in children, adolescents, and adults

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