Tele-neuropsychology in memory clinic settings: Reliability and usability of videoconference-based neuropsychological testing.

IF 2.6 4区心理学 Q2 CLINICAL NEUROLOGY

Journal of the International Neuropsychological Society Pub Date : 2024-10-21 DOI:10.1017/S1355617724000432

Elke Butterbrod, Dominique M J van den Heuvel, Pia Zevenhoven, Lisa Waterink, Mardou van Leeuwenstijn, Roos J Jutten, Wiesje M van der Flier, Sietske A M Sikkes

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引用次数: 0

Abstract

Objective: Neuropsychological assessment through VideoTeleConferencing (VTC) can help improve access to diagnostic and follow-up care in memory clinics. This study investigated the stability of performance on VTC assessment in relation to in-person assessment using a test-retest design and explored user experiences of VTC assessment.

Materials and methods: Thirty-one patients (62 ± 6.7 years, 45% female, 58% Subjective Cognitive Decline, 42% Mild Cognitive Impairment/dementia diagnosis) were included from the Amsterdam Dementia Cohort between August 2020 and February 2021. Patients underwent a face-to-face neuropsychological assessment followed by a VTC assessment using the same test protocol within 4 months. Reliability coefficients were calculated using intraclass correlation coefficients (ICC). For each test, the proportion of clinically relevant differences in performances between assessment modalities was calculated. User experiences of patients and neuropsychologists were assessed with questionnaires (User Satisfaction and Ease of use [USE] questionnaire and System Usability Scale [SUS]). Neuropsychologists also participated in a focus group.

Results: ICC values were moderate to excellent (0.63-0.93) for all test measures in the total sample. On all tests, most patients did not show clinically relevant performance differences between modalities. Patients and neuropsychologists reported overall positive VTC system usability, although neuropsychologists indicated in the focus group that patients without cognitive impairment required less training for the system and were more independent.

Conclusion: VTC assessment showed adequate to excellent test-retest reliability for a broad range of neuropsychological tests commonly used in practice. Assessment through VTC may be a user friendly method in the memory clinic, especially to monitor individuals at risk for future cognitive decline.

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记忆诊所环境中的远程神经心理学：基于视频会议的神经心理学测试的可靠性和可用性。

目的：通过视频电话会议（VTC）进行神经心理评估有助于改善记忆诊所的诊断和随访服务。本研究采用重复测试设计调查了视频电话会议评估与面对面评估的表现稳定性，并探讨了用户对视频电话会议评估的体验：在 2020 年 8 月至 2021 年 2 月期间，从阿姆斯特丹痴呆队列中纳入了 31 名患者（62 ± 6.7 岁，45% 女性，58% 主观认知能力下降，42% 轻度认知障碍/痴呆诊断）。患者接受了面对面的神经心理学评估，随后在 4 个月内使用相同的测试方案接受了 VTC 评估。可靠性系数采用类内相关系数（ICC）计算。对于每项测试，我们还计算了不同评估模式下临床表现差异的比例。患者和神经心理学家的用户体验通过问卷（用户满意度和易用性[USE]问卷和系统可用性量表[SUS]）进行评估。神经心理学家还参加了一个焦点小组：在所有样本中，所有测试测量的 ICC 值均为中等至优秀（0.63-0.93）。在所有测试中，大多数患者并没有表现出不同测试模式之间的临床表现差异。患者和神经心理学家对 VTC 系统可用性的总体评价是积极的，不过神经心理学家在焦点小组中表示，没有认知障碍的患者需要的系统培训更少，独立性更强：结论：VTC 评估对临床上常用的各种神经心理测试显示出足够甚至出色的重复测试可靠性。在记忆门诊中，通过虚拟电话会议进行评估可能是一种用户友好型方法，尤其适用于监测未来认知能力下降的高危人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the International Neuropsychological Society 医学-精神病学

CiteScore

5.40

自引率

3.80%

发文量

185

审稿时长

4-8 weeks

期刊介绍： The Journal of the International Neuropsychological Society is the official journal of the International Neuropsychological Society, an organization of over 4,500 international members from a variety of disciplines. The Journal of the International Neuropsychological Society welcomes original, creative, high quality research papers covering all areas of neuropsychology. The focus of articles may be primarily experimental, applied, or clinical. Contributions will broadly reflect the interest of all areas of neuropsychology, including but not limited to: development of cognitive processes, brain-behavior relationships, adult and pediatric neuropsychology, neurobehavioral syndromes (such as aphasia or apraxia), and the interfaces of neuropsychology with related areas such as behavioral neurology, neuropsychiatry, genetics, and cognitive neuroscience. Papers that utilize behavioral, neuroimaging, and electrophysiological measures are appropriate. To assure maximum flexibility and to promote diverse mechanisms of scholarly communication, the following formats are available in addition to a Regular Research Article: Brief Communication is a shorter research article; Rapid Communication is intended for "fast breaking" new work that does not yet justify a full length article and is placed on a fast review track; Case Report is a theoretically important and unique case study; Critical Review and Short Review are thoughtful considerations of topics of importance to neuropsychology and include meta-analyses; Dialogue provides a forum for publishing two distinct positions on controversial issues in a point-counterpoint format; Special Issue and Special Section consist of several articles linked thematically; Letter to the Editor responds to recent articles published in the Journal of the International Neuropsychological Society; and Book Review, which is considered but is no longer solicited.