Comparison of Telehealth Versus Face-to-Face Administration of the Oral Trail Making Test in Older Adults with and without Cognitive Impairment: A Brief Report.

IF 2.1 4区心理学 Q2 PSYCHOLOGY

Archives of Clinical Neuropsychology Pub Date : 2025-01-21 DOI:10.1093/arclin/acaf002

Hudaisa Fatima, Jessica Helphrey, Danyah Ahmed, Ingrid Tamez, C Munro Cullum

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Abstract

Objectives: To examine the performance reliability of the Oral Trail Making Test (OTMT) in face-to-face (FTF) and teleneuropsychology (TeleNP) conditions among older individuals with and without cognitive impairment.

Methods: Two hundred participants (with [n = 81], and without cognitive impairment [n = 119]) completed the OTMT in both conditions, in a counterbalanced design. Paired sample t-tests compared OTMT scores and intra-class correlation coefficients examined the degree of agreement between the two testing conditions for both diagnostic groups.

Results: For both groups, mean scores were similar across test conditions, with small yet statistically significant differences for OTMT-A (p < .001), though OTMT-B scores did not significantly differ (p-values: .702-.749). Despite substantial variability in OTMT scores, there was a strong agreement between testing formats for OTMT-A (α values = 0.845-0.939) and moderate to strong agreement for OTMT-B scores (α-values = 0.657-0.837).

Conclusions: OTMT administration may be feasible and reliable for TeleNP, though caution is advised for clinicians when interpreting overall test performances given large score variability.

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在有和无认知障碍的老年人中远程医疗与面对面进行口腔轨迹测试的比较：一个简短的报告。

目的：探讨有认知障碍和无认知障碍的老年人在面对面（FTF）和远神经心理（TeleNP）条件下口腔痕迹制作测试（OTMT）的表现可靠性。方法：200名参与者（n = 81）和无认知障碍（n = 119）在两种情况下完成OTMT，采用平衡设计。配对样本t检验比较了OTMT分数，类内相关系数检验了两个诊断组的两个测试条件之间的一致程度。结果：两组在不同测试条件下的平均得分相似，OTMT- a的差异虽小但具有统计学意义(p)。结论：对于TeleNP， OTMT治疗可能是可行和可靠的，尽管在评分变化较大的情况下，临床医生在解释整体测试表现时应谨慎。

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

Archives of Clinical Neuropsychology 医学-心理学

CiteScore

4.60

自引率

7.70%

发文量

358

审稿时长

6-12 weeks

期刊介绍： The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.