The validity of computerized Montreal cognitive assessment among aging people living with HIV: A pilot study.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Akarin Hiransuthikul, Thanapoom Taweephol, Netchanok Timachai, Saowaluk Suksawek, Chuleeporn Wongvoranet, Tanakorn Apornpong, Kittithatch Booncharoen, Solaphat Hemrungrojn, Anchalee Avihingsanon
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Abstract

Background: As the population of aging people living with HIV (PWH) increases, many have faced neurocognitive problems. Cognitive assessment plays a crucial role as the initial step in cognitive care of this specific population. We aimed to determine the validity between a traditional paper-based and tablet-based cognitive assessment tool among aging Thai PWH.

Methods: PWH aged ≥ 50 years underwent cognitive assessment using the Thai-validated Montreal Cognitive Assessment (MoCA). Participants were randomly assigned to receive either the paper-based MoCA or the tablet-based MoCA (eMoCA) first. Two weeks later, participants returned to complete the alternate version of the MoCA. Pearson correlation was used to determine the strength of the relationship between the paper-based MoCA and the eMoCA scores. Concordance correlation coefficients (CCC) were calculated, and a Bland-Altman plot was employed to determine the level of agreement between the two testing methods. Additionally, MoCA scores were compared between individuals with and without prior touchscreen tablet experience.

Results: Among 46 participants included in the analysis, 12 (26.1%) had experience using a touchscreen tablet. The score discrepancy between the two MoCA versions ranged from - 8 to 6, with a mean (SD) difference of -1.33 (3.22). The Pearson correlation coefficient between the paper-based MoCA and the eMoCA was r = 0.54 (p = 0.001), with a concordance correlation coefficient of 0.47. The Bland-Altman plot showed 95% limits of agreement between - 7.63 and 4.98. Among participants with prior touchscreen tablet experience, scores between the paper-based MoCA and the eMoCA were comparable. However, those without prior touchscreen experience had significantly lower scores on the eMoCA compared to the paper-based MoCA (mean difference - 1.56, 95% CI -2.72 to -0.40).

Conclusions: The eMoCA demonstrated moderate correlation with the paper-based MoCA, with prior touchscreen tablet experience significantly affecting the validity of the MoCA scores between the two versions. Clinicians should consider individuals' level of touchscreen experience before selecting the administration modality.

计算机蒙特利尔认知评估在老年艾滋病毒感染者中的有效性:一项试点研究。
背景:随着老年艾滋病毒感染者(PWH)人数的增加,许多人面临神经认知问题。认知评估在这一特定人群的认知护理中起着至关重要的作用。我们的目的是确定传统的基于纸张和基于药片的认知评估工具在泰国老年PWH中的有效性。方法:年龄≥50岁的PWH采用泰国验证的蒙特利尔认知评估(MoCA)进行认知评估。参与者被随机分配先接受纸质MoCA或平板MoCA (eMoCA)。两周后,参与者回来完成另一个版本的MoCA。使用Pearson相关性来确定纸质MoCA和eMoCA分数之间的关系强度。计算一致性相关系数(CCC),并采用Bland-Altman图确定两种检验方法之间的一致程度。此外,还比较了有和没有触屏平板电脑体验的人的MoCA得分。结果:在纳入分析的46名参与者中,12名(26.1%)有使用触屏平板电脑的经验。两个MoCA版本的评分差异范围为- 8 ~ 6,平均(SD)差异为-1.33(3.22)。纸质MoCA与eMoCA的Pearson相关系数为r = 0.54 (p = 0.001),一致性相关系数为0.47。Bland-Altman图显示95%的一致性限在- 7.63和4.98之间。在先前有触屏平板电脑经验的参与者中,基于纸张的MoCA和eMoCA之间的得分是相当的。然而,那些之前没有触屏体验的人在eMoCA上的得分明显低于纸质MoCA(平均差异- 1.56,95% CI -2.72至-0.40)。结论:eMoCA与纸质MoCA表现出中度相关性,先前触屏平板电脑体验显著影响两种版本MoCA评分的效度。临床医生在选择给药方式之前应考虑个人的触屏体验水平。
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
BMC Neurology
BMC Neurology 医学-临床神经学
CiteScore
4.20
自引率
0.00%
发文量
428
审稿时长
3-8 weeks
期刊介绍: BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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