Validity of Teleneuropsychological Assessment in Older Patients with Cognitive Disorders

Hannah E Wadsworth; Kaltra Dhima; Kyle B Womack; John Hart; Myron F Weiner; Linda S Hynan; C Munro Cullum

doi:10.1093/arclin/acx140

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Validity of Teleneuropsychological Assessment in Older Patients with Cognitive Disorders

Journal article

Open access

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Validity of Teleneuropsychological Assessment in Older Patients with Cognitive Disorders

Hannah E Wadsworth, Kaltra Dhima, Kyle B Womack, John Hart, Myron F Weiner, Linda S Hynan and C Munro Cullum

Archives of clinical neuropsychology, Vol.33(8), pp.1040-1045

01/10/2018

DOI: 10.1093/arclin/acx140

PMCID: PMC6887729

PMID: 29329363

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Abstract

Objective: The feasibility and reliability of neuropsychological assessment at a distance have been demonstrated, but the validity of this testing medium has not been adequately demonstrated. The purpose of this study was to determine the ability of video teleconferencing administration of neuropsychological measures (teleneuropsychology) in discriminating cognitively impaired from non-impaired groups of older adults. It was predicted that measures administered via video teleconference would distinguish groups and that the magnitude of differences between impaired and non-impaired groups would be similar to group differences achieved in traditional administration. Methods: The sample consisted of 197 older subjects, separated into two groups, with and without cognitive impairment. The cognitive impairment group included 78 individuals with clinical diagnoses of mild cognitive impairment or Alzheimer's disease. All participants completed counterbalanced neuropsychological testing using alternate test forms in both a teleneuropsychology and a traditional face-to-face (FTF) administration condition. Tests were selected based upon their common use in dementia evaluations, brevity, and assessment of multiple cognitive domains. Results from FTF and teleneuropsychology test conditions were compared using individual repeated measures ANCOVA, controlling for age, education, gender, and depression scores. Results: All ANCOVA models revealed significant main effects of group and a non-significant interaction between group and administration condition. All ANCOVA models revealed non-significant main effects for administration condition, except category fluency. Conclusions: Results derived from teleneuropsychologically administered tests can distinguish between cognitively impaired and non-impaired individuals similar to traditional FTF assessment. This adds to the growing teleneuropsychology literature by supporting the validity of remote assessments in aging populations.

Dementia

Neuropsychology

Telemedicine

Original Empirical

Telehealth

Details

Title: Subtitle: Validity of Teleneuropsychological Assessment in Older Patients with Cognitive Disorders
Creators: Hannah E Wadsworth - The University of Texas Southwestern Medical Center
Kaltra Dhima - The University of Texas Southwestern Medical Center
Kyle B Womack - The University of Texas Southwestern Medical Center
John Hart - The University of Texas Southwestern Medical Center
Myron F Weiner - The University of Texas Southwestern Medical Center
Linda S Hynan - The University of Texas Southwestern Medical Center
C Munro Cullum - The University of Texas Southwestern Medical Center
Resource Type: Journal article
Publication Details: Archives of clinical neuropsychology, Vol.33(8), pp.1040-1045
DOI: 10.1093/arclin/acx140
PMID: 29329363
PMCID: PMC6887729
NLM abbreviation: Arch Clin Neuropsychol
ISSN: 0887-6177
eISSN: 1873-5843
Publisher: Oxford University Press
Grant note: ; ;
Language: English
Date published: 01/10/2018
Academic Unit: Neurology
Record Identifier: 9984303020602771

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