Can patients with dementia be assessed at a distance? The use of Telehealth and standardised assessments

Loh, Poh-kooi; Ramesh, Priyanka; Maher, Suzanne A.; Saligari, J.; Flicker, Leon; Goldswain, Peter

doi:10.1111/j.1444-0903.2004.00531.x

Cited by 103 publications

(91 citation statements)

References 9 publications

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“…For example, it has been used for collaborations between healthcare professionals (e.g., Katzman 2013;Zollo et al 1999), a wide range of assessments (e.g., Loh et al 2004;Turkstra et al 2012), medical diagnostic services (e.g., Edison et al 2008;Torres-Pereira et al 2008), monitoring of long-term conditions (e.g., Fatehi et al 2014;Inglis et al 2014), parent training (e.g., Reese et al 2015;Xie et al 2013), speech and language therapy interventions (e.g., Georgeadis et al 2004;Grogan-Johnson et al 2011), and mental health support (e.g., Klein et al 2010;Mitchell et al 2008). Delivering services via telehealth may have a number of practical advantages for clinical practice in that it may enable increased access to populations that are hard to reach (e.g., those with rare conditions or those living in rural areas), reduce travel related costs, make scheduling appointments easier, and even increase family carer participation in interventions with their child as the clinician is not physically present (see, for discussion, Hilty et al 2002;Meadan and Daczewitz 2015).…”

Section: Introductionmentioning

confidence: 99%

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

2018

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The purpose of this article is to summarize literature relating to training individuals to implement applied behavior analytic procedures via telehealth and identify any gaps in the evidence base for this type of support. A systematic literature search revealed 20 articles focusing on training individuals to implement specific ABA techniques via telehealth. The Evaluative Method (Reichow et al. in J Austism Dev Disord 38:1311-1319; Reichow, in: Reichow, Doehring, Cicchetti, Volkmar (eds) Evidence-based practices and treatments for children with autism, Springer, New York, Reichow 2011) was used to assess the methodological quality of included articles. Results indicated that individuals were trained to implement a range of techniques, including assessments, targeted interventions, and specific teaching techniques. Socially significant outcomes were reported for clients in the form of reduced challenging behavior and increased skills. Trainee fidelity following training via telehealth was variable, and barriers related to the use of telehealth were highlighted. Where evaluated, cost and travel burdens were considerably lower than support provided in-person. The emerging literature is promising and suggests that telehealth may be an effective means of training individuals in ABA techniques; however, wider issues and practical implications related to the use of telehealth should be considered and are discussed as it relates to ABA providers.

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Section: Introductionmentioning

confidence: 99%

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

2018

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“…Other studies have had small sample sizes, tested normal subjects, and had more than one examiner performing the testing. 9 In another study of remote versus in-person assessment, the "remote" location was an adjacent room. 6 Strengths of the present study are that it was conducted in a real clinical setting from a referral base, all patients had neuropsychological testing and neurologic examination at baseline, the telehealth assessments were performed with the patients in an actual rural setting, and the same neurologist administered all the MMSEs.…”

Section: Discussionmentioning

confidence: 99%

“…9 Prior studies in this area have included small sample sizes and have not necessarily been in clinical settings. [6][7][8][9] Correlations have sometimes been used instead of measures of equivalency.…”

Section: Original Articlementioning

confidence: 99%

Reliability of the MMSE Administered In-Person and by Telehealth

McEachern

Kirk

Morgan

et al. 2008

Can. j. neurol. sci.

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Background:Recent advances in telehealth have improved access to health care for those in rural areas. It is important that examinations conducted via telehealth are comparable to in-person testing. A rural and remote memory clinic in Saskatoon provided an opportunity to compare scores on the Mini-Mental State Examination (MMSE) administered in-person and via telehealth.Methods:After an initial one day assessment in Saskatoon, patients were seen in follow-up at 6 and 12 weeks. Individual patients were randomly assigned to either in-person follow-up assessment in Saskatoon or telehealth assessment in their home community. Patients who initially received in-person assessments were seen by telehealth for their next follow-up visit and vice-versa. The same neurologist administered MMSEs at all visits. The first 71 patients with both 6 and 12 week follow-up assessments were included in this study. The scores of in-person and telehealth MMSE administrations were compared using the methods of Bland and Altman as well as a paired t-test.Results:MMSE scores did not differ significantly between telehealth (22.34 +/- 6.35) and in-person (22.70 +/- 6.51) assessments.Conclusion:Telehealth provides an acceptable means of assessing mental status of patients in remote areas.

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“…A comparison of an urban memory clinic and a rural satellite (Wackerbarth, Johnson, Markesbery, & Smith, 2001) found few differences in rural vs. urban patients. Studies examining the use of telehealth videoconferencing suggest that psychometric (Ball & Puffett, 1998;Loh, et al, 2004;Montani et al, 1996;Tyrrell, Couturier, Montani, & Franco, 2001) and neurological examination (Craig, McConville, Patterson, & Wootton, 1999) can be done using this technology.…”

Section: Memory Clinic Design and Operationsmentioning

confidence: 99%

Improving access to dementia care: Development and evaluation of a rural and remote memory clinic

Morgan

Crossley

Kirk

et al. 2009

Aging & Mental Health

119

147

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Can patients with dementia be assessed at a distance? The use of Telehealth and standardised assessments

Abstract: Remote assessments with SMMSE and GDS using Telehealth methods yielded similar results to direct assessments. However, there was a moderate difference between face-to-face and Telehealth assessments in some subjects, which could influence clinical decision-making.

Cited by 103 publications

References 9 publications

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

Reliability of the MMSE Administered In-Person and by Telehealth

Improving access to dementia care: Development and evaluation of a rural and remote memory clinic

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