Feasibility of neuropsychological testing of older adults via videoconference: implications for assessing the capacity for independent living

Hildebrand, Roger; Chow, Hau; Williams, C.; Nelson, Monty; Wass, Peter

doi:10.1258/135763304323070751

Cited by 72 publications

(59 citation statements)

References 15 publications

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“…Neuropsychological tests relying upon verbal instructions and responses are particularly well suited to VTC administration, and good agreement between VTC and face-to-face testing has been seen in several studies. Montani et al (1997) were among the first to explore the use of the Mini-Mental State Examination (MMSE) and other cognitive screening tests in elderly inpatients, and this was followed by other investigations using a variety of brief measures in psychogeriatric (Ball & Puffett, 1998; Menon et al, 2001) and healthy older subjects (Hildebrand, Chow, Williams, Nelson, & Wass, 2004). Vestal, Smith-Olinde, Hicks, Hutton, and Hart (2006) demonstrated good agreement between neuropsychological measures of language administered to a small group of patients with dementia in face-to-face and VTC conditions, and promising telehealth-based neuropsychological assessment programs have been described in military settings as well (Clement, Brooks, Dean, & Galaz, 2001).…”

Section: Introductionmentioning

confidence: 99%

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Cullum

Hynan²,

Grosch

et al. 2014

J Int Neuropsychol Soc

224

136

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The use of videoconference technology to deliver health care diagnostics and treatment continues to grow at a rapid pace. Telepsychiatry and telepsychology applications are well-accepted by patients and providers, and both diagnostic and treatment outcomes have generally been similar to traditional face-to-face interactions. Preliminary applications of videoconference-based neuropsychological assessment (teleneuropsychology) have yielded promising results in the feasibility and reliability of several standard tests, although large-scale studies are lacking. This investigation was conducted to determine the reliability of video teleconference (VTC) - based neuropsychological assessment using a brief battery of standard neuropsychological tests commonly used in the evaluation of known or suspected dementia. Tests included the Mini-Mental State Examination (MMSE), Hopkins Verbal Learning Test-Revised, Digit Span forward and backward, short form Boston Naming Test, Letter and Category Fluency, and Clock Drawing. Tests were administered via VTC and in-person to subjects, counterbalanced using alternate test forms and standard instructions. Two hundred two adult subjects were tested in both rural and urban settings, including 83 with cognitive impairment and 119 healthy controls. We found highly similar results across VTC and in-person conditions, with significant intraclass correlations (mean = .74; range: 0.55–0.91) between test scores. Findings remained consistent in subjects with or without cognitive impairment and in persons with MMSE scores as low as 15. VTC-based neuropsychological testing is a valid and reliable alternative to traditional face-to-face assessment using selected measures. More VTC-based studies using additional tests in different populations are needed to fully explore the utility of this new testing medium.

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Section: Introductionmentioning

confidence: 99%

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Cullum

Hynan²,

Grosch

et al. 2014

J Int Neuropsychol Soc

224

136

View full text Add to dashboard Cite

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“…Growing evidence suggests that teleneuropsychology shows good agreement with traditional in-person assessment (Jacobsen, Sprenger, Andersson, & Krogstad, 2003; Kirkwood, Peck, & Bennie, 2001; Hildebrand, Chow, Williams, et al, 2004; Loh, Ramesh, Maher, et al, 2004; Vestal, Smith-Olinde, Hutton, & Hart, 2006). A feasibility study of teleneuropsychology in older subjects with and without dementia found correlations between 0.5 and 0.8 on a brief battery of common neuropsychological tools administered in-person and via videoconference (Cullum, Weiner, Gehrmann, & Hynan, 2006).…”

Section: Introductionmentioning

confidence: 99%

Consumer Acceptability of Brief Videoconference-based Neuropsychological Assessment in Older Individuals with and without Cognitive Impairment

Parikh

Grosch

Graham

et al. 2013

The Clinical Neuropsychologist

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Growing evidence suggests that neuropsychological assessment via videoconference shows good agreement with traditional in-person assessment. However, there are few published studies regarding patient acceptability of this methodology, particularly in individuals with cognitive impairment. In this study we sought to evaluate patient preferences and acceptability of teleneuropsychology to further shed light on the viability of this cognitive assessment medium. We examined acceptability of videoconference-based neuropsychological assessment among healthy aging individuals and in subjects with mild cognitive impairment or early stage Alzheimer disease. We found that teleneuropsychology appears to be well accepted by consumers. Our results reflected 98% satisfaction, and roughly 2/3 of participants indicated no preference between traditional face-to-face testing and examination by teleneuropsychology. Furthermore, even participants with cognitive impairment showed good acceptability of teleneuropsychological assessment. In conjunction with the preliminary data on reliability and validity from this growing literature, these results support teleneuropsychology as a viable and acceptable method for assessing cognitive functioning, and show promise for the implementation and utilization of this cognitive assessment medium in clinical and research settings.

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“…(10, 11, 12) VC evaluation of language has also been performed with AD patients. (13) There is a small literature on the use of videoconferencing (VC) to diagnose and treat cognitive disorders in older adults (14, 15, 16, 17) including a publication on the diagnosis of Alzheimer disease (AD) in persons with Down syndrome.…”

Section: Introductionmentioning

confidence: 99%

Videoconference diagnosis and management of Choctaw Indian dementia patients

Weiner

Rossetti

Harrah

2011

Alzheimer's & Dementia

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Background To report a 5-year experience using videoconference (VC) technology to diagnose and treat adult members of the Choctaw Nation with symptoms or complaints of cognitive impairment. Methods Patients were given the option of VC or face-to-face clinic. Prior to their VC session, patients underwent neuropsychological testing, Clinical Dementia Rating, Geriatric Depression Scale and Neuropsychiatric Inventory, brain CT, and routine blood tests. Physical observations made by VC included eyesight, hearing, facial expression, gait and station, coordination, tremor, rapid alternating movements, psychomotor activity, and motor tests of executive function. Cogwheeling and rigidity were tested by our on-site nurse, who also obtains vital signs as indicated. Results From January 2005 to March 2010 there 47 clinics, 171 visits, and 85 unique patients. There were 52 new evaluations and 119 follow-up visits. The number of visits ranged from 1–8; length of follow-up ranged from 1 month to 4.5 years. The no-show rate for all VC sessions in 2009 was 3%, and only 2 subjects in 5 years refused further VC visits. Conclusion Once cultural barriers are dealt with, VC-based diagnosis and treatment of adults with cognitive disorders who live in remote areas is feasible and well accepted by patients and families.

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Feasibility of neuropsychological testing of older adults via videoconference: implications for assessing the capacity for independent living

Cited by 72 publications

References 15 publications

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Consumer Acceptability of Brief Videoconference-based Neuropsychological Assessment in Older Individuals with and without Cognitive Impairment

Videoconference diagnosis and management of Choctaw Indian dementia patients

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