Validity of Teleneuropsychological Assessment in Older Patients with Cognitive Disorders

Abstract

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.

Telemedicine assessment of long-term cognitive and functional status in anti-leucine-rich, glioma-inactivated 1 encephalitis

“…Compared with cognitively normal patients, the estimated premorbid cognitive reserve of the 27 patients with cognitive impairment was lower (median [IQR]: 9 [7-13] vs 16 [9][10][11][12][13][14][15][16][17] points; p = 0.02), more frequent bilateral hippocampal hyperintensity on initial MRI (67% vs 11%; p = 0.009), poor response to first-line treatment (52% vs 11%; p = 0.03), required second-line treatment (41% vs 0%; p = 0.02), and had worse an mRS score at 2 years (mRS score ≥3 = 70% vs 33%; p = 0.049). No differences were observed regarding age at diagnosis, the presence of distinct clinical or paraclinical features, the delay to first-line treatment, the occurrence of relapses, or the time of follow-up.…”

“…9 In the case of rare diseases or patients' with restricted access to subspecialty care, such as autoimmune encephalitis, the use of telemedicine may be useful to assess cognitive performance in more detail over time. 10 In this study, we assessed the feasibility of using a structured telephone interview to examine long-term cognitive performance and functional status of patients with anti-LGI1 encephalitis.…”

Examining Older Adult Cognitive Status in the Time of COVID‐19

“…Several studies have examined intraclass correlation coefficients (ICCs) between virtual and face-to-face visits for select neuropsychological measures, suggesting these measurements are reliable across modalities 1,2 and show good criterion validity. 3 But, teleneuropsychological research has primarily focused on providing services to rural patients via video teleconference from a primary medical center to a rural clinic. Providing services directly to a patientʼs home introduces multiple latent variables that may be detrimental to construct validity, and makes extrapolating extant research to home-based virtual visits complicated.…”

Remote psychiatric consultations – top tips for clinical practitioners

“…It is important to ensure that virtual cognitive assessments are carried out using tools validated for remote assessments: Modified Telephone Interview for Cognitive Status (TICS-m), 12 Telephone-Montreal Cognitive Assessment (t-MoCA) and Cognitive Telephone Screening Instrument 13 (COGTEL) have reasonable validity in community-based studies.…”