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Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment

Published online by Cambridge University Press:  24 October 2014

C. Munro Cullum ,
L.S. Hynan ,
M. Grosch Open the ORCID record for M. Grosch [Opens in a new window] ,
M. Parikh  and
M.F. Weiner
C. Munro Cullum*
Affiliation:
Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, Texas Department of Neurology & Neurotherapeutics, The University of Texas Southwestern Medical Center, Dallas, Texas
L.S. Hynan
Affiliation:
Department of Clinical Sciences, The University of Texas Southwestern Medical Center, Dallas, Texas
M. Grosch
Affiliation:
Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, Texas
M. Parikh
Affiliation:
Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, Texas
M.F. Weiner
Affiliation:
Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, Texas Department of Neurology & Neurotherapeutics, The University of Texas Southwestern Medical Center, Dallas, Texas
*
Correspondence and reprint requests to: C. Munro Cullum, The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9044. E-mail: munro.cullum@utsouthwestern.edu
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Abstract

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. (JINS, 2014, 20, 1–6)

Keywords

TelehealthTelemedicineTeleneuropsychologyTelepsychologyDementiaVTC-testingRural and urban
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 20 , Issue 10 , November 2014 , pp. 1028 - 1033
Copyright
Copyright © The International Neuropsychological Society 2014 

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References

American Psychological Association Practice Organization. (2013). Retrieved from http://www.apa.org/practice/guidelines/telepsychology.aspx?item=1 Google Scholar
Ball, C., & Puffett, A. (1998). The assessment of cognitive function in the elderly using videoconferencing. Journal of Telemedicine and Telecare, 4(Suppl. 1), 36–38.Google Scholar
Barton, C., Morris, R., Rothlind, J., & Yaffe, K. (2011). Video-telemedicine in a memory disorders clinic: Evaluation and management of rural elders with cognitive impairment. Telemedicine and e-Health, 17(10), 789–793.CrossRefGoogle Scholar
Benedict, R. H. B., Schretlen, D., Groninger, L., & Brandt, J. (1998). Hopkins Verbal Learning Test–Revised: Normative data and analysis of inter-form and test-retest reliability. The Clinical Neuropsychologist, 12, 43–55.Google Scholar
Clement, P. F., Brooks, F. R., Dean, B., & Galaz, A. (2001). A neuropsychology telemedicine clinic. Military Medicine, 166(5), 382–384.Google Scholar
Cullum, C. M., & Grosch, M. G. (2012). Teleneuropsychology. In K. Myers & C. Turvey (Eds.), Telemental health: Clinical, technical and administrative foundations for evidence-based practice (pp. 275–294). Amsterdam: Elsevier.Google Scholar
Cullum, C. M., Weiner, M. F., Gehrmann, H. R., & Hynan, L. S. (2006). Feasibility of telecognitive assessment in dementia. Assessment, 13(4), 385–390.Google Scholar
Grosch, M. C., Gottlieb, M. C., & Cullum, C. M. (2011). Initial practice recommendations for teleneuropsychology. The Clinical Neuropsychologist, 25(7), 1119–1133.CrossRefGoogle ScholarPubMed
Halley, D., Roine, R., Ohinmaa, A., & Dennett, L. (2013). The status of telerehabilitation in neurological applications. Journal of Telemedicine and Telecare, 19, 307–310.CrossRefGoogle Scholar
Harrell, K. M., Wilkins, S. S., Connor, M. K., & Chodosh, J. (2014). Telemedicine and the evaluation of cognitive impairment: The additive value of neuropsychological assessment. Journal of the American Medical Directors Association, 15, 600–606.CrossRefGoogle ScholarPubMed
Hildebrand, R., Chow, H., Williams, C., Nelson, M., & Wass, P. (2004). Feasibility of neuropsychological testing of older adults via videoconference: Implications for assessing the capacity for independent living. Journal of Telemedicine and Telecare, 10, 130–134.Google Scholar
Hilty, D. M., Nesbitt, T. S., Kunneth, C. A., Crus, G. M., & Hales, R. E. (2007). Rural versus suburban primary care needs, utilization, and satisfaction with telepsychiatric consultation. Journal of Rural Health, 23(2), 163–165.Google Scholar
Jacobsen, S. E., Sprenger, T., Andersson, S., & Krogstad, J. (2003). Neuropsychological assessment: A preliminary study examining the reliability of neuropsychology services performed via telecommunication. Journal of the International Neuropsychological Society, 9(3), 472–478.Google Scholar
Kirkwood, K. T., Peck, D. F., & Bennie, L. (2000). The consistency of neuropsychological assessments performed via telecommunication and face to face. Journal of Telemedicine and Telecare, 6, 147–151.Google Scholar
Larner, A. J. (2011). Teleneurology: An overview of current status. Practical Neurology, 11, 283–288.Google Scholar
Loh, P. K., Donaldson, M., Flicker, L., Maher, S., & Goldswain, P. (2007). Development of a telemedicine protocol for the diagnosis of Alzheimer’s disease. Journal of Telemedicine and Telecare, 13, 90–94.CrossRefGoogle ScholarPubMed
Mack, W. J., Freed, D. M., Williams, B. W., & Henderson, V. W. (1992). Boston naming test: Shortened versions for use in Alzheimer’s disease. Journals of Gerontology, 47, 154–158.CrossRefGoogle ScholarPubMed
McCue, M., Fairman, A., & Pramuka, M. (2010). Enhancing quality of life through telerehabilitation. Physical Medicine and Rehabilitation Clinics of North America, 21(1), 195–205.CrossRefGoogle ScholarPubMed
Menon, A. S., Kondapavalru, P., Krishna, P., Chrismer, J. B., Raskin, A., Hebel, J. R., & Ruskin, P. E. (2001). Evaluation of a low cost videophone system in the assessment of depressive symptoms and cognitive function in elderly medically ill veterans. Journal of Nervous and Mental Disease, 189, 399–401.CrossRefGoogle ScholarPubMed
Montani, C., Billaud, N., Tyrrell, J., Fluchaire, I., Malterre, C., Lauvernay, N., & Franco, A. (1997). Psychological impact of a remote psychometric consultation with hospitalized elderly people. Journal of Telemedicine and Telecare, 3(3), 140–145.Google Scholar
Myers, K., & Turvey, C. (Eds.) 2012). Telemental health: Clinical, technical and administrative foundations for evidence-based practice. Ansterdam: Elsevier.Google Scholar
Parikh, M., Grosch, M. C., Graham, L. L., Hynan, L. S., Weiner, M. F., & Cullum, C. M. (2013). Consumer acceptability of brief videoconference-based neuropsychological assessment in older individuals with and without cognitive impairment. The Clinical Neuropsychologist, 27, 808–817.CrossRefGoogle ScholarPubMed
Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G. & Kokmen, E., (1999). Mild cognitive impairment: clinical characterization and outcome. Archives of Neurology, 56, 303–308.CrossRefGoogle ScholarPubMed
Shore, J. H. (2013). Telepsychiatry: Videoconferenceing in the delivery of psychiatric care. American Journal of Psychiatry, 170, 256–262.CrossRefGoogle ScholarPubMed
Shores, M. M., Ryan-Dykes, P., Williams, R. M., Mamerto, B., Sadak, T., Pascualy, M., & Peskind, E. R. (2004). Identifying undiagnosed dementia in residential care veterans: Comparing telemedicine to in-person clinical examination. International Journal of Geriatric Psychiatry, 19(2), 101–108.Google Scholar
Sloan, N. C., Reese, R. J., & McClellan, M. J. (2012). Telepsychology outcome research with children and adolescents: A review of the literature. Psychological Services, 9, 272–292.Google Scholar
Temple, V., Drummond, C., Valiquette, S., & Jozsvai, E. (2010). A comparison on intellectual assessments over video conferencing and in-person for individuals with ID: Preliminary data. Journal of Intellectual Disability Research, 54(6), 573–577.Google Scholar
Turner, T. H., Dorner, M. D., VanKirk, K. K., Myrick, H., & Tuerk, P. W. (2012). A pilot trial of neuropsychological evaluations conducted via telemedicine in the Veterans Health Administration. Telemedicine and e-Health, 18, 662–667.Google Scholar
Turvey, C., Coleman, M., Dennison, O., Drude, K., Goldenson, M., Hirsch, P., & Bernard, J. (2013). ATA practice guidelines for video-based online mental health services. Telemedicine and e-Health, 19, 722–730.Google Scholar
Vestal, L., Smith-Olinde, L., Hicks, G., Hutton, T., & Hart, J. Jr. (2006). Efficacy of language assessment in Alzheimer’s disease: Comparing in-person examination and telemedicine. Clinical Interventions in Aging, 1(4), 467–471.CrossRefGoogle ScholarPubMed
Weiner, M. F., Rossetti, H. C., & Harrah, K. (2011). Videoconference diagnosis and management of Choctaw Indian dementia patients. Alzheimers Dementia, 7, 562–566.Google Scholar