Remote Assessment of Pediatric Patients with Daytime Sleepiness and Healthy Controls: A Pilot Study of Feasibility and Reliability.
Remote Assessment of Pediatric Patients with Daytime Sleepiness and Healthy Controls: A Pilot Study of Feasibility and Reliability.
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DOI：
10.1177/2329048x211048064
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发表时间：
2021-01
影响因子：
--
通讯作者：
Maski K
中科院分区：
文献类型：
--
作者：
Worhach J;Boduch M;Zhang B;Maski K
我们评估了 8 至 19 岁患有发作性睡病或主观白天嗜睡的儿童和青少年与健康对照组相比认知测试的可靠性。 46 名参与者参加了这项研究（n = 18 名 1 型发作性睡病，n = 6 主观白天嗜睡，n = 22 名健康对照）。参与者亲自完成韦克斯勒智力量表第二版 (WASI-II) 中的言语（词汇测试）和非言语智商 (IQ) 任务（块设计、矩阵推理），或通过符合 HIPAA 的远程医疗平台远程完成条件平衡。我们发现，远程和现场测试条件下词汇 T 分数显示出良好的可靠性，组内相关系数 (ICC) 为 0.76（95% CI：0.64，0.85）。矩阵推理 T 分数显示出中等可靠性（ICC 0.69，95% CI：0.68，0.90），而块设计 T 分数在测试条件下较差。总体而言，这项试点研究的结果支持了远程医疗收集的语言和非语言智商分数的可行性和可靠性。
We assessed the reliability of cognitive testing for children and adolescents ages 8 to 19 years of age with narcolepsy or subjective daytime sleepiness compared to healthy controls. Forty-six participants took part in the study (n = 18 narcolepsy type 1, n = 6 subjective daytime sleepiness, and n = 22 healthy controls). Participants completed verbal (vocabulary testing) and non-verbal intelligence quotient (IQ) tasks (block design, matrix reasoning) from the Wechsler Abbreviated Scale of Intelligence- Second Edition (WASI-II) in-person or remotely through a HIPAA compliant telehealth platform with conditions counterbalanced. We found that vocabulary T-scores showed good reliability with intraclass correlation coefficient (ICC) of 0.76 (95% CI: 0.64, 0.85) between remote and in-person testing conditions. Matrix Reasoning T-scores showed moderate reliability (ICC 0.69, 95% CI: 0.68, 0.90) and Block Design T-scores was poor between testing conditions. Overall, the results of this pilot study support the feasibility and reliability of verbal and non-verbal IQ scores collected by telehealth.