Validity of teleneuropsychology for older adults in response to COVID-19: A systematic and critical review.

Validity of teleneuropsychology for older adults in response to COVID-19: A systematic and critical review.
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DOI:
10.1080/13854046.2020.1769192
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发表时间:
2020-10
期刊:
The Clinical neuropsychologist
影响因子:
--
通讯作者:
Bowers D
Bowers D
中科院分区:
其他
文献类型:
--
作者:
Marra DE;Hamlet KM;Bauer RM;Bowers D

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由于最近的COVID-19大流行,神经心理学领域必须迅速发展,纳入通过远程医疗或远程神经心理学(TNP)提供的评估。鉴于由于公共卫生问题,以电子方式提供服务的需求日益增加,审查现有的TNP有效性研究非常重要。本系统综述建立在元分析工作的基础上,并提供了文献的最新综述,特别强调测试水平的效度数据。使用与三个互联网数据库(PubMed, EBSCOhost, PsycINFO)相似的方法检索自2016年以来发表的相关文章。研究纳入了在平衡交叉设计中接受面对面和TNP评估的老年人(65岁以上)。经审查,保留10条。结合Brearly(2017)分析的9篇文章,系统综述共纳入19项研究。保留的研究包括来自5个不同国家、不同种族/文化背景和不同诊断人群的样本。测试水平分析表明,认知筛选(MMSE、MoCA)、语言测试(BNT、字母流畅性)、注意/工作记忆任务(数字广度)和记忆测试(HVLT-R)对TNP效度有很强的支持。其他措施很有希望,但目前缺乏足够的支持。很少有TNP研究在家里进行评估,大多数研究都依赖于个人电脑或笔记本电脑。总的来说,在老年人中进行TNP评估似乎得到了很好的支持。讨论了TNP在当前气候下面临的挑战。最后,提供了我们诊所使用的可行TNP程序的临时大纲。
Due to the recent COVID-19 pandemic, the field of neuropsychology must rapidly evolve to incorporate assessments delivered via telehealth, or teleneuropsychology (TNP). Given the increasing demand to deliver services electronically due to public health concerns, it is important to review available TNP validity studies. This systematic review builds upon the work of meta-analysis and provides an updated review of the literature, with special emphasis on test-level validity data. Using similar methodology as three internet databases (PubMed, EBSCOhost, PsycINFO) were searched for relevant articles published since 2016. Studies with older adults (aged 65+) who underwent face-to-face and TNP assessments in a counterbalanced cross-over design were included. After review, 10 articles were retained. Combined with 9 articles from Brearly’s (2017) analysis, a total of 19 studies were included in the systematic review. Retained studies included samples from 5 different countries, various ethnic/cultural backgrounds, and diverse diagnostic populations. Test-level analysis suggests there are cognitive screeners (MMSE, MoCA), language tests (BNT, Letter Fluency), attention/working memory tasks (Digit Span Total), and memory tests (HVLT-R) with strong support for TNP validity. Other measures are promising but lack sufficient support at this time. Few TNP studies have done in-home assessments and most studies rely on a PC or laptop. Overall, there appears to be good support for TNP assessments in older adults. Challenges to TNP in the current climate are discussed. Finally, a provisional outline of viable TNP procedures used in our clinic is provided.
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发表时间: 2018-05-11
期刊: JMIR MENTAL HEALTH
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作者:
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