Reliability of the MMSE Administered In-Person and by Telehealth
Reliability of the MMSE Administered In-Person and by Telehealth
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DOI：
10.1017/s0317167100009458
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发表时间：
2008-11-01
影响因子：
3
通讯作者：
Henry, Carol
中科院分区：
文献类型：
--
作者：
McEachern, Wendaline;Kirk, Andrew;Henry, Carol
背景：远程保健的最新进展改善了农村地区病人获得保健的机会。重要的是，通过远程保健进行的检查与面对面的检查相当。萨斯卡通的一家农村和偏远记忆诊所提供了难得的机会来比较面对面和通过远程保健进行的基本精神状态检查（MMSE）的分数。方法：在萨斯卡通进行初步的一天评估。患者分别于6周和12周随访。个别患者被随机分配到萨斯卡通进行现场随访评估或在其家庭社区进行远程医疗评估。最初接受现场评估的患者在下一次随访时接受远程医疗服务，反之亦然。同一位神经科医生在所有就诊时均给予mses。本研究纳入了前71例6周和12周随访评估的患者。使用Bland和Altman方法以及配对t检验比较现场和远程医疗MMSE管理的得分。结果：MMSE评分在远程医疗（22.34 +/- 6.35）和现场评估（22.70 +/- 6.51）之间无显著差异。结论：远程医疗为偏远地区患者的精神状态评估提供了可接受的手段。
Background: Recent advances in telehealth have improved access to health care for those ill rural areas. It is important that examinations conducted via telehealth are comparable to in-person testing. A rural and remote memory clinic in Saskatoon provided ill opportunity to compare scores oil the Mini-Mental State Examination (MMSE) administered in-person and via telehealth. Methods: After all initial one day assessment in Saskatoon. patients were seen ill follow-up at 6 and 12 weeks. Individual patients were randomly assigned to either in-person follow-up assessment in Saskatoon or telehealth assessment in their home community. Patients who initially received in-person assessments were seen by telehealth for their next follow-up visit and vice-versa. The same neurologist administered MMSEs at all visits. The first 71 patients with both 6 and 12 week follow-up assessments were included in this study. The scores of in-person and telehealth MMSE administrations were compared using the methods of Bland and Altman as well as a paired t-test. Results: MMSE scores did not differ significantly between telehealth (22.34 +/- 6.35) and in-person (22.70 +/- 6.51) assessments. Conclusion: Telehealth provides in acceptable means of assessing mental status of patients in remote areas.