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Comparing Performance Across In-person and Videoconference-Based Administrations of Common Neuropsychological Measures in Community-Based Survivors of Stroke

Published online by Cambridge University Press:  09 December 2020

Jodie E. Chapman Open the ORCID record for Jodie E. Chapman [Opens in a new window] ,
Betina Gardner Open the ORCID record for Betina Gardner [Opens in a new window] ,
Jennie Ponsford Open the ORCID record for Jennie Ponsford [Opens in a new window] ,
Dominique A. Cadilhac Open the ORCID record for Dominique A. Cadilhac [Opens in a new window]  and
Renerus J. Stolwyk Open the ORCID record for Renerus J. Stolwyk [Opens in a new window]
Jodie E. Chapman
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia
Betina Gardner
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia Department of Psychiatry, Monash University, Melbourne, Victoria, Australia
Jennie Ponsford
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia Monash Epworth Rehabilitation Research Centre, Epworth HealthCare,Melbourne, Victoria, Australia
Dominique A. Cadilhac
Affiliation:
Stroke & Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia Stroke Division, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Heidelberg, Victoria, Australia
Renerus J. Stolwyk*
Affiliation:
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia Monash Epworth Rehabilitation Research Centre, Epworth HealthCare,Melbourne, Victoria, Australia
*
*Correspondence and reprint requests to: Renerus J. Stolwyk, School of Psychological Sciences and Turner Institute for Brain and Mental Health, 18 Innovation Walk, Monash University, Melbourne, Victoria3800, Australia. E-mail: rene.stolwyk@monash.edu
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Abstract

Objective:

Neuropsychological assessment via videoconference could assist in bridging service access gaps due to geographical, mobility, or infection control barriers. We aimed to compare performances on neuropsychological measures across in-person and videoconference-based administrations in community-based survivors of stroke.

Method:

Participants were recruited through a stroke-specific database and community advertising. Stroke survivors were eligible if they had no upcoming neuropsychological assessment, concurrent neurological and/or major psychiatric diagnoses, and/or sensory, motor, or language impairment that would preclude standardised assessment. Thirteen neuropsychological measures were administered in-person and via videoconference in a randomised crossover design (2-week interval). Videoconference calls were established between two laptop computers, facilitated by Zoom. Repeated-measures t tests, intraclass correlation coefficients (ICCs), and Bland–Altman plots were used to compare performance across conditions.

Results:

Forty-eight participants (26 men; Mage = 64.6, SD = 10.1; Mtime since stroke = 5.2 years, SD = 4.0) completed both sessions on average 15.8 (SD = 9.7) days apart. For most measures, the participants did not perform systematically better in a particular condition, indicating agreement between administration methods. However, on the Hopkins Verbal Learning Test – Revised, participants performed poorer in the videoconference condition (Total Recall Mdifference = −2.11). ICC estimates ranged from .40 to .96 across measures.

Conclusions:

This study provides preliminary evidence that in-person and videoconference assessment result in comparable scores for most neuropsychological tests evaluated in mildly impaired community-based survivors of stroke. This preliminary evidence supports teleneuropsychological assessment to address service gaps in stroke rehabilitation; however, further research is needed in more diverse stroke samples.

Keywords

Cerebrovascular disordersCognitionComparative effectivenessNeuropsychologyTelehealthTeleneuropsychology
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 27 , Issue 7 , August 2021 , pp. 697 - 710
Copyright
Copyright © INS. Published by Cambridge University Press, 2020

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