دورية أكاديمية

Feasibility of Remote Administration of the Uniform Data Set-Version 3 for Assessment of Older Adults With Mild Cognitive Impairment and Alzheimer's Disease.

التفاصيل البيبلوغرافية
العنوان: Feasibility of Remote Administration of the Uniform Data Set-Version 3 for Assessment of Older Adults With Mild Cognitive Impairment and Alzheimer's Disease.
المؤلفون: Sachs BC; Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Latham LA; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Bateman JR; Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA., Cleveland MJ; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Espeland MA; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA., Fischer E; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Gaussoin SA; Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA., Leng I; Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA., Rapp SR; Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Rogers S; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Shappell HM; Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA., Williams BJ; Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Yang M; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA., Craft S; Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
المصدر: Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists [Arch Clin Neuropsychol] 2024 Jul 24; Vol. 39 (5), pp. 635-643.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: United States NLM ID: 9004255 Publication Model: Print Cited Medium: Internet ISSN: 1873-5843 (Electronic) Linking ISSN: 08876177 NLM ISO Abbreviation: Arch Clin Neuropsychol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Oxford University Press
Original Publication: New York : Pergamon Press, c1986-
مواضيع طبية MeSH: Cognitive Dysfunction*/diagnosis , Cognitive Dysfunction*/etiology , Alzheimer Disease*/diagnosis , Feasibility Studies* , Neuropsychological Tests*/standards , Neuropsychological Tests*/statistics & numerical data, Humans ; Female ; Male ; Aged ; Aged, 80 and over ; Reproducibility of Results ; Middle Aged
مستخلص: Objective: Assess the feasibility and concurrent validity of a modified Uniform Data Set version 3 (UDSv3) for remote administration for individuals with normal cognition (NC), mild cognitive impairment (MCI), and early dementia.
Method: Participants (N = 93) (age: 72.8 [8.9] years; education: 15.6 [2.5] years; 72% female; 84% White) were enrolled from the Wake Forest ADRC. Portions of the UDSv3 cognitive battery, plus the Rey Auditory Verbal Learning Test, were completed by telephone or video within ~6 months of participant's in-person visit. Adaptations for phone administration (e.g., Oral Trails for Trail Making Test [TMT] and Blind Montreal Cognitive Assessment [MoCA] for MoCA) were made. Participants reported on the pleasantness, difficulty, and preference for each modality. Staff provided validity ratings for assessments. Participants' remote data were adjudicated by cognitive experts blinded to the in person-diagnosis (NC [N = 44], MCI [N = 35], Dementia [N = 11], or other [N = 3]).
Results: Remote assessments were rated as pleasant as in-person assessments by 74% of participants and equally difficult by 75%. Staff validity rating (video = 92%; phone = 87.5%) was good. Concordance between remote/in-person scores was generally moderate to good (r = .3 -.8; p < .05) except for TMT-A/OTMT-A (r = .3; p > .05). Agreement between remote/in-person adjudicated cognitive status was good (k = .61-.64).
Conclusions: We found preliminary evidence that older adults, including those with cognitive impairment, can be assessed remotely using a modified UDSv3 research battery. Adjudication of cognitive status that relies on remotely collected data is comparable to classifications using in-person assessments.
(© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
معلومات مُعتمدة: P30 AG021332 United States AG NIA NIH HHS; P30 AG072947 United States AG NIA NIH HHS; P30 AG049638 United States AG NIA NIH HHS; P30 AG049638 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: Alzheimer’s disease; Dementia; Mild cognitive impairment
تواريخ الأحداث: Date Created: 20240131 Date Completed: 20240725 Latest Revision: 20240725
رمز التحديث: 20240726
DOI: 10.1093/arclin/acae001
PMID: 38291734
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-5843
DOI:10.1093/arclin/acae001