Remote Neuropsychological Assessment in Rural American Indians with and without Cognitive Impairment

To determine the feasibility and reliability of a brief battery of standard neuropsychological tests administered via video teleconference (VTC) to a sample of rural American Indians compared with traditional face-to-face administration. The sample consisted of 84 participants from the Choctaw Natio...

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Bibliographic Details
Published in:Archives of clinical neuropsychology 2016-08, Vol.31 (5), p.420-425
Main Authors: Wadsworth, Hannah E, Galusha-Glasscock, Jeanine M, Womack, Kyle B, Quiceno, Mary, Weiner, Myron F, Hynan, Linda S, Shore, Jay, Cullum, C Munro
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Alzheimer Disease - complications
Cognitive Dysfunction - diagnosis
Cognitive Dysfunction - etiology
Female
Humans
Indians, North American - psychology
Male
Mental Status Schedule
Middle Aged
Neuropsychological Tests - standards
Original Empirical
Rural Population
Videoconferencing
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Summary:To determine the feasibility and reliability of a brief battery of standard neuropsychological tests administered via video teleconference (VTC) to a sample of rural American Indians compared with traditional face-to-face administration. The sample consisted of 84 participants from the Choctaw Nation in Oklahoma, including 53 females and 31 males [M age = 64.89 (SD = 9.73), M education = 12.58 (SD = 2.35)]. Of these, 29 had a diagnosis of mild cognitive impairment or dementia, and 55 were cognitively normal. Tests included the MMSE, Clock Drawing, Digit Span Forward and Backward, Oral Trails, Hopkins Verbal Learning Test-Revised, Letter and Category Fluency, and a short form Boston Naming Test. Alternative forms of tests were administered in counterbalanced fashion in both face-to-face and VTC conditions. Intraclass correlation coefficients (ICCs) were used to compare test scores between test conditions across the entire sample. All ICCs were significant (p< .0001) and ranged from 0.65 (Clock Drawing) to 0.93 (Boston Naming Test), with a mean ICC of 0.82. Results add to the expanding literature supporting the feasibility and reliability of remote videoconference-based neuropsychological test administration and extend findings to American Indians.
ISSN:0887-6177
1873-5843
1873-5843
DOI:10.1093/arclin/acw030