Department of Psychiatry, State University of New York at Buffalo, Buffalo, New York, USA.
Telemed J E Health. 2011 Apr;17(3):223-5. doi: 10.1089/tmj.2010.0144. Epub 2011 Mar 28.
To determine whether or not the Abnormal Involuntary Movement Scale (AIMS), an examination that relies on visual judgments, can be reliably measured via video conferencing equipment.
AIMS scores were assessed by two independent raters in face-to-face contact with the subject and two raters observing remotely via audio-visual transmission. We determined inter-rater reliabilities using the Intraclass Correlation Coefficient (ICC). We assessed if the condition of the rater influenced the ICC. We distinguished between whether the rater was physically in the room with the subject or was connected via video. We then statistically compared the differences between these conditions.
There were no significant statistical differences between the raters, which could be attributed to the condition while assessing involuntary movements using the AIMS instrument. Regardless of whether this assessment was conducted by direct observation or via video conferencing equipment, the results were reliable to the same degree.
Reliable neuropsychiatric assessments can be conducted using telemedicine even if primarily visual input is evaluated.
确定依赖于视觉判断的异常不自主运动量表（AIMS）是否可以通过视频会议设备进行可靠测量。
通过与受试者进行面对面接触的两名独立评估者和通过音频-视频传输进行远程观察的两名评估者对 AIMS 评分进行评估。我们使用组内相关系数（ICC）确定了评估者之间的可靠性。我们评估了评估者的状况是否会影响 ICC。我们区分了评估者是在与受试者在同一房间内还是通过视频连接。然后，我们对这些条件之间的差异进行了统计学比较。
评估者之间没有显著的统计学差异，可以归因于使用 AIMS 仪器评估不自主运动时的情况。无论评估是通过直接观察还是通过视频会议设备进行，结果的可靠性程度相同。
即使主要评估视觉输入，也可以通过远程医疗进行可靠的神经精神评估。
