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农村青少年早期精神病患者的远程神经心理评估的可行性。

The feasibility of videoconferencing for neuropsychological assessments of rural youth experiencing early psychosis.

机构信息

Centre for Rural and Remote Mental Health, University of Newcastle, Bloomfield Hospital, Forest Road, Orange, New South Wales 2800, Australia.

出版信息

J Telemed Telecare. 2011;17(6):328-31. doi: 10.1258/jtt.2011.101015. Epub 2011 Aug 15.

Abstract

We conducted a pilot study of the feasibility of videoconferencing as a mode of neuropsychological assessment in young people (14-30 years) from a rural area of New South Wales experiencing early psychosis. All participants (n = 11) completed assessments both face-to-face and by videoconference at a bandwidth of 384 kbit/s. Assessments included confirmation of diagnosis, quality of life and neurocognitive functioning. There was a strong correlation between modes of assessment for most instruments. Bland-Altman plots indicated that in general the mean difference between face-to-face and videoconference modes of assessment was close to zero with significant bias only evident for general cognitive functioning (WTAR), where videoconferencing produced higher ratings than face-to-face assessments. Feedback from the participants indicated strong acceptability of assessment by videoconferencing, thus supporting further investigation of use of this mode of assessment for clinical and research purposes.

摘要

我们进行了一项试点研究,以探讨视频会议作为一种在新南威尔士州农村地区经历早期精神病的年轻人(14-30 岁)进行神经心理学评估的模式的可行性。所有参与者(n=11)均在 384 kbit/s 的带宽下通过面对面和视频会议两种方式完成评估。评估包括确认诊断、生活质量和神经认知功能。对于大多数工具,评估模式之间存在很强的相关性。Bland-Altman 图表明,在大多数情况下,面对面和视频会议评估模式之间的平均差异接近零,只有一般认知功能(WTAR)存在显著偏差,视频会议评估结果高于面对面评估。参与者的反馈表明,他们强烈接受通过视频会议进行评估,因此支持进一步研究将这种评估模式用于临床和研究目的。

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