Castanho Teresa Costa, Sousa Nuno, Santos Nadine Correia
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal.
J Alzheimers Dis Rep. 2017 May 8;1(1):15-21. doi: 10.3233/ADR-170007.
People living with cognitive impairment and dementia require regular screening of their symptomatology and needs. Brief cognitive screening is crucial for assessing these conditions. Such screening can give health professionals a snapshot of the patient's cognitive abilities and help in their monitoring and adaptation. An appropriate administration of brief cognitive screening using telemedicine technology, such as videoconference, can improve access to care and treatment planning. Moreover, the burden that rural and underserved communities often suffer because of limited access to specialty mental health services is also of concern. Herein, in this review, we describe the existing and relevant research regarding the administration of neuropsychological instruments via videoconferencing, and suggest methodological improvements for further studies. To date, only a handful of scientific studies have been published documenting the feasibility and acceptability of videoconferencing among older people and health professionals. Varying in their assessment tools, the studies demonstrate the reliability of cognitive testing and clinical diagnosis of dementia via videoconferencing, as noted by the associations between results of several cognitive tests using it as compared to face-to-face interviews. Further research is required to replicate findings and bring new solutions for their adaptation to a wide range of individuals, health professionals, areas of practice and settings.
认知障碍和痴呆症患者需要定期筛查其症状和需求。简短的认知筛查对于评估这些状况至关重要。此类筛查能够让医疗专业人员快速了解患者的认知能力,并有助于他们进行监测和调整。使用远程医疗技术(如视频会议)进行适当的简短认知筛查,可以改善医疗服务的可及性和治疗计划。此外,农村和医疗服务不足社区常常因获得专科心理健康服务的机会有限而承受的负担也令人担忧。在此综述中,我们描述了通过视频会议进行神经心理学测试的现有相关研究,并为进一步研究提出方法学上的改进建议。迄今为止,仅有少数科学研究发表,记录了视频会议在老年人和医疗专业人员中的可行性和可接受性。这些研究的评估工具各不相同,结果表明,与面对面访谈相比,通过视频会议进行认知测试和痴呆症临床诊断具有可靠性,这体现在多项认知测试结果之间的关联上。需要进一步研究来重复这些发现,并为使其适用于广泛的个体、医疗专业人员、实践领域和环境带来新的解决方案。