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在新冠疫情期间,对门诊儿科样本中居家远程医疗和面对面进行神经心理学测量的情况进行比较。

Comparing in-home telehealth and in-person administration of neuropsychological measures in an outpatient pediatric sample during the COVID-19 pandemic.

作者信息

Manning Madeline C, Vuijk Pieter J, Laurent Eline, Cook Emmaline, Braaten Ellen B, Doyle Alysa E, Colvin Mary K

机构信息

Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.

出版信息

Clin Neuropsychol. 2025 Jul;39(5):1301-1315. doi: 10.1080/13854046.2024.2403734. Epub 2024 Sep 19.

DOI:10.1080/13854046.2024.2403734
PMID:39300708
Abstract

Research establishing the validity of neuropsychological assessment using telehealth (teleNP) is much needed in pediatric populations. Current analyses compared performances on twelve common neuropsychological measures completed at home teleNP or in-person during the COVID-19 pandemic in 476 youth (ages 6 to 17, M 11.4 ± 3.0). No differences were found on nine measures. In-person performances on three verbal tests were ∼1 scaled score point lower (all p <.05). Post-hoc analyses showed that the in-person pandemic performances were comparable to an in-person pre-pandemic cohort (unmasked). Overall, teleNP was comparable to in-person assessment. Results indicate that teleNP administration does not result in substantially different performance in pediatric patients undergoing clinical evaluations.

摘要

在儿科人群中,非常需要开展研究来确定使用远程医疗进行神经心理学评估(远程神经心理学评估)的有效性。当前的分析比较了476名青少年(年龄6至17岁,平均年龄11.4±3.0岁)在新冠疫情期间在家中通过远程神经心理学评估或亲自进行评估时,在十二项常见神经心理学测试中的表现。在九项测试中未发现差异。在三项语言测试中,亲自评估的表现平均低约1个量表得分点(所有p<.05)。事后分析表明,疫情期间亲自评估的表现与疫情前未戴口罩的亲自评估队列相当。总体而言,远程神经心理学评估与亲自评估相当。结果表明,在接受临床评估的儿科患者中,远程神经心理学评估管理不会导致表现有显著差异。

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Remote and in-clinic digital cognitive screening tools outperform the MoCA to distinguish cerebral amyloid status among cognitively healthy older adults.远程和门诊数字认知筛查工具在区分认知健康的老年人脑淀粉样蛋白状态方面优于蒙特利尔认知评估量表(MoCA)。
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