Yildirim Elif, Soncu Buyukiscan Ezgi, Akça Kalem Şükriye, Gürvit Hakan
Department of Psychology, Isik University, Istanbul, Turkey.
Department of Psychology, Acibadem University, Istanbul, Turkey.
Clin Neuropsychol. 2025 Jul;39(5):1097-1118. doi: 10.1080/13854046.2025.2451247. Epub 2025 Jan 13.
During the COVID-19 pandemic, the need to continue diagnosis and treatment processes, in addition to scientific research, led to a rapid shift towards direct-to-home tele-neuropsychology administrations, the reliability and validity of which had not been clearly established then. This study, therefore, aimed to examine the reliability of direct-to-home tele-neuropsychological assessment (TNP). The sample included 105 cognitively healthy individuals aged between 50-83 years, and 47 patients diagnosed with neurocognitive disorders (mild cognitive impairment and early-stage Alzheimer's type dementia). All participants underwent both face-to-face and teleneuropsychological assessments in a counterbalanced order. The results revealed that performances across measures of attention, working memory, verbal fluency, verbal and visual memory, and visual perception were comparable across assessment modalities. Intraclass correlation coefficients of the tests ranged from .54 to .92. The findings of the study provide support for direct-to-home teleneuropsychological assessment among patients with neurocognitive disorders. Neuropsychological tests relying on verbal administration and independent of motor performance may represent a reliable alternative for this patient group when administered in settings where external distractions or technological limitations are controlled. For cognitively healthy individuals, on the other hand, the reliability of the TNP application is more questionable for memory and some executive function tests and therefore needs further exploration.
在新冠疫情期间，除了科学研究外，继续进行诊断和治疗过程的需求导致迅速转向直接到家的远程神经心理学评估，当时其可靠性和有效性尚未明确确立。因此，本研究旨在检验直接到家的远程神经心理学评估（TNP）的可靠性。样本包括105名年龄在50至83岁之间的认知健康个体，以及47名被诊断患有神经认知障碍（轻度认知障碍和早期阿尔茨海默病型痴呆）的患者。所有参与者都以平衡的顺序接受了面对面和远程神经心理学评估。结果显示，在注意力、工作记忆、语言流畅性、语言和视觉记忆以及视觉感知等测量指标上，不同评估方式的表现具有可比性。测试的组内相关系数范围为0.54至0.92。该研究结果为神经认知障碍患者的直接到家远程神经心理学评估提供了支持。对于依赖语言施测且独立于运动表现的神经心理学测试，在外部干扰或技术限制得到控制的环境中进行施测时，可能是该患者群体的可靠替代方法。另一方面，对于认知健康个体，TNP应用在记忆和一些执行功能测试方面的可靠性更值得怀疑，因此需要进一步探索。
