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远程认知诊断评估的警示信号:加拿大衰老神经退行性变联盟的德尔菲专家共识研究

Red flags for remote cognitive diagnostic assessment: A Delphi expert consensus study by the Canadian Consortium on Neurodegeneration in Aging.

作者信息

Friedman Nathan Hm, Hallot Sophie, Itzhak Inbal, Camicioli Richard, Henri-Bhargava Alex, Pettersen Jacqueline A, Lee Linda, Fisk John D, McLaughlin Paula, Khanassov Vladimir, Ismail Zahinoor, Freedman Morris, Chertkow Howard, Desmarais Philippe, O'Connell Megan E, Geddes Maiya R

机构信息

The Neuro, Department of Neurology and Neurosurgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.

Lady Davis Institute for Medical Research, Montreal, QC, Canada.

出版信息

J Alzheimers Dis. 2025 May 7;106(2):13872877251338186. doi: 10.1177/13872877251338186.

DOI:10.1177/13872877251338186
PMID:40336264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12227809/
Abstract

Despite the potential benefits of remote cognitive assessment for dementia, it is not appropriate for all clinical encounters. Our aim was to develop guidance on determining a patient's suitability for comprehensive remote cognitive diagnostic assessment for dementia. A multidisciplinary expert workgroup was convened under the auspices of the Canadian Consortium on Neurodegeneration in Aging. We applied the Delphi method to determine 'red flags' for remote cognitive assessment of dementia. This resulted in 14 red flags that met the predetermined consensus criteria. We then developed a novel clinical decision-making infographic that integrated these findings to support multidisciplinary clinicians in determining a patient's readiness to undergo comprehensive remote cognitive assessment.

摘要

尽管远程认知评估对痴呆症有潜在益处,但它并不适用于所有临床诊疗。我们的目标是制定关于确定患者是否适合进行全面的痴呆症远程认知诊断评估的指南。在加拿大衰老神经退行性变联盟的支持下,召集了一个多学科专家工作组。我们应用德尔菲法来确定痴呆症远程认知评估的“警示信号”。这产生了14个符合预定共识标准的警示信号。然后,我们开发了一种新颖的临床决策信息图,整合了这些发现,以支持多学科临床医生确定患者是否准备好接受全面的远程认知评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/c9e0fa8eaff1/10.1177_13872877251338186-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/6875a737c325/10.1177_13872877251338186-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/5ab3f3dcfd9b/10.1177_13872877251338186-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/c9e0fa8eaff1/10.1177_13872877251338186-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/6875a737c325/10.1177_13872877251338186-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/5ab3f3dcfd9b/10.1177_13872877251338186-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854f/12227809/c9e0fa8eaff1/10.1177_13872877251338186-fig3.jpg

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本文引用的文献

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Performance of Hearing Test Software Applications to Detect Hearing Loss.听力测试软件应用检测听力损失的性能。
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Real-world application of a smartphone-based visual acuity test (WHOeyes) with automatic distance calibration.基于智能手机的视力测试(WHOeyes)的真实世界应用,具有自动距离校准功能。
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ACCORD (ACcurate COnsensus Reporting Document): A reporting guideline for consensus methods in biomedicine developed via a modified Delphi.ACCORD(准确共识报告文件):通过改良 Delphi 法制定的生物医学共识方法报告指南。
PLoS Med. 2024 Jan 23;21(1):e1004326. doi: 10.1371/journal.pmed.1004326. eCollection 2024 Jan.
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Quantifying the Digital Divide: Associations of Broadband Internet with Tele-mental Health Access Before and During the COVID-19 Pandemic.量化数字鸿沟:新冠疫情前后宽带互联网与远程心理健康服务获取的关联。
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Geriatric Specialists' Perspectives on Telemedicine during the COVID-19 Pandemic: a Concurrent Triangulation Mixed-Methods Study.老年医学专家对新冠疫情期间远程医疗的看法:一项同步三角测量混合方法研究
Can Geriatr J. 2023 Jun 1;26(2):283-289. doi: 10.5770/cgj.26.645. eCollection 2023 Jun.
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Use of Delphi in health sciences research: A narrative review.德尔菲法在健康科学研究中的应用:叙述性综述。
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Association of Adequacy of Broadband Internet Service With Access to Primary Care in the Veterans Health Administration Before and During the COVID-19 Pandemic.宽带互联网服务充足程度与 COVID-19 大流行前后退伍军人健康管理局初级保健可及性的关联。
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