Latham Lauren A, Craft Suzanne, Rapp Stephen R, Bateman James R, Cleveland Maryjo, Rogers Samantha, Williams Benjamin J, Yang Mia, Sachs Bonnie C
Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Arch Clin Neuropsychol. 2025 May 13. doi: 10.1093/arclin/acaf033.
Compare the changes in neuropsychological test scores between remote and in-person follow-up assessment over a 1-year period using standardized regression-based (SRB) change indices.
Participants were from the Wake Forest Alzheimer's Disease Research Center (ADRC; N = 230) [mean age: 68.6 (7.8) years; education: 16.3 (2.3) years; 71% female; 86% White] and cognitively normal (as defined by a CDR of 0) at baseline and follow-up [mean days: 420.03 (48.53)]. Follow-up testing with the Uniform Data Set v3 Cognitive Battery was completed in person (n = 121) or remotely (n = 109) via phone (n = 61) or video (n = 48). SRB change scores were calculated using published formulas. Chi-square analysis compared the frequency of scores falling outside of an SRB cut-point +/-1.645 for follow-up assessments and mean SRB change scores were compared.
There were no significant differences in the frequency of SRB change scores for in-person versus remote follow-up assessments at the SRB cut-point. Similarly, one-way ANOVAs comparing mean SRB change scores revealed no significant differences between in-person, telephone, and video follow-up means for any of the tests.
Telephone and video cognitive assessments performed similarly to in-person assessment and offer a valuable tool for research and clinical applications.
使用基于标准化回归（SRB）的变化指数，比较1年期间远程随访评估与现场随访评估之间神经心理测试分数的变化。
参与者来自维克森林大学阿尔茨海默病研究中心（ADRC；N = 230）[平均年龄：68.6（7.8）岁；受教育年限：16.3（2.3）年；71%为女性；86%为白人]，在基线和随访时认知正常（由CDR为0定义）[平均天数：420.03（48.53）]。使用统一数据集v3认知电池进行的随访测试通过电话（n = 61）或视频（n = 48）亲自完成（n = 121）或远程完成（n = 109）。使用已发表的公式计算SRB变化分数。卡方分析比较了随访评估中落在SRB切点±1.645之外的分数频率，并比较了平均SRB变化分数。
在SRB切点处，现场随访评估与远程随访评估的SRB变化分数频率没有显著差异。同样，比较平均SRB变化分数的单因素方差分析显示，在任何测试中，现场、电话和视频随访平均值之间没有显著差异。
电话和视频认知评估与现场评估表现相似，为研究和临床应用提供了有价值的工具。
