Feasibility Study of an Internet-Based Platform for Tele-Neuropsychological Assessment of Elderly in Remote Areas

R. Zeghari; R. Guerchouche; M. Tran-Duc; F. Bremond; K. Langel; I. Ramakers; N. Amiel; M.P. Lemoine; V. Bultingaire; V. Manera; P. Robert; A. Konig

doi:10.3390/diagnostics12040925

Feasibility Study of an Internet-Based Platform for Tele-Neuropsychological Assessment of Elderly in Remote Areas

R. Zeghari^*, R. Guerchouche, M. Tran-Duc, F. Bremond, K. Langel, I. Ramakers, N. Amiel, M.P. Lemoine, V. Bultingaire, V. Manera, P. Robert, A. Konig

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Today, in rural isolated areas or so-called 'medical deserts', access to diagnosis and care is very limited. With the current pandemic crisis, now even more than ever, telemedicine platforms are gradually more employed for remote medical assessment. Only a few are tailored to comprehensive teleneuropsychological assessment of older adults. Hence, our study focuses on evaluating the feasibility of performing a remote neuropsychological assessment of older adults suffering from a cognitive complaint. 50 participants (aged 55 and older) were recruited at the local hospital of Digne-les-Bains, France. A brief neuropsychological assessment including a short clinical interview and several validated neuropsychological tests was administered in two conditions, once by Teleneuropsychology (TNP) and once by Face-to-Face (FTF) in a crossover design. Acceptability and user experience was assessed through questionnaires. Results show high agreement in most tests between the FTF and TNP conditions. The TNP was overall well accepted by the participants. However, differences in test performances were observed, which urges the need to validate TNP tests with broader samples with normative data.

Original language	English
Article number	925
Number of pages	10
Journal	Diagnostics
Volume	12
Issue number	4
DOIs	https://doi.org/10.3390/diagnostics12040925
Publication status	Published - 1 Apr 2022

Keywords

telemedicine
cognitive testing
dementia
teleneuropsychology
neuropsychology
RELIABILITY

Access to Document

10.3390/diagnostics12040925Licence: CC BY

Cite this

@article{e9c39c7ce64d4da1afc586e8cab83e3b,

title = "Feasibility Study of an Internet-Based Platform for Tele-Neuropsychological Assessment of Elderly in Remote Areas",

abstract = "Today, in rural isolated areas or so-called 'medical deserts', access to diagnosis and care is very limited. With the current pandemic crisis, now even more than ever, telemedicine platforms are gradually more employed for remote medical assessment. Only a few are tailored to comprehensive teleneuropsychological assessment of older adults. Hence, our study focuses on evaluating the feasibility of performing a remote neuropsychological assessment of older adults suffering from a cognitive complaint. 50 participants (aged 55 and older) were recruited at the local hospital of Digne-les-Bains, France. A brief neuropsychological assessment including a short clinical interview and several validated neuropsychological tests was administered in two conditions, once by Teleneuropsychology (TNP) and once by Face-to-Face (FTF) in a crossover design. Acceptability and user experience was assessed through questionnaires. Results show high agreement in most tests between the FTF and TNP conditions. The TNP was overall well accepted by the participants. However, differences in test performances were observed, which urges the need to validate TNP tests with broader samples with normative data.",

keywords = "telemedicine, cognitive testing, dementia, teleneuropsychology, neuropsychology, RELIABILITY",

author = "R. Zeghari and R. Guerchouche and M. Tran-Duc and F. Bremond and K. Langel and I. Ramakers and N. Amiel and M.P. Lemoine and V. Bultingaire and V. Manera and P. Robert and A. Konig",

note = "Funding Information: Funding: This work is supported by the European Institute for Innovation and Technology (EIT)— Health, {\textquoteleft}DeepSPA{\textquoteright} grant number 19249 with great support from Modis Belgium, Janssen Clinical Innovation. This research was partly funded by the MEPHESTO project (DRI-0120105/291). The project received funding from the Interreg-Alcotra project CLIP {"}E-SANT{\'E} / SILVER ECONOMY{"}. Publisher Copyright: {\textcopyright} 2022 by the authors.",

year = "2022",

month = apr,

day = "1",

doi = "10.3390/diagnostics12040925",

language = "English",

volume = "12",

journal = "Diagnostics",

issn = "2075-4418",

publisher = "MDPI",

number = "4",

}

TY - JOUR

T1 - Feasibility Study of an Internet-Based Platform for Tele-Neuropsychological Assessment of Elderly in Remote Areas

AU - Zeghari, R.

AU - Guerchouche, R.

AU - Tran-Duc, M.

AU - Bremond, F.

AU - Langel, K.

AU - Ramakers, I.

AU - Amiel, N.

AU - Lemoine, M.P.

AU - Bultingaire, V.

AU - Manera, V.

AU - Robert, P.

AU - Konig, A.

N1 - Funding Information: Funding: This work is supported by the European Institute for Innovation and Technology (EIT)— Health, ‘DeepSPA’ grant number 19249 with great support from Modis Belgium, Janssen Clinical Innovation. This research was partly funded by the MEPHESTO project (DRI-0120105/291). The project received funding from the Interreg-Alcotra project CLIP "E-SANTÉ / SILVER ECONOMY". Publisher Copyright: © 2022 by the authors.

PY - 2022/4/1

Y1 - 2022/4/1

N2 - Today, in rural isolated areas or so-called 'medical deserts', access to diagnosis and care is very limited. With the current pandemic crisis, now even more than ever, telemedicine platforms are gradually more employed for remote medical assessment. Only a few are tailored to comprehensive teleneuropsychological assessment of older adults. Hence, our study focuses on evaluating the feasibility of performing a remote neuropsychological assessment of older adults suffering from a cognitive complaint. 50 participants (aged 55 and older) were recruited at the local hospital of Digne-les-Bains, France. A brief neuropsychological assessment including a short clinical interview and several validated neuropsychological tests was administered in two conditions, once by Teleneuropsychology (TNP) and once by Face-to-Face (FTF) in a crossover design. Acceptability and user experience was assessed through questionnaires. Results show high agreement in most tests between the FTF and TNP conditions. The TNP was overall well accepted by the participants. However, differences in test performances were observed, which urges the need to validate TNP tests with broader samples with normative data.

AB - Today, in rural isolated areas or so-called 'medical deserts', access to diagnosis and care is very limited. With the current pandemic crisis, now even more than ever, telemedicine platforms are gradually more employed for remote medical assessment. Only a few are tailored to comprehensive teleneuropsychological assessment of older adults. Hence, our study focuses on evaluating the feasibility of performing a remote neuropsychological assessment of older adults suffering from a cognitive complaint. 50 participants (aged 55 and older) were recruited at the local hospital of Digne-les-Bains, France. A brief neuropsychological assessment including a short clinical interview and several validated neuropsychological tests was administered in two conditions, once by Teleneuropsychology (TNP) and once by Face-to-Face (FTF) in a crossover design. Acceptability and user experience was assessed through questionnaires. Results show high agreement in most tests between the FTF and TNP conditions. The TNP was overall well accepted by the participants. However, differences in test performances were observed, which urges the need to validate TNP tests with broader samples with normative data.

KW - telemedicine

KW - cognitive testing

KW - dementia

KW - teleneuropsychology

KW - neuropsychology

KW - RELIABILITY

U2 - 10.3390/diagnostics12040925

DO - 10.3390/diagnostics12040925

M3 - Article

C2 - 35453973

SN - 2075-4418

VL - 12

JO - Diagnostics

JF - Diagnostics

IS - 4

M1 - 925

ER -