title: Consumer acceptability of brief videoconference-based neuropsychological assessment in older individuals with and without cognitive impairment.
abstract: Growing evidence suggests that neuropsychological assessment via videoconference shows good agreement with traditional in-person assessment. However, there are few published studies regarding patient acceptability of this methodology, particularly in individuals with cognitive impairment. In this study we sought to evaluate patient preferences and acceptability of teleneuropsychology to further shed light on the viability of this cognitive assessment medium. We examined acceptability of videoconference-based neuropsychological assessment among healthy aging individuals and in subjects with mild cognitive impairment or early stage Alzheimer disease. We found that teleneuropsychology appears to be well accepted by consumers. Our results reflected 98% satisfaction, and roughly two-thirds of participants indicated no preference between traditional face-to-face testing and examination by teleneuropsychology. Furthermore, even participants with cognitive impairment showed good acceptability of teleneuropsychological assessment. In conjunction with the preliminary data on reliability and validity from this growing literature, these results support teleneuropsychology as a viable and acceptable method for assessing cognitive functioning, and show promise for the implementation and utilization of this cognitive assessment medium in clinical and research settings.
authors.affiliation: Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 75390-9044, USA.
authors.forename: Mili
authors.initials: M
authors.lastname: Parikh
authors.forename: Maria C
authors.initials: MC
authors.lastname: Grosch
authors.forename: Lara L
authors.initials: LL
authors.lastname: Graham
authors.forename: Linda S
authors.initials: LS
authors.lastname: Hynan
authors.forename: Myron
authors.initials: M
authors.lastname: Weiner
authors.forename: James H
authors.initials: JH
authors.lastname: Shore
authors.forename: C Munro
authors.initials: CM
authors.lastname: Cullum
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology*; D055812:Community-Based Participatory Research; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D057240:Patient Preference / Q000523:psychology*; D015203:Reproducibility of Results; D049269:Videoconferencing