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Title: Comparing performance across in-person and videoconference-based administrations of common neuropsychological measures in community-based survivors of stroke.
Epworth Authors: Ponsford, Jennie
Stolwyk, Renerus
Other Authors: Gardner, Betina
Cadilhac, Dominique
Chapman, Jodie
Keywords: Cerebrovascular Disorders
Comparative Effectiveness
Repeated-Measures T Tests
Intraclass Correlation Coefficients
Bland-Altman Plots
Hopkins Verbal Learning Test - Revised
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Dec-2020
Publisher: Cambridge University Press
Citation: J Int Neuropsychol Soc . 2020 Dec 9;1-14
Abstract: Objective: Neuropsychological assessment via videoconference could assist in bridging service access gaps due to geographical, mobility, or infection control barriers. We aimed to compare performances on neuropsychological measures across in-person and videoconference-based administrations in community-based survivors of stroke. Method: Participants were recruited through a stroke-specific database and community advertising. Stroke survivors were eligible if they had no upcoming neuropsychological assessment, concurrent neurological and/or major psychiatric diagnoses, and/or sensory, motor, or language impairment that would preclude standardised assessment. Thirteen neuropsychological measures were administered in-person and via videoconference in a randomised crossover design (2-week interval). Videoconference calls were established between two laptop computers, facilitated by Zoom. Repeated-measures t tests, intraclass correlation coefficients (ICCs), and Bland-Altman plots were used to compare performance across conditions. Results: Forty-eight participants (26 men; Mage = 64.6, SD = 10.1; Mtime since stroke = 5.2 years, SD = 4.0) completed both sessions on average 15.8 (SD = 9.7) days apart. For most measures, the participants did not perform systematically better in a particular condition, indicating agreement between administration methods. However, on the Hopkins Verbal Learning Test - Revised, participants performed poorer in the videoconference condition (Total Recall Mdifference = -2.11). ICC estimates ranged from .40 to .96 across measures. Conclusions: This study provides preliminary evidence that in-person and videoconference assessment result in comparable scores for most neuropsychological tests evaluated in mildly impaired community-based survivors of stroke. This preliminary evidence supports teleneuropsychological assessment to address service gaps in stroke rehabilitation; however, further research is needed in more diverse stroke samples.
DOI: 10.1017/S1355617720001174
PubMed URL:
ISSN: 1355-6177
Journal Title: Journal of the International Neuropsychological Society
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia.
Department of Psychiatry, Monash University, Melbourne, Victoria, Australia
Stroke & Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia
Stroke Division, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Heidelberg, Victoria, Australia.
Type of Clinical Study or Trial: Crossover Design
Appears in Collections:Neurosciences

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