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Neuropsychological assessment and telemedicine: A preliminary study examining the reliability of neuropsychology services performed via telecommunication

Published online by Cambridge University Press:  25 February 2003

Jacobsen Svenn E. ,
Sprenger Terje ,
Andersson Stein  and
Krogstad Jan-Magne
Jacobsen Svenn E.*
Affiliation:
Department of Neuropsychology, Ullevål University Hospital, Oslo, Norway
Sprenger Terje
Affiliation:
Department of Neuropsychology, Ullevål University Hospital, Oslo, Norway
Andersson Stein
Affiliation:
Neuropsychological lab, Sunnaas Rehabilitation Hospital, Nesodden, Norway
Krogstad Jan-Magne
Affiliation:
Cognitive Rehabilitation Unit, Sunnaas Rehabilitation Hospital, Nesodden, Norway
*
Reprint requests to: S.E. Jacobsen, Department of Neuropsychology, Ullevål University Hospital, 0407 Oslo, Norway. E-mail: svenn.jacobsen@ulleval.no
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Abstract

Within the last decade, various applications of two-way audio-visual telecommunication have been implemented in the Norwegian health care system to facilitate the delivery of medical services to patients located in rural areas away from the hospitals. This technology may also be useful to extend neuropsychological services to underserved areas and thereby reduce the patients' travel time and costs. In the current study, a total of 12 visual, verbal and performance tests were administered face-to-face and via videophones to 32 volunteer participants to examine the consistency and stability of test-scores when delivered via different formats. The obtained reliability coefficients ranged from .37 to .86 with a median value of .74. When testing for mean differences, the measures on verbal learning (WMS–Logical Memory I) and auditory attention (Seashore Rhythm Test) differed significantly due to administration format (t = 2.34, p = .024 and t = 2.37, p = .025, respectively). The findings imply that administration format does not appear to affect the reliability of measurement but neuropsychological test performance is significantly higher for the measures of attention and memory when delivered via videophone. Additional research on these cognitive domains is required, and if the observed differences due to testing format persist, separate normative data via telecommunication will be required before assessments are carried out. Also, since only normal participants were included in this study, the findings may have external validity for normal populations, but similar controlled trials with patients need to be completed before remote assessments can be implemented in regular clinical practice. (JINS, 2003, 9, 472–478.)

Keywords

Neuropsychological assessmentTelemedicineTelecommunication
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 9 , Issue 3 , 25 March 2003 , pp. 472 - 478
Copyright
Copyright © The International Neuropsychological Society 2003

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References

Allen, A. & Hayes, J. (1995). Patient satisfaction with teleoncology: A pilot study. Telemedicine Journal, 1, 41–46.CrossRefGoogle Scholar
Benton, A.L. (1974). Revised Visual Retention Test (4th Ed.). New York: The Psychological Corporation.Google Scholar
Bornstein, R.A., Baker, G.B., & Douglas, A.B. (1987). Short-term test–retest reliability of the Halstead-Reitan battery in a normal sample. Journal of Nervous and Mental Disease, 175, 229–232.CrossRefGoogle Scholar
Brown, F.W. (1995). A survey of telepsychiatry in the USA. Journal of Telemedicine and Telecare, 1, 19–21.CrossRefGoogle Scholar
Crocker, L. & Algina, J. (1986). Introduction to classical and modern test theory. Fort Worth, TX: Harcourt Brace Jovanovich College.Google Scholar
Doze, S., Simpson, J., Hailey, D., & Jacobs, P. (1999). Evaluation of a telepsychiatry pilot project. Journal of Telemedicine and Telecare, 5, 38–46.CrossRefGoogle Scholar
Elford, R., White, H., Bowering, R., Ghandi, A., Madiggan, B., St. John, K., House, M., Harnett, J., West, R., & Battcock, A. (2000). A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing. Journal of Telemedicine and Telecare, 6, 73–82.CrossRefGoogle Scholar
Engvik, H., Hjerkinn, O., & Seim, S. (1978). Handbook for the Wechsler Adult Intelligence Scale, Norwegian 2nd Edition. New York: The Psychological Corporation.Google Scholar
Freir, V., Kirkwood, K., Peck, D., Robertson, S., Scott-Lodge, L., & Zeffert, S. (1999). Telemedicine for clinical psychology in the Highlands of Scotland. Journal of Telemedicine and Telecare Journal of Telemedicine and Telecare, 5, 157–161.CrossRefGoogle Scholar
Gammon, D., Bergvik, S., Bergmo, T., & Pedersen, S. (1996). Videoconferencing in psychiatry: A survey of use in Northern Norway. Journal of Telemedicine and Telecare, 2, 192–198.CrossRefGoogle Scholar
Hawker, F., Kavanagh, S., Yellowlees, P., & Kalucy, R.S. (1998). Telepsychiatry in South Australia. Journal of Telemedicine and Telecare, 4, 187–194.CrossRefGoogle Scholar
Heaton, R.K., Grant, I., & Matthews, C.G. (1991). Comprehensive norms for an expanded Halstead-Reitan battery. Odessa, FL: Psychological Assessment Resources.Google Scholar
Jones, B.N. & Colenda, C.C. (1997). Telemedicine and geriatric psychiatry. Psychiatric Services, 48, 783–785.CrossRefGoogle Scholar
Kelland, D.Z., Lewis, R., & Gurevitch, D. (1992). Evaluation of the Repeatable Cognitive–Perceptual–Motor Battery: Reliability, validity and sensitivity to diazepam [Abstract]. Journal of Clinical and Experimental Neuropsychology, 14, 65.Google Scholar
Kirkwood, K.T., Peck, D.F., & Bennie, L. (2000). The consistency of neuropsychological assessments performed via telecommunication and face to face. Journal of Telemedicine and Telecare, 6, 147–151.CrossRefGoogle Scholar
Kløve, H. (1963). Clinical neuropsychology. In F.M. Forster (Ed.), The medical clinics of North America. New York: Saunders.Google Scholar
Lezak, M.D. (1995). Neuropsychological assessment (3rd ed.). New York: Oxford University Press.Google Scholar
Loane, M.A., Bloomer, S.E., & Corbett, R. (1998). Patient satisfaction with realtime teledermatology in Northern Ireland. Journal of Telemedicine and Telecare, 4, 36–40.CrossRefGoogle Scholar
Mekhjian, H., Turner, J.W., Gailiun, M., & McCain, T.A. (1999). Patient satisfaction with telemedicine in a prison environment. Journal of Telemedicine and Telecare, 5, 55–61.CrossRefGoogle Scholar
Montani, C., Billaud, N., Couturier, P., Fluchaire, I., Lemaire, R., Malterre, C., Lauvernay, N., Piquard, J.F., Frossard, M., & Franco, A. (1996). Telepsychometry: A remote psychometry consultation in clinical gerontology: Preliminary study. Telemedicine Journal, 2, 145–150.CrossRefGoogle Scholar
Murphy, R.L.H. & Bird, K.T. (1974). Telediagnosis: A new community health resource: Observations on the feasibility of telediagnosis based on 1,000 patient transactions. American Journal of Public Health, 64, 113–119.CrossRefGoogle Scholar
Pedersen, S. & Holland, U. (1995). Tele-endoscopic otorhinolaryngological examination: Preliminary study of patient satisfaction. Telemedicine Journal, 1, 47–52.CrossRefGoogle Scholar
Rafto, T. (1955). Telegrafverkets historie 1855–1955. Bergen: Grieg.Google Scholar
Seashore, C.E., Lewis, D., & Saetveit, D.L. (1960). Seashore Measures of Musical Talents (rev. ed.). New York: The Psychological Corporation.Google Scholar
Smith, A. (1982). Symbol Digit Modalities Test (SDMT) manual (Rev. ed.). Los Angeles, CA: Western Psychological Services.Google Scholar
Stevens, A., Doidge, N., Goldbloom, D., Voore, P., & Farewell, J. (1999). Pilot study of televideo psychiatric assessment in an underserved community. American Journal of Psychiatry, 156, 783–785.Google Scholar
Uldal, S.B. (1999). A survey of Norwegian telemedicine. Journal of Telemedicine and Telecare, 5, 32–37.CrossRefGoogle Scholar
Warrington, E.K. & James, M. (1991). Visual Object and Space Perception Battery. Bury St Edmunds, Suffolk, UK: Thames Valley Test Co.Google Scholar
Wechsler, D. (1987). Wechsler Memory Scale–Revised. New York: The Psychological Corporation.Google Scholar
Wittson, C.L. & Benschoter, R. (1972). Two-way television: Helping the medical center reach out. American Journal of Psychiatry, 129, 624–627.CrossRefGoogle Scholar
Youngjohn, J.R., Larrabee, G.E., & Crook, T.H. (1992). New adult age- and education-corrected norms for the Benton Visual Retention Test. Clinical Neuropsychologist, 3, 276–286.CrossRefGoogle Scholar