Jodie E Chapman1, Dominique A Cadilhac2,3, Betina Gardner1,4, Jennie Ponsford1,5, Ruchi Bhalla1, Renerus J Stolwyk1,5. 1. School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Australia. 2. Stroke & Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Australia. 3. Stroke Division, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Australia. 4. Department of Psychiatry, Monash University, Australia. 5. Monash Epworth Rehabilitation Research Centre, Epworth Healthcare, Australia.
Abstract
INTRODUCTION: Videoconferencing may help address barriers associated with poor access to post-stroke cognitive screening. However, the equivalence of videoconference and face-to-face administrations of appropriate cognitive screening tools needs to be established. We compared face-to-face and videoconference administrations of the Montreal Cognitive Assessment (MoCA) in community-based survivors of stroke. We also evaluated whether participant characteristics (e.g. age) influenced equivalence. METHODS: We used a randomised crossover design (two-week interval). Participants were recruited through community advertising and use of a stroke-specific database. Both sessions were conducted by the same researcher in the same location. Videoconference sessions were conducted using Zoom. A repeated-measures t-test, intraclass correlation coefficient (ICC), Bland-Altman plot and multivariate regression modelling were used to establish equivalence. RESULTS: Forty-eight participants (26 men, Mage = 64.6 years, standard deviation (SD) = 10.1; Mtime since stroke = 5.2 years, SD = 4.0) completed the MoCA face-to-face and via videoconference on average 15.8 (SD = 9.7) days apart. Participants did not perform systematically better in a particular condition, and no participant variable predicted difference in MoCA performance. However, the ICC was low (0.615), and the Bland-Altman plot indicated wide limits of agreement, indicating variability between sessions. DISCUSSION: Our findings provide preliminary evidence to support the use of videoconference to administer the MoCA following stroke. However, further research into the test-retest reliability of scores derived from the MoCA is needed in this population. Administering the MoCA via videoconference holds potential to ensure that all stroke survivors undergo cognitive screening, in line with recommended clinical practice.
INTRODUCTION: Videoconferencing may help address barriers associated with poor access to post-stroke cognitive screening. However, the equivalence of videoconference and face-to-face administrations of appropriate cognitive screening tools needs to be established. We compared face-to-face and videoconference administrations of the Montreal Cognitive Assessment (MoCA) in community-based survivors of stroke. We also evaluated whether participant characteristics (e.g. age) influenced equivalence. METHODS: We used a randomised crossover design (two-week interval). Participants were recruited through community advertising and use of a stroke-specific database. Both sessions were conducted by the same researcher in the same location. Videoconference sessions were conducted using Zoom. A repeated-measures t-test, intraclass correlation coefficient (ICC), Bland-Altman plot and multivariate regression modelling were used to establish equivalence. RESULTS: Forty-eight participants (26 men, Mage = 64.6 years, standard deviation (SD) = 10.1; Mtime since stroke = 5.2 years, SD = 4.0) completed the MoCA face-to-face and via videoconference on average 15.8 (SD = 9.7) days apart. Participants did not perform systematically better in a particular condition, and no participant variable predicted difference in MoCA performance. However, the ICC was low (0.615), and the Bland-Altman plot indicated wide limits of agreement, indicating variability between sessions. DISCUSSION: Our findings provide preliminary evidence to support the use of videoconference to administer the MoCA following stroke. However, further research into the test-retest reliability of scores derived from the MoCA is needed in this population. Administering the MoCA via videoconference holds potential to ensure that all stroke survivors undergo cognitive screening, in line with recommended clinical practice.
Authors: Terence J Quinn; Edo Richard; Yvonne Teuschl; Thomas Gattringer; Melanie Hafdi; John T O'Brien; Niamh Merriman; Celine Gillebert; Hanne Huyglier; Ana Verdelho; Reinhold Schmidt; Emma Ghaziani; Hysse Forchammer; Sarah T Pendlebury; Rose Bruffaerts; Milija Mijajlovic; Bogna A Drozdowska; Emily Ball; Hugh S Markus Journal: Eur Stroke J Date: 2021-10-08
Authors: Joshua T Fox-Fuller; Julie Ngo; Celina F Pluim; Rini I Kaplan; Dong-Ho Kim; Juliana A U Anzai; Defne Yucebas; Soibifaa M Briggs; Paula A Aduen; Alice Cronin-Golomb; Yakeel T Quiroz Journal: Clin Neuropsychol Date: 2021-07-26 Impact factor: 3.535
Authors: Mindy J Katz; Cuiling Wang; Caroline O Nester; Carol A Derby; Molly E Zimmerman; Richard B Lipton; Martin J Sliwinski; Laura A Rabin Journal: Alzheimers Dement (Amst) Date: 2021-02-05
Authors: Herb Howard C Hernandez; Poh Ling Ong; Philomena Anthony; Siew Ling Ang; Nur Bazilah Mohd Salim; Pey Ying Suzanne Yew; Noorhazlina Bte Ali; Jun Pei Lim; Wee Shiong Lim; Justin Chew Journal: Ann Geriatr Med Res Date: 2022-03-02
Authors: Varna Jammula; James L Rogers; Elizabeth Vera; Alexa Christ; Heather E Leeper; Alvina Acquaye; Nicole Briceno; Anna Choi; Ewa Grajkowska; Jason E Levine; Matthew Lindsley; Jennifer Reyes; Kayla N Roche; Michael Timmer; Lisa Boris; Eric Burton; Nicole Lollo; Marissa Panzer; Matthew A Smith-Cohn; Marta Penas-Prado; Valentina Pillai; Brett J Theeler; Jing Wu; Mark R Gilbert; Terri S Armstrong Journal: Neurooncol Pract Date: 2022-05-14
Authors: Marie-Louise Bird; Felix Peel; Matt Schmidt; Natalie A Fini; Emily Ramage; Brodie M Sakakibara; Dawn B Simpson; Carey Mather; Dominique A Cadilhac; Kiran D K Ahuja; Heather Bridgman; Coralie English Journal: JMIR Rehabil Assist Technol Date: 2022-08-22