More detail about ACE-R (Addenbrooke's Cognitive Exam) (opens pop up) The ACE-R is a valid dementia screening test, sensitive to early cognitive dysfunction, and tests five domains: orientation/attention, memory, verbal fluency, language, and visuospatial. More detail about ACE-III (Addenbrooke's Cognitive Exam) (opens pop up) Visit website for ACE-III (Addenbrooke's Cognitive Exam) The ACE-III is a comprehensive screening tool for all dementias and tests attention, orientation, memory, language, visual perceptual and visuospatial skills. More detail about 3MS (The Modified Mini-Mental State Exam) (opens pop up) Visit website for 3MS (The Modified Mini-Mental State Exam) The 3MS is an extended version of the Mini-Mental State Examination (MMSE) and tests orientation, attention, memory, visuoconstructional skills, language, and executive function. doi:10.3MS (The Modified Mini-Mental State Exam) Improving Access to Care: Telemedicine Across Medical Domains. doi:10.1002/dad2.12111īarbosa W, Zhou K, Waddell E, Myers T, Dorsey ER. Alzheimer’s & dementia (Amsterdam, Netherlands). Remote cognitive and behavioral assessment: Report of the Alzheimer Society of Canada Task Force on dementia care best practices for COVID-19. Geddes MR, O’Connell ME, Fisk JD, Gauthier S, Camicioli R, Ismail Z. Early impact of the COVID-19 pandemic on in-person outpatient care utilisation: a rapid review. Teleneuropsychology: evidence for video teleconference-based neuropsychological assessment. doi:10.1111/jgs.14839Ĭullum CM, Hynan LS, Grosch M, Parikh M, Weiner MF. Creation of an Interprofessional Teledementia Clinic for Rural Veterans: Preliminary Data. Powers BB, Homer MC, Morone N, Edmonds N, Rossi MI. These findings provide additional reassurance that administration mode does not introduce systematic performance differences for MoCA test administration, thereby permitting telehealth MoCA testing to be applied confidently for both clinical and research applications. This report with its large sample size and between subject cohort provides complementary evidence to smaller test-retest studies, further supporting equivalence of MoCA telehealth testing to F2F MoCA administration.
No group difference in GAD-7 scores was present (F2F GAD-7 = 1.4, SD = 2.4 telehealth PHQ-8 = 1.4, SD = 2.4). Telehealth patients reported slightly lower PHQ-8 scores (F2F PHQ-8 = 2.0, SD = 2.5 telehealth PHQ-8 = 1.6, SD = 2.1), although these scores are well within the normal range. When examining MoCA domain scores, administration differences were either associated with no statistically significant effect, or if present due to large sample sizes, were associated with small effects and differences <0.5 point. The 95% confidence interval for difference in administration was small (CI = -0.16 to 0.34).
MoCA scores did not differ across administration method (F2F MoCA = 26.6, SD = 2.4 telehealth MoCA = 26.5, SD = 2.4). All EHBS participants were self-reported to be cognitively normal. MoCA scores from participants in the Emory Health Brain Study (EHBS) were contrasted based upon whether they were administered the MoCA in the standard face-to-face (F2F) assessment setting (n = 1205) or using a video telehealth administration (n = 491). In addition to the MoCA, the Patient Health Questionnaire-8 (PHQ-8) and Generalized Anxiety Disorder-7 (GAD-7) were administered. We investigated potential differences between in-person cognitive testing and video telehealth administration of the Montreal Cognitive Assessment (MoCA).