Telemed J E Health - Videoconference-based mini mental state examination: a validation study.

Tópicos

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Resumo

CKGROUND: Neuropsychological testing is a prime criterion of good practice to document cognitive deficits in a rapidly aging population. Telecommunication technologies may overcome limitations related to test administration. We compared performance of the Italian videoconference-based version of the Mini Mental State Examination (VMMSE) with performance of the standard MMSE administered face-to-face (F2F), to validate the Italian version of the 28-item VMMSE.MATERIALS AND METHODS: To validate the Italian version of the VMMSE, we compared its performance with standard F2F. The sample (n=342) was administered three VMMSEs within 6 weeks after F2F testing. We identified the optimal cutoff through the receiver operating characteristic curve, as well as the VMMSE consistency through inter- and intrarater reliability (Inter/RR and Intra/RR) analysis.RESULTS: We found high levels of sensitivity and specificity for the optimal VMMSE cutoff identification and an accuracy of 0.96 (95% confidence interval 0.94-0.98). Intra/RR and inter/RR were highly significant.CONCLUSIONS: This study demonstrates that VMMSE is a valid instrument in clinical and research screening and monitoring of subjects affected by cognitive disorders. This study shows a significant correlation between videoconference assessment and the F2F one, providing an important impetus to expand studies and the knowledge about the usefulness of tele-assistance services. Our findings have important implications for both longitudinal assistance and clinical care of demented patients.

Resumo Limpo

ckground neuropsycholog test prime criterion good practic document cognit deficit rapid age popul telecommun technolog may overcom limit relat test administr compar perform italian videoconferencebas version mini mental state examin vmmse perform standard mmse administ facetofac ff valid italian version item vmmsemateri method valid italian version vmmse compar perform standard ff sampl n administ three vmmses within week ff test identifi optim cutoff receiv oper characterist curv well vmmse consist inter intrarat reliabl interrr intrarr analysisresult found high level sensit specif optim vmmse cutoff identif accuraci confid interv intrarr interrr high significantconclus studi demonstr vmmse valid instrument clinic research screen monitor subject affect cognit disord studi show signific correl videoconfer assess ff one provid import impetus expand studi knowledg use teleassist servic find import implic longitudin assist clinic care dement patient

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