A Reliability of the Tele-Neuropsychological Assessment Using the Computerized Montreal Cognitive Assessment in Community-Dwelling Older Adultsopen access
- Authors
- Jeon, Yujin; Son, Changlae; Kim, Jihun; Kim, Soyeon; Lee, Chaelim; Lee, Jihee; Park, Jin-Hyuck
- Issue Date
- Apr-2022
- Publisher
- Elsevier Taiwan
- Keywords
- cognitive function; community health service; tele-neuropsychological assessment; telehealth
- Citation
- International Journal of Gerontology, v.16, no.2, pp 106 - 109
- Pages
- 4
- Journal Title
- International Journal of Gerontology
- Volume
- 16
- Number
- 2
- Start Page
- 106
- End Page
- 109
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21050
- DOI
- 10.6890/IJGE.202204_16(2).0006
- ISSN
- 1873-9598
1873-958X
- Abstract
- Background: The Montreal Cognitive Assessment (MoCA) has been widely used to discriminate individuals with mild cognitive impairment (MCI). As a tele-neuropsychological service has become important due to Coronavirus Disease-19 (COVID-19), computerized neuropsychological assessments delivered by telehealth have recently been developed. However, to date, their reliability is unclear yet. Thus, this study was to investigate the reliability of the tele-neuropsychological assessment using the computerized MoCA (c-MoCA). Method: Thirty-four community-dwelling older adults (age: 65-86 years, 17 females) participated in this study. While the primary assessor scored the participant's performance by telehealth, the secondary assessor independently scored the performance by directly observing face-to-face. To establish the inter-rater reliability of the c-MoCA by telehealth, the absolute agreement and the intra class correlation coefficient (ICC) were analyzed. Results: The inter-rater reliability of the c-MoCA by telehealth was high (ICC = 0.923; absolute agreement = 0.924, p's < 0.001). In addition, there was no significant difference in the c-MoCA score between primary and secondary assessors. Conclusion: This study demonstrated that the c-MoCA delivered as a tele neuropsychological assessment was reliable. This finding suggests that the c-MoCA could be used as a tele-neuropsychological service in older adults who have a low accessibility to medical settings. Copyright (C) 2022, Taiwan Society of Geriatric Emergency & Critical Care Medicine.
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