2
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      A Systematic Review and a Latin American Clinical Model for Teleneuropsychological Assessment

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          The objective of this study is to propose a TeleNP model for remote assessment and offer practical recommendations for clinical practice with patients in Mexico and Latin America, based on a systematic literature review and clinical experience.

          Method

          A systematic review of studies from 2011 to 2021 in English and Spanish used TeleNP, teleneuropsychology, telepsychology, online, assessment, teleneuropsicología, and evaluación for the search; the databases examined included PubMed, BiDi UNAM, ScienceDirect, Google Scholar, and Wiley One Library; the Oxford Centre for Evidence-Based Medicine system was used to grade the levels of evidence. The experience of the last two years of students and faculty in the Master’s and Doctoral Programs in Psychology, Clinical Neuropsychology Residency Program, was also used as a basis for this guide.

          Results

          We propose a clinical model for TeleNP assessment in Mexico and Latin America based on the review of 31 articles and the practice of professors and students of clinical neuropsychology.

          Conclusion

          The proposed model describes a procedure and adaptations for home-to-home clinical practice in the neuropsychological assessment of Mexican patients that could also be used in other Latin American countries. Its reliability remains to be assessed, but this model and the suggestions proposed could be used in future studies and clinical trials for Mexican and Latin American populations.

          Related collections

          Most cited references60

          • Record: found
          • Abstract: found
          • Article: not found

          The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.

          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            The PRISMA 2020 statement: An updated guideline for reporting systematic reviews

            Matthew Page and co-authors describe PRISMA 2020, an updated reporting guideline for systematic reviews and meta-analyses.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Neuropsychological Test Administration by Videoconference: A Systematic Review and Meta-Analysis.

              The purpose of the current systematic review and meta-analysis was to assess the effect of videoconference administration on adult neurocognitive tests. We investigated whether the scores acquired during a videoconference administration were different from those acquired during on-site administration. Relevant counterbalanced crossover studies were identified according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Twelve studies met criteria for analysis. Included samples consisted of healthy adults as well as those with psychiatric or neurocognitive disorders, with mean ages ranging from 34 to 88 years. Heterogenous data precluded the interpretation of a summary effect for videoconference administration. Studies including particpants with a mean age of 65-75, as well as studies that utilized a high speed network connection, indicated consistent performance across videoconference and on-site conditions, however studies with older participants and slower connections were more variable. Subgroup analyses indicated that videoconference scores for untimed tasks and those allowing for repetition fell 1/10th of a standard deviation below on-site scores. Test specific analyses indicated that verbally-mediated tasks including digit span, verbal fluency, and list learning were not affected by videoconference administration. Scores for the Boston Naming Test fell 1/10th of a standard deviation below on-site scores. Heterogenous data precluded meaningful interpretation of tasks with a motor component. The administration of verbally-mediated tasks by qualified professionals using existing norms was supported, and the use of visually-dependent tasks may also be considered. Variability in previous studies indicates a need for further investigation of motor-dependent tasks. We recommend the development of clinical best practices for conducting neuropsychological assessments via videoconference, and advocate for reimbursement structures that allow consumers to benefit from the increased access, convenience, and cost-savings that remote assessment provides.
                Bookmark

                Author and article information

                Contributors
                Journal
                Arch Clin Neuropsychol
                Arch Clin Neuropsychol
                acn
                Archives of Clinical Neuropsychology
                Oxford University Press
                0887-6177
                1873-5843
                04 October 2022
                04 October 2022
                : acac077
                Affiliations
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM , Tlalnepantla de Baz, México
                Author notes
                Corresponding author at: Residencia de Neuropsicología Clínica, División de Investigación y Posgrado, Facultad de Estudios Superiores Iztacala, UNAM, Av. De los Barrios #1, Los Reyes Ixtacala, Edo de México, México. E-mail address: serranojcarlosa@ 123456comunidad.unam.mx (C.A. Serrano-Juárez.)
                Article
                acac077
                10.1093/arclin/acac077
                9619713
                36196778
                207c3df8-bdad-40e7-a8e4-f42166ee1a81
                © The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

                This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

                This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

                History
                : 17 February 2022
                : 19 August 2022
                : 24 August 2022
                Page count
                Pages: 18
                Categories
                Literature Review
                AcademicSubjects/SCI01870
                AcademicSubjects/SCI02190
                Custom metadata
                PAP

                Clinical Psychology & Psychiatry
                teleneuropsychology,neuropsychological assessment,latin america,telemedicine,covid-19

                Comments

                Comment on this article