학술논문

Concurrent validity and reliability of at-home teleneuropsychological evaluations among people with and without HIV
Document Type
article
Source
Journal of the International Neuropsychological Society. 29(2)
Subject
Clinical and Health Psychology
Biomedical and Clinical Sciences
Psychology
Clinical Research
Prevention
Neurosciences
HIV/AIDS
Good Health and Well Being
Humans
Reproducibility of Results
Pandemics
COVID-19
Neuropsychological Tests
HIV Infections
human immunodeficiency virus
validation study
neuropsychology
cognition
telehealth
Medical and Health Sciences
Psychology and Cognitive Sciences
Experimental Psychology
Biomedical and clinical sciences
Health sciences
Language
Abstract
ObjectiveTo determine the reliability of teleneuropsychological (TNP) compared to in-person assessments (IPA) in people with HIV (PWH) and without HIV (HIV-).MethodsParticipants included 80 PWH (Mage = 58.7, SDage = 11.0) and 23 HIV- (Mage = 61.9, SDage = 16.7). Participants completed two comprehensive neuropsychological IPA before one TNP during the COVID-19 pandemic (March-December 2020). The neuropsychological tests included: Hopkins Verbal Learning Test-Revised (HVLT-R Total and Delayed Recall), Controlled Oral Word Association Test (COWAT; FAS-English or PMR-Spanish), Animal Fluency, Action (Verb) Fluency, Wechsler Adult Intelligence Scale 3rd Edition (WAIS-III) Symbol Search and Letter Number Sequencing, Stroop Color and Word Test, Paced Auditory Serial Addition Test (Channel 1), and Boston Naming Test. Total raw scores and sub-scores were used in analyses. In the total sample and by HIV status, test-retest reliability and performance-level differences were evaluated between the two consecutive IPA (i.e., IPA1 and IPA2), and mean in-person scores (IPA-M), and TNP.ResultsThere were statistically significant test-retest correlations between IPA1 and IPA2 (r or ρ = .603-.883, ps < .001), and between IPA-M and TNP (r or ρ = .622-.958, ps < .001). In the total sample, significantly lower test-retest scores were found between IPA-M and TNP on the COWAT (PMR), Stroop Color and Word Test, WAIS-III Letter Number Sequencing, and HVLT-R Total Recall (ps < .05). Results were similar in PWH only.ConclusionsThis study demonstrates reliability of TNP in PWH and HIV-. TNP assessments are a promising way to improve access to traditional neuropsychological services and maintain ongoing clinical research studies during the COVID-19 pandemic.