Objective:Neuropsychological assessment via videoconference could assist in bridging service access gaps due to geographical, mobility, or infection control barriers. We aimed to compare performances on neuropsychological measures across in-person and videoconference-based administrations in community-based survivors of stroke.Method:Participants were recruited through a stroke-specific database and community advertising. Stroke survivors were eligible if they had no upcoming neuropsychological assessment, concurrent neurological and/or major psychiatric diagnoses, and/or sensory, motor, or language impairment that would preclude standardised assessment. Thirteen neuropsychological measures were administered in-person and via videoconference in a randomised crossover design (2-week interval). Videoconference calls were established between two laptop computers, facilitated by Zoom. Repeated-measures t tests, intraclass correlation coefficients (ICCs), and Bland–Altman plots were used to compare performance across conditions.Results:Forty-eight participants (26 men; Mage = 64.6, SD = 10.1; Mtime since stroke = 5.2 years, SD = 4.0) completed both sessions on average 15.8 (SD = 9.7) days apart. For most measures, the participants did not perform systematically better in a particular condition, indicating agreement between administration methods. However, on the Hopkins Verbal Learning Test – Revised, participants performed poorer in the videoconference condition (Total Recall Mdifference = −2.11). ICC estimates ranged from .40 to .96 across measures.Conclusions:This study provides preliminary evidence that in-person and videoconference assessment result in comparable scores for most neuropsychological tests evaluated in mildly impaired community-based survivors of stroke. This preliminary evidence supports teleneuropsychological assessment to address service gaps in stroke rehabilitation; however, further research is needed in more diverse stroke samples.

中文翻译：

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比较社区中风幸存者在面对面和基于视频会议的常见神经心理学措施管理中的表现

目的：神经心理学评估通过视频会议可以帮助弥合由于地理、流动性或感染控制障碍而导致的服务访问差距。我们旨在比较社区中风幸存者在面对面和基于视频会议的管理中的神经心理学测量表现。方法：参与者是通过中风特定数据库和社区广告招募的。如果中风幸存者没有即将进行的神经心理学评估、同时进行的神经学和/或主要精神病学诊断，和/或妨碍标准化评估的感觉、运动或语言障碍，则他们符合条件。13 项神经心理学测量是亲自进行的，并且通过随机交叉设计中的视频会议（2 周间隔）。在 Zoom 的协助下，两台笔记本电脑之间建立了视频电话会议。重复测量吨测试、组内相关系数 (ICC) 和 Bland-Altman 图用于比较不同条件下的表现。结果：48 名参与者（26 名男性；米年龄= 64.6,标清= 10.1;米中风后的时间= 5.2 年，标清= 4.0) 平均完成两个会话 15.8 (标清= 9.7) 天。对于大多数措施，参与者在特定条件下并没有系统地表现更好，这表明管理方法之间存在一致性。然而，在霍普金斯语言学习测试 - 修订版中，参与者在视频会议条件下的表现较差（Total Recall米区别= -2.11)。ICC 的估计值从 0.40 到 0.96 不等。结论：本研究提供了初步证据，表明面对面和视频会议评估结果在轻度受损的社区中风幸存者中评估的大​​多数神经心理学测试的得分相当。这一初步证据支持远程神经心理学评估以解决中风康复中的服务差距；然而，需要对更多样化的中风样本进行进一步研究。