Assessment of Neurocognitive Functions, Olfaction, Taste, Mental, and Psychosocial Health in COVID-19 in Adults: Recommendations for Harmonization of Research and Implications for Clinical Practice,Journal of the International Neuropsychological Society

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Assessment of Neurocognitive Functions, Olfaction, Taste, Mental, and Psychosocial Health in COVID-19 in Adults: Recommendations for Harmonization of Research and Implications for Clinical Practice
Journal of the International Neuropsychological Society ( IF 2.6 ) Pub Date : 2021-08-09 , DOI: 10.1017/s1355617721000862
Lucette A Cysique _{1,

2,

3} , Emilia Łojek ₄ , Theodore Ching-Kong Cheung ₅ , Breda Cullen ₆ , Anna Rita Egbert ₇ , Jonathan Evans ₆ , Maite Garolera ₈ , Natalia Gawron ₉ , Hetta Gouse ₁₀ , Karolina Hansen ₄ , Paweł Holas ₄ , Sylwia Hyniewska ₁₁ , Ewa Malinowska ₄ , Bernice A Marcopulos _{12,

13} , Tricia L Merkley ₁₄ , Jose A Muñoz-Moreno ₁₅ , Clare Ramsden ₁₆ , Christian Salas ₁₇ , Sietske A M Sikkes ₁₈ , Ana Rita Silva ₁₉ , Imane Zouhar ₂₀ ,

Affiliation

Psychology Department, Faculty of Sciences, The University of New South Wales, Sydney, NSW, Australia.
St. Vincent's Applied Medical Research Centre, Peter Duncan Neuroscience Unit, Darlinghurst, Australia.
MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada.
Department of Clinical Neuropsychology and Psychotherapy, Faculty of Psychology, University of Warsaw, Warsaw, Poland.
Department of Psychology, University of Toronto; Centre for Neuropsychology and Emotional Wellness, Markham, ON, Canada.
Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Neuropsychology Unit, Consorci Sanitari de Terrassa, Barcelona, Spain.
Department of Adult Clinical Psychology, Institute of Psychology, The Maria Grzegorzewska University, Warsaw, Poland.
Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa.
Division of Psychology and Language Sciences, University College London, London, UK.
Department of Graduate Psychology, James Madison University, Harrisonburg, USA.
Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, USA.
Department of Psychology and Neuroscience Center, Brigham Young University, Brigham, USA.
Infectious Diseases Department, Lluita contra la SIDA Foundation, Germans Trias i Pujol Hospital, Barcelona, Spain.
Tasmanian Health Service, Hobart, Australia.
Faculty of Psychology, Diego Portales University, Santiago, Chile.
Faculty of Behavioural and Movement Sciences, Department of Clinical, Neuro and Developmental Psychology, Amsterdam University Medical Centers & VU University, Amsterdam, the Netherlands.
Center for Research in Neuropsychology and Cognitive Behavioral Intervention - CINEICC, University of Coimbra, Coimbra, Portugal.
Department of Psychology, University of Toronto, Toronto, ON, Canada.

Objective:

To propose a set of internationally harmonized procedures and methods for assessing neurocognitive functions, smell, taste, mental, and psychosocial health, and other factors in adults formally diagnosed with COVID-19 (confirmed as SARS-CoV-2 + WHO definition).

Methods:

We formed an international and cross-disciplinary NeuroCOVID Neuropsychology Taskforce in April 2020. Seven criteria were used to guide the selection of the recommendations’ methods and procedures: (i) Relevance to all COVID-19 illness stages and longitudinal study design; (ii) Standard, cross-culturally valid or widely available instruments; (iii) Coverage of both direct and indirect causes of COVID-19-associated neurological and psychiatric symptoms; (iv) Control of factors specifically pertinent to COVID-19 that may affect neuropsychological performance; (v) Flexibility of administration (telehealth, computerized, remote/online, face to face); (vi) Harmonization for facilitating international research; (vii) Ease of translation to clinical practice.

Results:

The three proposed levels of harmonization include a screening strategy with telehealth option, a medium-size computerized assessment with an online/remote option, and a comprehensive evaluation with flexible administration. The context in which each harmonization level might be used is described. Issues of assessment timelines, guidance for home/remote assessment to support data fidelity and telehealth considerations, cross-cultural adequacy, norms, and impairment definitions are also described.

Conclusions:

The proposed recommendations provide rationale and methodological guidance for neuropsychological research studies and clinical assessment in adults with COVID-19. We expect that the use of the recommendations will facilitate data harmonization and global research. Research implementing the recommendations will be crucial to determine their acceptability, usability, and validity.

中文翻译：

评估成人 COVID-19 的神经认知功能、嗅觉、味觉、心理和社会心理健康：协调研究的建议和对临床实践的影响

客观的：

提出一套国际统一的程序和方法，用于评估正式诊断为 COVID-19（确认为 SARS-CoV-2 + WHO 定义）的成人的神经认知功能、气味、味觉、心理和社会心理健康以及其他因素。

方法：

我们于 2020 年 4 月成立了一个国际性和跨学科的 NeuroCOVID 神经心理学工作组。使用七项标准来指导选择建议的方法和程序：(i) 与所有 COVID-19 疾病阶段和纵向研究设计的相关性；(ii) 标准的、跨文化有效的或广泛可用的工具；(iii) 覆盖与 COVID-19 相关的神经和精神症状的直接和间接原因；(iv) 控制与 COVID-19 相关的可能影响神经心理表现的因素；(v) 管理的灵活性（远程医疗、计算机化、远程/在线、面对面）；㈥促进国际研究的协调；(vii) 易于转化为临床实践。

结果：

建议的三个协调级别包括带有远程医疗选项的筛查策略、带有在线/远程选项的中型计算机化评估以及具有灵活管理的综合评估。描述了可能使用每个协调级别的上下文。还描述了评估时间表、支持数据保真度和远程医疗考虑的家庭/远程评估指南、跨文化充分性、规范和损伤定义等问题。

结论：

拟议的建议为 COVID-19 成人的神经心理学研究和临床评估提供了基本原理和方法指导。我们期望这些建议的使用将促进数据协调和全球研究。实施这些建议的研究对于确定它们的可接受性、可用性和有效性至关重要。

更新日期：2021-08-09

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