OBJECTIVES Few publications have documented the utility of in-home telephone-based cognitive screeners during COVID-19. This manuscript describes the adaptation of select face-to-face (FTF) neuropsychological tests to telephonic administration in a longitudinal cohort of people with HIV (PWH). Using the cohort's pre-pandemic neuropsychological data, we explore the utility of telephonic administration in this population. METHODS Of a longitudinal cohort of 170 adult PWH, 59 completed telephonic medical and cognitive screenings with comparable pre-pandemic FTF data. Telephone screeners and FTF evaluations were compared using repeated measures ANCOVAs to examine whether test performance differed between administration types and levels of pre-pandemic cognitive performance. Individuals with pre-pandemic test scores more than a standard deviation below the demographically-corrected mean were categorized as "below average" cognitive performance (n = 23), and the remainder as "average" (n = 36). RESULTS Over 90% of participants gave positive feedback about the telephone encounter. The average cognitive performance group scored higher than the below average group on all measures across both administration types. Telephone and FTF test scores did not differ significantly for measures of category fluency, letter fluency, and verbal learning. However, the below average group scored higher on a verbal memory measure administered via telephone compared with FTF. CONCLUSIONS Support for telephonic adaptation of select FTF measures in longitudinal research is mixed, with verbal fluency tasks showing the strongest equivalency. When employed carefully with a clear understanding of their limitations, telephone adaptations can provide an opportunity to continue study objectives, promote equity, and monitor participant well-being during times of duress.

中文翻译：

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COVID-19 大流行期间对成人 HIV 研究队列进行的基于电话的认知筛查的初步结果。


目标 很少有出版物记录了基于家庭电话的认知筛查仪在 COVID-19 期间的效用。本手稿描述了在 HIV 感染者 (PWH) 纵向队列中将精选的面对面 (FTF) 神经心理学测试应用于电话管理。利用该队列的大流行前神经心理学数据，我们探索了电话管理在该人群中的效用。方法 在 170 名成年 PWH 的纵向队列中，其中 59 名完成了电话医疗和认知筛查，并具有可比的大流行前 FTF 数据。使用重复测量ANCOVA对电话筛查仪和FTF评估进行比较，以检查管理类型和大流行前认知表现水平之间的测试表现是否存在差异。大流行前测试成绩低于人口统计校正平均值标准差以上的个体被归类为“低于平均水平”的认知表现（n = 23），其余的则被归类为“平均”（n = 36）。结果 超过 90% 的参与者对电话交流给出了积极的反馈。在两种管理类型的所有指标上，平均认知表现组的得分均高于低于平均水平的组。电话和 FTF 测试分数在类别流利度、字母流利度和言语学习方面没有显着差异。然而，与 FTF 相比，低于平均水平的群体在通过电话进行的言语记忆测量中得分更高。结论 在纵向研究中，对选定 FTF 测量的电话适应的支持参差不齐，其中言语流利性任务显示出最强的等效性。 如果在清楚了解其局限性的情况下仔细使用，电话改编可以提供一个机会来继续研究目标、促进公平并在胁迫时期监测参与者的福祉。