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• W2533242143 abstract "Innovative models of care are needed to meet the increasing demand for high-quality, patient-centered, dementia care. Direct-to-hometelemedicine care for persons with Alzheimer's disease (AD), and their caregivers, can help remove access barriers. However, the reliability of commonly-used dementia measures, when used with telemedicine, has not been established. ACT-ON, Phase I addresses this gap by assessing the reliability of these measures when used with telemedicine, as well as the feasibility of using telemedicine with persons with AD and their caregivers. Participants (persons with AD and their caregivers) completed an identical battery of tests in both the clinic setting and with direct-to-home telemedicine approximately two weeks apart. Test-retest reliability was measured by the intraclass correlation coefficient for continuous variables and the Kappa statistic for categorical variables. Persons with dementia were assessed with the Montreal Cognitive Assessment (MoCA), a modified Clinical Dementia Rating scale (CDR), the Revised Memory and Behavior Problem Checklist (RMBPC) and the Geriatric Depression Scale (GDS). Caregivers were assessed with the Zarit Burden Interview (ZBI) and the Marwit Meuser Caregiver Grief Index (MMCGI). Raters provided feedback on ease-of-use and feasibility of using telemedicine with persons with dementia. Of the 22 dyads who attempted visits in both settings, 20 completed both test sets, indicating good feasibility. Persons with AD ranged in age from 51-93 (Table 1); MoCA ranged 0-21. Test-retest reliability for the MoCA, RMBPC (caregiver reactions to behaviors), ZBI, and MMCGI was excellent (0.89, 0.83, 0.81, 0.88 respectively), and good for the CDR (0.71) and RMBPC (number of care-recipient behaviors) (0.67). The reliability for the GDS was marginal (0.24) (Table 2). Raters were, for the most part, satisfied with the visits. Preliminary findings indicate that within-dyad scores on most of these measures have good/excellent consistency between telemedicine and clinic visits and thus, clinicians can use telemedicine versions with confidence. To our knowledge, this is one of the first studies that provides reliability data on these scales when used with telemedicine. This work provides valuable information which can facilitate increased access to dementia care across multiple boundaries." @default.
• W2533242143 created "2016-10-28" @default.
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• W2533242143 date "2016-07-01" @default.
• W2533242143 modified "2023-09-27" @default.
• W2533242143 title "O2-12-01: ALZHEIMER's CARE VIA TELEMEDICINE FOR OREGON (ACT-ON), PHASE I: ESTABLISHING THE FEASIBILITY AND RELIABILITY OF STANDARD MEASURES USED WITH TELEMEDICINE" @default.
• W2533242143 doi "https://doi.org/10.1016/j.jalz.2016.06.460" @default.
• W2533242143 hasPublicationYear "2016" @default.
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