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• W2567055967 abstract "OBJECTIVES: ACT-ON, Phase I, aims to establish the reliability of common dementia rating scales across the telemedicine platform.BACKGROUND: Innovative models of care are needed to meet the increasing demand for high-quality, patient-centered, dementia care. Direct-to-home telemedicine care for persons with Alzheimers disease (AD), and their caregivers, may be a viable option. However, the reliability of commonly-used dementia measures, when used across the telemedicine platform, has not been established. ACT-ON, Phase I addresses this gap by assessing the inter-site correlation of these measures. Participants (persons with AD and their caregivers; goal=30 dyads) complete an identical battery of tests in both the clinic setting and across the direct-to-home telemedicine platform. Test-retest reliability is measured by the intraclass correlation coefficient (ICC) for continuous variables and the Kappa statistic for categorical variables. Persons with dementia are assessed with the Montreal Cognitive Assessment (MoCA), a modified Clinical Dementia Rating scale (CDR), the Revised Memory and Behavior Checklist (RMBC) and the Geriatric Depression Scale (GDS). For caregivers, the Zarit Burden Interview (ZBI), and the Marwit Meuser Caregiver Grief Index (MMCGI) are being assessed. Qualitative data about participant satisfaction is also being collected.RESULTS: Using the eight completed dyads (mean age of patient: 74 years), test-retest reliability for the total MOCA score was 0.81 (excellent) and for the overall CDR score is 0.64 (good). The ICC for ZBI=0.85 and for MMCGI= 0.94. Qualitative findings indicate that the telemedicine visits are acceptable to families.CONCLUSION: These preliminary reliability findings indicate that scores on these measures are similar in both telemedicine and face-to-face clinic visits (the full data set will be completed by Spring, 2016). This is the first known study 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. Disclosure: Dr. Lindauer has nothing to disclose. Dr. Seelye has nothing to disclose. Dr. Lyons has nothing to disclose. Dr. Mattek has nothing to disclose. Dr. Gregor has nothing to disclose. Dr. Mincks has nothing to disclose. Dr. Dodge has nothing to disclose. Dr. Kaye has received personal compensation for activities with Eli Lilly & Co. Dr. Erten-Lyons has received research support from Lundbeck, Eisai, Roche and Lilly." @default.
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• W2567055967 date "2016-04-05" @default.
• W2567055967 modified "2023-09-24" @default.
• W2567055967 title "Alzheimers Care via Telemedicine for Oregon (ACT-ON), Phase I: Establishing the Reliability of Telemedicine-Based Measures (I8.006)" @default.
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