Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

Autores
Caldichouri, Nicole; Soto Añari, Marcio; Camargo, Loida; Porto, María Fernanda; Herrera Pino, Jorge; Shelach Bellido, Salomon; Rivera Fernandez, Claudia; Ramos Henderson, Miguel; Gargiulo, Pascual Angel; Lopez, Norman
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27–28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.
A pandemia de COVID-19 mostrou a necessidade de cuidados neuropsicológicos para adultos idosos com queixas de memória em diferentes contextos, incluindo áreas rurais ou áreas de difícil acesso. Objetivo: Analisar a utilidade clínica do Phototest, por meio da telemedicina, para identificar uma leve deficiência cognitiva em adultos idosos rurais com queixas de memória, durante a pandemia de COVID-19. Métodos: Realizamos uma comparação transversal, caso-controle e utilidade clínica dos testes cognitivos breves. Amostra: Cento e onze idosos rurais com deficiência cognitiva leve (DCL) e 130 controles saudáveis da região de Los Lagos, Chile. Instrumentos: Minimental modificado (MMSEm) e versão do teste fotográfico (PT) adaptada para o Chile. Resultados: Para identificar a DCL, usando pontuação de corte de 27-28 pontos, o Phototest mostrou sensibilidade de 96,6% e especificidade de 81,8%; indicadores superiores aos do MMSEm. Conclusões: O Phototest é mais preciso que o MMSEm para identificar, por meio da telemedicina, alterações cognitivas em adultos idosos rurais com queixas de memória cognitiva. Sendo assim, seu uso na atenção primária é recomendado para realizar a detecção precoce de alterações cognitivas pré-clínicas em DCL ou doenças neurodegenerativas.
Fil: Caldichouri, Nicole. Universidad de Los Lagos; Chile
Fil: Soto Añari, Marcio. Universidad Catolica San Pablo; Perú
Fil: Camargo, Loida. Universidad de Sinú; Colombia
Fil: Porto, María Fernanda. Universidad de la Costa.; Colombia
Fil: Herrera Pino, Jorge. Florida International University; Estados Unidos
Fil: Shelach Bellido, Salomon. Universidad Catolica de San Pablo; Perú
Fil: Rivera Fernandez, Claudia. Universidad Nacional de San Agustin; Perú
Fil: Ramos Henderson, Miguel. Universidad Santo Tomás;
Fil: Gargiulo, Pascual Angel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza; Argentina. Universidad Nacional de Cuyo; Argentina
Fil: Lopez, Norman. Universidad de la Costa.; Colombia
Materia
COGNITIVE DYSFUNCTION
COVID-19
NEUROPSYCHOLOGICAL TESTS
RURAL POPULATION
TELEMEDICINE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/228295

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network_name_str CONICET Digital (CONICET)
spelling Clinical utility of Phototest via teleneuropsychology in Chilean rural older adultsUtilidade clínica do phototest via teleneuropsicologia em idosos rurais chilenosCaldichouri, NicoleSoto Añari, MarcioCamargo, LoidaPorto, María FernandaHerrera Pino, JorgeShelach Bellido, SalomonRivera Fernandez, ClaudiaRamos Henderson, MiguelGargiulo, Pascual AngelLopez, NormanCOGNITIVE DYSFUNCTIONCOVID-19NEUROPSYCHOLOGICAL TESTSRURAL POPULATIONTELEMEDICINEhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27–28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.A pandemia de COVID-19 mostrou a necessidade de cuidados neuropsicológicos para adultos idosos com queixas de memória em diferentes contextos, incluindo áreas rurais ou áreas de difícil acesso. Objetivo: Analisar a utilidade clínica do Phototest, por meio da telemedicina, para identificar uma leve deficiência cognitiva em adultos idosos rurais com queixas de memória, durante a pandemia de COVID-19. Métodos: Realizamos uma comparação transversal, caso-controle e utilidade clínica dos testes cognitivos breves. Amostra: Cento e onze idosos rurais com deficiência cognitiva leve (DCL) e 130 controles saudáveis da região de Los Lagos, Chile. Instrumentos: Minimental modificado (MMSEm) e versão do teste fotográfico (PT) adaptada para o Chile. Resultados: Para identificar a DCL, usando pontuação de corte de 27-28 pontos, o Phototest mostrou sensibilidade de 96,6% e especificidade de 81,8%; indicadores superiores aos do MMSEm. Conclusões: O Phototest é mais preciso que o MMSEm para identificar, por meio da telemedicina, alterações cognitivas em adultos idosos rurais com queixas de memória cognitiva. Sendo assim, seu uso na atenção primária é recomendado para realizar a detecção precoce de alterações cognitivas pré-clínicas em DCL ou doenças neurodegenerativas.Fil: Caldichouri, Nicole. Universidad de Los Lagos; ChileFil: Soto Añari, Marcio. Universidad Catolica San Pablo; PerúFil: Camargo, Loida. Universidad de Sinú; ColombiaFil: Porto, María Fernanda. Universidad de la Costa.; ColombiaFil: Herrera Pino, Jorge. Florida International University; Estados UnidosFil: Shelach Bellido, Salomon. Universidad Catolica de San Pablo; PerúFil: Rivera Fernandez, Claudia. Universidad Nacional de San Agustin; PerúFil: Ramos Henderson, Miguel. Universidad Santo Tomás;Fil: Gargiulo, Pascual Angel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza; Argentina. Universidad Nacional de Cuyo; ArgentinaFil: Lopez, Norman. Universidad de la Costa.; ColombiaAssociacao Arquivos de Neuro-Psiquiatria2022-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/228295Caldichouri, Nicole; Soto Añari, Marcio; Camargo, Loida; Porto, María Fernanda; Herrera Pino, Jorge; et al.; Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults; Associacao Arquivos de Neuro-Psiquiatria; Dementia e Neuropsychologia; 16; 3; 3-2022; 316-3232764-4863CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.demneuropsy.com.br/article/clinical-utility-of-phototest-via-teleneuropsychology-in-chilean-rural-older-adults/info:eu-repo/semantics/altIdentifier/url/https://www.scielo.br/j/dn/a/gHjKNTdGcxHg3WyDH5TySmF/?lang=eninfo:eu-repo/semantics/altIdentifier/doi/10.1590/1980-5764-DN-2021-0082info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:07:01Zoai:ri.conicet.gov.ar:11336/228295instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:07:01.322CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
Utilidade clínica do phototest via teleneuropsicologia em idosos rurais chilenos
title Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
spellingShingle Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
Caldichouri, Nicole
COGNITIVE DYSFUNCTION
COVID-19
NEUROPSYCHOLOGICAL TESTS
RURAL POPULATION
TELEMEDICINE
title_short Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
title_full Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
title_fullStr Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
title_full_unstemmed Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
title_sort Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults
dc.creator.none.fl_str_mv Caldichouri, Nicole
Soto Añari, Marcio
Camargo, Loida
Porto, María Fernanda
Herrera Pino, Jorge
Shelach Bellido, Salomon
Rivera Fernandez, Claudia
Ramos Henderson, Miguel
Gargiulo, Pascual Angel
Lopez, Norman
author Caldichouri, Nicole
author_facet Caldichouri, Nicole
Soto Añari, Marcio
Camargo, Loida
Porto, María Fernanda
Herrera Pino, Jorge
Shelach Bellido, Salomon
Rivera Fernandez, Claudia
Ramos Henderson, Miguel
Gargiulo, Pascual Angel
Lopez, Norman
author_role author
author2 Soto Añari, Marcio
Camargo, Loida
Porto, María Fernanda
Herrera Pino, Jorge
Shelach Bellido, Salomon
Rivera Fernandez, Claudia
Ramos Henderson, Miguel
Gargiulo, Pascual Angel
Lopez, Norman
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COGNITIVE DYSFUNCTION
COVID-19
NEUROPSYCHOLOGICAL TESTS
RURAL POPULATION
TELEMEDICINE
topic COGNITIVE DYSFUNCTION
COVID-19
NEUROPSYCHOLOGICAL TESTS
RURAL POPULATION
TELEMEDICINE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27–28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.
A pandemia de COVID-19 mostrou a necessidade de cuidados neuropsicológicos para adultos idosos com queixas de memória em diferentes contextos, incluindo áreas rurais ou áreas de difícil acesso. Objetivo: Analisar a utilidade clínica do Phototest, por meio da telemedicina, para identificar uma leve deficiência cognitiva em adultos idosos rurais com queixas de memória, durante a pandemia de COVID-19. Métodos: Realizamos uma comparação transversal, caso-controle e utilidade clínica dos testes cognitivos breves. Amostra: Cento e onze idosos rurais com deficiência cognitiva leve (DCL) e 130 controles saudáveis da região de Los Lagos, Chile. Instrumentos: Minimental modificado (MMSEm) e versão do teste fotográfico (PT) adaptada para o Chile. Resultados: Para identificar a DCL, usando pontuação de corte de 27-28 pontos, o Phototest mostrou sensibilidade de 96,6% e especificidade de 81,8%; indicadores superiores aos do MMSEm. Conclusões: O Phototest é mais preciso que o MMSEm para identificar, por meio da telemedicina, alterações cognitivas em adultos idosos rurais com queixas de memória cognitiva. Sendo assim, seu uso na atenção primária é recomendado para realizar a detecção precoce de alterações cognitivas pré-clínicas em DCL ou doenças neurodegenerativas.
Fil: Caldichouri, Nicole. Universidad de Los Lagos; Chile
Fil: Soto Añari, Marcio. Universidad Catolica San Pablo; Perú
Fil: Camargo, Loida. Universidad de Sinú; Colombia
Fil: Porto, María Fernanda. Universidad de la Costa.; Colombia
Fil: Herrera Pino, Jorge. Florida International University; Estados Unidos
Fil: Shelach Bellido, Salomon. Universidad Catolica de San Pablo; Perú
Fil: Rivera Fernandez, Claudia. Universidad Nacional de San Agustin; Perú
Fil: Ramos Henderson, Miguel. Universidad Santo Tomás;
Fil: Gargiulo, Pascual Angel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza; Argentina. Universidad Nacional de Cuyo; Argentina
Fil: Lopez, Norman. Universidad de la Costa.; Colombia
description The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27–28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.
publishDate 2022
dc.date.none.fl_str_mv 2022-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/228295
Caldichouri, Nicole; Soto Añari, Marcio; Camargo, Loida; Porto, María Fernanda; Herrera Pino, Jorge; et al.; Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults; Associacao Arquivos de Neuro-Psiquiatria; Dementia e Neuropsychologia; 16; 3; 3-2022; 316-323
2764-4863
CONICET Digital
CONICET
url http://hdl.handle.net/11336/228295
identifier_str_mv Caldichouri, Nicole; Soto Añari, Marcio; Camargo, Loida; Porto, María Fernanda; Herrera Pino, Jorge; et al.; Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults; Associacao Arquivos de Neuro-Psiquiatria; Dementia e Neuropsychologia; 16; 3; 3-2022; 316-323
2764-4863
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.demneuropsy.com.br/article/clinical-utility-of-phototest-via-teleneuropsychology-in-chilean-rural-older-adults/
info:eu-repo/semantics/altIdentifier/url/https://www.scielo.br/j/dn/a/gHjKNTdGcxHg3WyDH5TySmF/?lang=en
info:eu-repo/semantics/altIdentifier/doi/10.1590/1980-5764-DN-2021-0082
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https://creativecommons.org/licenses/by/2.5/ar/
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dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Associacao Arquivos de Neuro-Psiquiatria
publisher.none.fl_str_mv Associacao Arquivos de Neuro-Psiquiatria
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