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Concurrent validity and reliability of at-home teleneuropsychological evaluations among people with and without HIV

Published online by Cambridge University Press:  13 December 2022

Maulika Kohli Open the ORCID record for Maulika Kohli [Opens in a new window] ,
Arin Fisher ,
Ni Sun-Suslow ,
Anne Heaton ,
Matthew S. Dawson ,
Jennifer Marquie ,
Donald R. Franklin ,
Maria Marquine ,
Jennifer E. Iudicello  and
Robert K. Heaton
...Show all authors
Maulika Kohli
Affiliation:
San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Arin Fisher
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Ni Sun-Suslow
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Anne Heaton
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Matthew S. Dawson
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Jennifer Marquie
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Donald R. Franklin
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA
Maria Marquine
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA Department of Psychiatry, University of California San Diego, San Diego, CA, USA
Jennifer E. Iudicello
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA Department of Psychiatry, University of California San Diego, San Diego, CA, USA
Robert K. Heaton
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA Department of Psychiatry, University of California San Diego, San Diego, CA, USA
David J. Moore*
Affiliation:
HIV Neurobehavioral Research Program, University of California San Diego, San Diego, CA, USA Department of Psychiatry, University of California San Diego, San Diego, CA, USA
*
Corresponding author: David J. Moore, email: djmoore@health.ucsd.edu
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Abstract

Objective:

To determine the reliability of teleneuropsychological (TNP) compared to in-person assessments (IPA) in people with HIV (PWH) and without HIV (HIV−).

Methods:

Participants included 80 PWH (Mage = 58.7, SDage = 11.0) and 23 HIV− (Mage = 61.9, SDage = 16.7). Participants completed two comprehensive neuropsychological IPA before one TNP during the COVID-19 pandemic (March–December 2020). The neuropsychological tests included: Hopkins Verbal Learning Test-Revised (HVLT-R Total and Delayed Recall), Controlled Oral Word Association Test (COWAT; FAS-English or PMR-Spanish), Animal Fluency, Action (Verb) Fluency, Wechsler Adult Intelligence Scale 3rd Edition (WAIS-III) Symbol Search and Letter Number Sequencing, Stroop Color and Word Test, Paced Auditory Serial Addition Test (Channel 1), and Boston Naming Test. Total raw scores and sub-scores were used in analyses. In the total sample and by HIV status, test-retest reliability and performance-level differences were evaluated between the two consecutive IPA (i.e., IPA1 and IPA2), and mean in-person scores (IPA-M), and TNP.

Results:

There were statistically significant test-retest correlations between IPA1 and IPA2 (r or ρ = .603–.883, ps < .001), and between IPA-M and TNP (r or ρ = .622–.958, ps < .001). In the total sample, significantly lower test-retest scores were found between IPA-M and TNP on the COWAT (PMR), Stroop Color and Word Test, WAIS-III Letter Number Sequencing, and HVLT-R Total Recall (ps < .05). Results were similar in PWH only.

Conclusions:

This study demonstrates reliability of TNP in PWH and HIV−. TNP assessments are a promising way to improve access to traditional neuropsychological services and maintain ongoing clinical research studies during the COVID-19 pandemic.

Keywords

human immunodeficiency virusCOVID-19validation studyneuropsychologycognitiontelehealth
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 29 , Issue 2 , February 2023 , pp. 193 - 204
Copyright
Copyright © INS. Published by Cambridge University Press, 2022

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