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Validation of the Cognitive Telephone Screening Instruments COGTEL and COGTEL+ in Identifying Clinically Diagnosed Neurocognitive Disorder Due to Alzheimer's Disease in a Naturalistic Clinical Setting.
Alexopoulos, Panagiotis; Skondra, Maria; Kontogianni, Evagellia; Vratsista, Aikaterini; Frounta, Maria; Konstantopoulou, Georgia; Aligianni, Suzana Ioanna; Charalampopoulou, Marina; Lentzari, Iliana; Gourzis, Philippos; Kliegel, Matthias; Economou, Polychronis; Politis, Antonios.
Afiliação
  • Alexopoulos P; Department of Psychiatry, Patras University Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
  • Skondra M; Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Faculty of Medicine, Technical University of Munich, Munich, Germany.
  • Kontogianni E; Psychogeriatric Unit for Neurocognitive Assessment and Caregiver Counselling, Patras Office of The Hellenic Red Cross, Patras, Greece.
  • Vratsista A; Patras Dementia Day Care Center, Corporation for Succor and Care of Elderly and Disabled -FRODIZO, Patras, Greece.
  • Frounta M; Department of Psychiatry, Patras University Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
  • Konstantopoulou G; Psychogeriatric Unit for Neurocognitive Assessment and Caregiver Counselling, Patras Office of The Hellenic Red Cross, Patras, Greece.
  • Aligianni SI; First Department of Psychiatry, Eginition Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Charalampopoulou M; Department of Psychiatry, General Hospital of Arta, Arta, Greece.
  • Lentzari I; Patras Dementia Day Care Center, Corporation for Succor and Care of Elderly and Disabled -FRODIZO, Patras, Greece.
  • Gourzis P; Special Office for Health Consulting Services and Faculty of Education and Social Work, School of Humanities and Social Sciences, University of Patras, Patras, Greece.
  • Kliegel M; Department of Psychiatry, Patras University Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
  • Economou P; Department of Psychiatry, Patras University Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
  • Politis A; Department of Psychiatry, Patras University Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece.
J Alzheimers Dis ; 83(1): 259-268, 2021.
Article em En | MEDLINE | ID: mdl-34275904
BACKGROUND: Telephone-based neurocognitive instruments embody valuable tools in identifying cognitive impairment in research settings and lately also in clinical contexts due to the pandemic crisis. The accuracy of the Cognitive Telephone Screening Instrument (COGTEL) in detecting mild- (MiND) and major (MaND) neurocognitive disorder has not been studied yet. OBJECTIVE: Comparison of the utility of COGTEL and COGTEL+, which is enriched with orientation items, with the modified Mini-Mental State Examination (3MS) in detecting MiND and MaND due to Alzheimer's disease (AD) and assessment of the impact of COGTEL face-to-face-versus telephone administration on individual performance. METHODS: The study included 197 cognitively intact individuals (CI), being at least 45 years old, 95 and 65 patients with MiND and MaND due to AD, respectively. In 20 individuals COGTEL was administered both in face-to-face and telephone sessions. Statistical analyses included proportional odds logistic regression models, stratified repeated random subsampling used to recursive partitioning to training and validation set (70/30 ratio), and an appropriate F-test. RESULTS: All studied instruments were significant predictors of diagnostic outcome, but COGTEL+ and 3MS explained more variance relative to the original COGTEL. Except for the validation regression models including COGTEL in which the average misclassification error slightly exceeded 15%, in all other cases the average misclassification errors (%) were lower than 15%. COGTEL administration modality was not related to systematic over- or underestimation of performance on COGTEL. CONCLUSION: COGTEL+ is a valuable instrument in detecting MiND and MaND and can be administered in face-to-face or telephone sessions.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Telefone / Programas de Rastreamento / Transtornos Neurocognitivos / Disfunção Cognitiva / Testes de Estado Mental e Demência Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Telefone / Programas de Rastreamento / Transtornos Neurocognitivos / Disfunção Cognitiva / Testes de Estado Mental e Demência Idioma: En Ano de publicação: 2021 Tipo de documento: Article