公共卫生 公共卫生
Akarin Hiransuthikul1,2, Thanapoom Taweephol3, Netchanok Timachai1
1HIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
基于平板电脑的蒙特利尔认知评估 (eMoCA) 与纸质版本相比,对艾滋病毒感染的老年人来说具有中等的有效性. 然而,触摸屏体验显著影响eMoCA得分,需要临床医生仔细考虑.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 传染性疾病 传染性疾病
背景情况:
- 认知评估对于认知护理的早期干预至关重要.
- 评估数字健康工具对于老年人群至关重要,尤其是那些患有HIV等慢性疾病的人群.
- 这项研究重点关注与艾滋病毒 (PWH) 感染的老年泰国人.
研究的目的:
- 为了确定基于平板电脑的认知评估工具 (eMoCA) 与传统的纸质版本的有效性和一致性.
- 评估泰国验证的蒙特利尔认知评估 (MoCA) 在老化PWH的数字格式中的表现.
- 研究触摸屏体验对认知评估结果的影响.
主要方法:
- 用一个交叉研究设计与46个老年泰国PWH (≥50年) 进行了交叉研究.
- 参与者被随机分配,首先完成纸质MoCA或eMoCA,然后两周后完成替代版本.
- 用皮尔森相关性,一致性相关系数 (CCC) 和布兰德-阿尔特曼图表来分析得分一致性.
主要成果:
- 皮尔森相关系数为0.54 (p=0.001) 和CCC为0.47,表明纸张和平板电脑MoCA版本之间的中等一致性.
- 观察到的平均分数差异为-1.33 (SD 3.22),其中95%的一致性范围在-7.63和4.98.8之间.
- 与纸质MoCA相比,没有先前触摸屏体验的参与者在eMoCA上得分明显低 (平均差异-1.56).
结论:
- 与纸质MoCA相比,eMoCA在老年泰国PWH中表现出适度的有效性.
- 之前的触摸屏平板电脑体验显著影响了两个MoCA版本之间的分数的可比性.
- 临床医生应评估患者的数字素养和触摸屏体验,以确保使用eMoCA进行准确的认知评估.
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