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In-person versus virtual administration of the American College of Rheumatology gold standard cognitive battery in systemic lupus erythematosus: Are they interchangeable?
Barraclough, M L; Diaz-Martinez, J P; Knight, A; Bingham, K; Su, J; Kakvan, M; Grajales, C Muñoz; Tartaglia, M C; Ruttan, L; Wither, J; Choi, M Y; Bonilla, D; Anderson, N; Appenzeller, S; Parker, B; Katz, P; Beaton, D; Green, R; Bruce, I N; Touma, Z.
  • Barraclough ML; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
  • Diaz-Martinez JP; Centre for Epidemiology Versus Arthritis, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
  • Knight A; NIHR Manchester Biomedical Research Centre, Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, Manchester, UK.
  • Bingham K; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
  • Su J; Centre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, University of Toronto Lupus Clinic, Toronto, ON, Canada.
  • Kakvan M; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, Canada.
  • Grajales CM; Neurosciences and Mental Health Program, SickKids Research Institute, Toronto, ON, Canada.
  • Tartaglia MC; Centre for Mental Health, University Health Network, Toronto, ON, Canada.
  • Ruttan L; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
  • Wither J; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
  • Choi MY; Division of Rheumatology, Hospital for Sick Children, Toronto, ON, Canada.
  • Bonilla D; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
  • Anderson N; Centre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, University of Toronto Lupus Clinic, Toronto, ON, Canada.
  • Appenzeller S; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
  • Parker B; Centre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, University of Toronto Lupus Clinic, Toronto, ON, Canada.
  • Katz P; Krembil Research Institute, University Health Network Memory Clinic, Toronto, ON, Canada.
  • Beaton D; University Health Network-Toronto Rehabilitation Institute, Toronto, ON, Canada.
  • Green R; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
  • Bruce IN; Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Touma Z; Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, ON, Canada.
Lupus ; 32(6): 737-745, 2023 May.
Article in English | MEDLINE | ID: covidwho-2291948
ABSTRACT

OBJECTIVE:

During the COVID-19 pandemic, many research studies were adapted, including our longitudinal study examining cognitive impairment (CI) in systemic lupus erythematosus (SLE). Cognitive testing was switched from in-person to virtual. This analysis aimed to determine if the administration method (in-person vs. virtual) of the ACR-neuropsychological battery (ACR-NB) affected participant cognitive performance and classification.

METHODS:

Data from our multi-visit, SLE CI study included demographic, clinical, and psychiatric characteristics, and the modified ACR-NB. Three analyses were undertaken for cognitive performance (1) all visits, (2) non-CI group visits only and (3) intra-individual comparisons. A retrospective preferences questionnaire was given to participants who completed the ACR-NB both in-person and virtually.

RESULTS:

We analysed 328 SLE participants who had 801 visits (696 in-person and 105 virtual). Demographic, clinical, and psychiatric characteristics were comparable except for ethnicity, anxiety and disease-related damage. Across all three comparisons, six tests were consistently statistically significantly different. CI classification changed in 11/71 (15%) participants. 45% of participants preferred the virtual administration method and 33% preferred in-person.

CONCLUSIONS:

Of the 19 tests in the ACR-NB, we identified one or more problems with eight (42%) tests when moving from in-person to virtual administration. As the use of virtual cognitive testing will likely increase, these issues need to be addressed - potentially by validating a virtual version of the ACR-NB. Until then, caution must be taken when directly comparing virtual to in-person test results. If future studies use a mixed administration approach, this should be accounted for during analysis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rheumatology / COVID-19 / Lupus Erythematosus, Systemic Type of study: Cohort study / Observational study / Prognostic study / Qualitative research Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Lupus Journal subject: Rheumatology Year: 2023 Document Type: Article Affiliation country: 09612033231168477

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rheumatology / COVID-19 / Lupus Erythematosus, Systemic Type of study: Cohort study / Observational study / Prognostic study / Qualitative research Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Lupus Journal subject: Rheumatology Year: 2023 Document Type: Article Affiliation country: 09612033231168477