Remote Evaluation Possible for MS Patients

by U.S. Medicine

March 9, 2015

WASHINGTON – Traveling to VA testing centers can be difficult for multiple sclerosis (MS) patients. What if, instead, the testing could be done remotely?

That’s what a study led by researchers from the Washington DC VAMC sought to find out.

Their study, published recently in the journal Multiple Sclerosis, evaluated the feasibility of remote cognitive assessment in patients with MS using the automated neuropsychological assessment metrics (ANAM-MS) and the symbol digit modalities test (SDMT).1

For the study, researchers randomized 24 patients meeting the McDonald criteria for MS to complete the live-in-office condition or a remote-in-office condition first, with all patients completing both sessions. A final remote-in-home testing session was then completed with 20 patients. Both remote sessions were proctored by a psychologist using a secure telehealth connection.

While scores on the live SDMT differed from scores in the two remote settings, summary scores on the ANAM-MS were similar across the three settings, the study found. Satisfaction with telehealth testing was high on the part of the examiner and patients, and each telehealth testing session saved more than $144.00 in travel costs and lost wages.

“This study demonstrated that valid results can be obtained when evaluating patients remotely using ANAM-MS,” the authors conclude. “Some differences were noted for the SDMT that suggest that either specific norms or a different implementation approach may be needed for telehealth.”

1 Settle JR, Robinson SA, Kane R, Maloni HW, Wallin MT. Remote cognitive assessments for patients with multiple sclerosis: a feasibility study. Mult Scler. 2015 Jan 12. pii: 1352458514559296. [Epub ahead of print] PubMed PMID: 25583842.

 


Comments are closed here.


Related Articles

VA-led Study Finds U.S. MS Prevalence Is Double Previous Estimates

WASHINGTON—Researchers and policy makers estimated that 300,000 to 400,000 people in the U.S. had multiple sclerosis in 2010, but new data indicates that number grossly undercounted the number of people affected by the neurological disease.... View Article

New Biomarker for MS Discovered; Could Replace MRI for Detection

BALTIMORE—A University of Maryland research team has discovered a biomarker that can determine whether a patients has multiple sclerosis or is relapsing, thanks to VA funding. Now two VA organizations focused on technology transfer are... View Article


U.S. Medicine Recommends


More From clinical topics home

Clinical Topics Home

Hypoglycemia Common in Hospice Patients Continuing Insulin Treatment

BOSTON—Clinical guidelines recommend relaxing glycemic control target levels for patients with diabetes and advanced disease and eventual discontinuation of medications as patients near death to avoid hypoglycemia. A new study published in JAMA Internal Medicine... View Article

Clinical Topics Home

VA Study Shows Kidney Disease Ups Diabetes Risk

LOUIS—For years, research has shown that patients with diabetes have an increased risk of kidney disease. But what about the reverse? A new study published in the journal Kidney International provides evidence that kidney dysfunction... View Article

Clinical Topics Home

Longer LOS Doesn’t Reduce COPD Readmissions

Recent financial penalties for high risk-adjusted chronic obstructive pulmonary disease (COPD) readmissions have pushed hospitals to search for ways to reduce readmissions for chronic obstructive pulmonary disease, a new study notes.

Clinical Topics Home

Study Looks at Soldiers’ Pre-Deployment Respiratory Health

The respiratory health of military personnel deployed to Southwest Asia continues to be an issue of great concern in light of their exposures to a variety of environmental hazards.

Clinical Topics Home

Optimizing Treatment of Peripheral T-cell Lymphoma

Long-term survival in patients with aggressive peripheral T-cell lymphoma (PTCL) is generally poor, no clear consensus exists on optimal initial therapy, according to a new study.

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up