Agreement between telehealth and face-to-face assessment of intellectual ability in children with specific learning disorder

J Telemed Telecare. 2019 Aug;25(7):431-437. doi: 10.1177/1357633X18776095. Epub 2018 Jun 6.

Abstract

Introduction: Access to cognitive assessments for children living remotely is limited. Telehealth represents a potential cost- and time-effective solution. A pilot study was conducted to determine the feasibility of telehealth to assess cognitive function in children with learning difficulties.

Methods: Thirty-three children (median age = 9 years 11 months), recruited from the New South Wales (NSW) Centre for Effective Reading, underwent assessment of intellectual ability. Comparisons were made between the intellectual ability index scores obtained by a psychologist sitting face-to-face with the children and another psychologist via telehealth using a web-based platform, Coviu.

Results: The telehealth administration method yielded comparable results to the face-to-face method. Correlation analyses showed high associations between the testing methodologies on the intellectual ability indices (correlation coefficient range = 0.981-0.997).

Discussion: Findings indicate that telehealth may be an alternative to face-to-face cognitive assessment. Future work in a broader range of cognitive tests and wider range of clinical populations is warranted.

Keywords: Remote consultation; tele-education; telehealth.

MeSH terms

  • Child
  • Cognition
  • Female
  • Humans
  • Intelligence Tests / standards*
  • Internet
  • Male
  • New South Wales
  • Pilot Projects
  • Specific Learning Disorder / diagnosis*
  • Telemedicine / methods*