Identifying depression in older adults via video consultation

Martin-Khan, M., Flicker, L., Wootton, R., Loh, P., Edwards, H., Byrne, G., Varghese, P., Beller, E. and Gray, L. (2009). Identifying depression in older adults via video consultation. In: Australian National Dementia Research Forum 2008, Sydney, Australia, (e13-e14). 18-19 September 2008. doi:10.1016/j.jalz.2009.07.020


Author Martin-Khan, M.
Flicker, L.
Wootton, R.
Loh, P.
Edwards, H.
Byrne, G.
Varghese, P.
Beller, E.
Gray, L.
Title of paper Identifying depression in older adults via video consultation
Conference name Australian National Dementia Research Forum 2008
Conference location Sydney, Australia
Conference dates 18-19 September 2008
Journal name Alzheimer's and Dementia   Check publisher's open access policy
Place of Publication Chicago, IL USA
Publisher Elsevier
Publication Year 2009
Sub-type Published abstract
DOI 10.1016/j.jalz.2009.07.020
ISSN 1552-5260
1552-5279
Volume 5
Issue 5
Start page e13
End page e14
Total pages 2
Language eng
Formatted Abstract/Summary
Background: A project aimed to identify the reliability of the diagnosis of dementia via video consultation (VC) also collected data regarding the diagnosis of depression via video conferencing.
Methods: This was a multi-site study in which a specialist carried out a cognitive assessment via VC with the patient and their carer. A second interview was carried out face to face (FTF) by a second specialist on the same day. This VC/FTF pairing was referred to as VF. Inter-rater reliability was assessed between specialists by using overall proportional agreement (PO) and kappa (κ). Data on the presence of depression were collected from each specialist.
Results: One hundred fifty-five participants, referred by their general practitioner for a specialist assessment at one of four participating Memory Disorder Clinics (MDCs), were divided into two groups: VF (n = 82) or FTF (n = 73). Seventy-five were men. The average age was 76 years (standard deviation [SD], 9; 54 to 95). The mean Standardised Mini-Mental State Examination Score was 23.8 (SD, 4.4; 8 to 30). Overall agreement via VC (PO = 0.793; κ = 0.37; P = .12) was at similar levels to agreement for FTF (PO = 0.767; κ = 0.31, P = .13).
Conclusions: The identification of depression in this patient group was a secondary analysis within a study designed to examine the reliability of the diagnosis of dementia in patients referred to an MDC. The results suggest that recognizing depression via VC is reliable, but further studies are required because this population is not representative of a typical population in which the suitability of VC for the diagnosis of depression would be tested.
Copyright © 2009 The Alzheimer's Association Published by Elsevier B.V.
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Fri, 15 Jul 2011, 15:18:08 EST by Christopher O'Keefe on behalf of School of Medicine