ArticleArchives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists2025
Comparison of Telehealth Versus Face-to-Face Administration of the Oral Trail Making Test in Older Adults with and without Cognitive Impairment: A Brief Report.
Article in Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo examine the performance reliability of the Oral Trail Making Test (OTMT) in face-to-face (FTF) and teleneuropsychology (TeleNP) conditions among older individuals with and without cognitive impairment.
methodsTwo hundred participants (with [n = 81], and without cognitive impairment [n = 119]) completed the OTMT in both conditions, in a counterbalanced design. Paired sample t-tests compared OTMT scores and intra-class correlation coefficients examined the degree of agreement between the two testing conditions for both diagnostic groups.
resultsFor both groups, mean scores were similar across test conditions, with small yet statistically significant differences for OTMT-A (p < .001), though OTMT-B scores did not significantly differ (p-values: .702-.749). Despite substantial variability in OTMT scores, there was a strong agreement between testing formats for OTMT-A (α values = 0.845-0.939) and moderate to strong agreement for OTMT-B scores (α-values = 0.657-0.837).
conclusionsOTMT administration may be feasible and reliable for TeleNP, though caution is advised for clinicians when interpreting overall test performances given large score variability.
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