INS NYC 2024 Program

Poster	Poster Session 04 Program Schedule 02/15/2024 12:00 pm - 01:15 pm Room: Majestic Complex (Posters 61-120) Poster Session 04: Neuroimaging \| Neurostimulation/Neuromodulation \| Teleneuropsychology/Technology Final Abstract #109 Development of the Telephone-Based Daily Instrumental Activities of Living (T-DIAL) to Assess Functional Capacity Remotely in Older Adults Jennifer Thompson, University of Houston, Houston, United States Steven Woods, University of Houston, Houston, United States Troy Webber, Michael E. DeBakey VA Medical Center, Houston, United States Luis Medina, University of Houston, Houston, United States Kenneth Podell, Methodist Hospital Department of Neurology, Houston, United States Hanako Yoshida, University of Houston, Houston, United States Darrian Evans, University of Louisville Health, Louisville, United States Natalie Ridgely, University of Houston, Houston, United States Michelle Babicz, James A. Haley Veterans' Hospital, Tampa, United States Elliott Gomez, University of Houston, Houston, United States Andrea Mustafa, University of Houston, Houston, United States Category: Teleneuropsychology/ Technology Keyword 1: everyday functioning Keyword 2: assessment Keyword 3: teleneuropsychology Objective: Performance-based functional assessments are useful to characterize everyday functioning in older adults, but few can be delivered remotely and via telephone. The current study evaluated the validity of a novel, performance-based banking task (i.e., Telephone-based Daily Instrumental Activities of Living; T-DIAL) in which participants used interactive voice response technology to complete a series of actions with a financial institution via telephone. Participants and Methods: This observational, prospective study used a cross-sectional, correlational design with 60 younger (18-34 years) and 60 older (50-85 years) cognitively healthy adults. All participants completed the T-DIAL, a brief neuropsychological battery, everyday functioning measures, and questionnaires (e.g., mood) remotely via telephone. The T-DIAL task required participants to call and report information related to a fraudulent credit card charge by completing five different steps using their telephone keypad. Given 75.8% (n=91) of the sample obtained perfect accuracy on the T-DIAL, performance was dichotomized as perfect or not-perfect accuracy. Results: Multiple logistic regression showed very small, non-significant performance differences on the T-DIAL by age groups (X²=0.12, p=.728, odds ratio=1.22). However, regression models revealed perfect T-DIAL accuracy was significantly and independently related to better self-reported instrumental activities of daily living (B=0.44, p=.034), and better global neuropsychological performance (X²=5.82, p=.016, odds ratio=3.93). In particular, executive functions related to perfect T-DIAL performance at a large effect size (t=4.87, p<.001, Hedge’s g=1.04). Post hoc analyses revealed age did not interact with self-reported functioning or neuropsychological performance to predict T-DIAL accuracy (all ps>.05). Conclusions: Findings from this study provided preliminary supportive evidence for the validity of the T-DIAL, which showed robust associations with manifest everyday functioning and higher-order cognitive ability. Future work is needed on the psychometrics and construct validity of the T-DIAL in neurocognitive disorders and under-served communities for whom remote evaluations might be particularly relevant.

Poster

02/15/2024
12:00 pm - 01:15 pm
Room: Majestic Complex (Posters 61-120)

Poster Session 04: Neuroimaging | Neurostimulation/Neuromodulation | Teleneuropsychology/Technology

Final Abstract #109

Development of the Telephone-Based Daily Instrumental Activities of Living (T-DIAL) to Assess Functional Capacity Remotely in Older Adults

Jennifer Thompson, University of Houston, Houston, United States
Steven Woods, University of Houston, Houston, United States
Troy Webber, Michael E. DeBakey VA Medical Center, Houston, United States
Luis Medina, University of Houston, Houston, United States
Kenneth Podell, Methodist Hospital Department of Neurology, Houston, United States
Hanako Yoshida, University of Houston, Houston, United States
Darrian Evans, University of Louisville Health, Louisville, United States
Natalie Ridgely, University of Houston, Houston, United States
Michelle Babicz, James A. Haley Veterans' Hospital, Tampa, United States
Elliott Gomez, University of Houston, Houston, United States
Andrea Mustafa, University of Houston, Houston, United States

Category: Teleneuropsychology/ Technology

Keyword 1: everyday functioning
Keyword 2: assessment
Keyword 3: teleneuropsychology

Objective:

Performance-based functional assessments are useful to characterize everyday functioning in older adults, but few can be delivered remotely and via telephone. The current study evaluated the validity of a novel, performance-based banking task (i.e., Telephone-based Daily Instrumental Activities of Living; T-DIAL) in which participants used interactive voice response technology to complete a series of actions with a financial institution via telephone.

Participants and Methods:

This observational, prospective study used a cross-sectional, correlational design with 60 younger (18-34 years) and 60 older (50-85 years) cognitively healthy adults. All participants completed the T-DIAL, a brief neuropsychological battery, everyday functioning measures, and questionnaires (e.g., mood) remotely via telephone. The T-DIAL task required participants to call and report information related to a fraudulent credit card charge by completing five different steps using their telephone keypad. Given 75.8% (n=91) of the sample obtained perfect accuracy on the T-DIAL, performance was dichotomized as perfect or not-perfect accuracy.

Results:

Multiple logistic regression showed very small, non-significant performance differences on the T-DIAL by age groups (X²=0.12, p=.728, odds ratio=1.22). However, regression models revealed perfect T-DIAL accuracy was significantly and independently related to better self-reported instrumental activities of daily living (B=0.44, p=.034), and better global neuropsychological performance (X²=5.82, p=.016, odds ratio=3.93). In particular, executive functions related to perfect T-DIAL performance at a large effect size (t=4.87, p<.001, Hedge’s g=1.04). Post hoc analyses revealed age did not interact with self-reported functioning or neuropsychological performance to predict T-DIAL accuracy (all ps>.05).

Conclusions:

Findings from this study provided preliminary supportive evidence for the validity of the T-DIAL, which showed robust associations with manifest everyday functioning and higher-order cognitive ability. Future work is needed on the psychometrics and construct validity of the T-DIAL in neurocognitive disorders and under-served communities for whom remote evaluations might be particularly relevant.