Dementia Diagnostics in Primary Care: with a Focus on Cognitive Testing
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
What Cognitive Abilities Are Involved in Trail-Making Performance?
Intelligence 39 (2011) 222–232 Contents lists available at ScienceDirect Intelligence What cognitive abilities are involved in trail-making performance? Timothy A. Salthouse Department of Psychology, University of Virginia, Charlottesville, VA 29904, United States article info abstract Article history: The cognitive abilities involved in the Connections (Salthouse, et al., 2000) version of the trail Received 27 August 2010 making test were investigated by administering the test, along with a battery of cognitive tests Received in revised form 7 January 2011 and tests of complex span and updating conceptualizations of working memory, to a sample of Accepted 4 March 2011 over 3600 adults. The results indicate that this variant of the trail making test largely reflects Available online 30 March 2011 individual differences in speed and fluid cognitive abilities, with the relative contributions of the two abilities varying according to particular measure of performance considered (e.g., Keywords: difference, ratio, or residual). Relations of age on trail making performance were also examined. Neuropsychological assessment Although strong age differences were evident in the Connections and working memory Meaning of tests Working memory measures, with both sets of variables there was nearly complete overlap of the age differences Fluid ability with individual differences in speed and fluid cognitive abilities. Age differences © 2011 Elsevier Inc. All rights reserved. Trail making tests have been extensively used in neuro- and Gass (2010). However, most of the studies had limita- psychological assessment (e.g., Butler, Retzlaff & Vander- tions such as weak statistical procedures, a restricted set of ploeg, 1991; Rabin, Barr & Burton, 2005; Sellers & Nadler, other variables, and relatively small samples, many of which 1992). -
Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the Early Diagnosis of Dementia Across a Variety of Healthcare Settings (Protocol)
Cochrane Database of Systematic Reviews Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the early diagnosis of dementia across a variety of healthcare settings (Protocol) Lees RA, Stott DJ, McShane R, Noel-Storr AH, Quinn TJ Lees RA, Stott DJ, McShane R, Noel-Storr AH, Quinn TJ. Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the early diagnosis of dementia across a variety of healthcare settings. Cochrane Database of Systematic Reviews 2014, Issue 10. Art. No.: CD011333. DOI: 10.1002/14651858.CD011333. www.cochranelibrary.com Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the early diagnosis of dementia across a variety of healthcare settings (Protocol) Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 BACKGROUND .................................... 1 OBJECTIVES ..................................... 4 METHODS ...................................... 4 REFERENCES ..................................... 7 APPENDICES ..................................... 8 DECLARATIONSOFINTEREST . 19 Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the early diagnosis of dementia across a variety of i healthcare settings (Protocol) Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. [Diagnostic Test Accuracy Protocol] Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) -
Teleneuropsychology (Telenp) in Response to COVID-19: Practical Guidelines to Balancing Validity Concerns with Clinical Need
Teleneuropsychology (TeleNP) in Response to COVID-19: Practical Guidelines to Balancing Validity Concerns with Clinical Need Rene Stolwyk, DPsych(Clin.Neuro), PsyBA Dustin B. Hammers, Ph.D., ABPP(CN) Senior Lecturer and Clinical Neuropsychologist Board Certified in Clinical Neuropsychology Turner Institute for Brain and Mental Health Associate Professor, Department of Neurology Monash University, Melbourne, Australia University of Utah, Salt Lake City, Utah Email: [email protected] Email: [email protected] Twitter: @rene_stolwyk Lana Harder, PhD, ABPP C. Munro Cullum, Ph.D., ABPP-CN Board Certified in Clinical Neuropsychology Professor of Psychiatry, Neurology, and Neurosurgery Board Certified Subspecialist in Pediatric Neuropsychology Pam Blumenthal Distinguished Professor of Clinical Psychology Children’s Medical Center Dallas Senior Neuropsychologist, O’Donnell Brain Institute Associate Professor of Psychiatry and Neurology University of Texas Southwestern Medical Center University of Texas Southwestern Medical Center Email: [email protected] Email: [email protected] INS Webinar Presented on 4/2/2020 Objectives Following this webinar, attendees will be able to: • Understand the evidence base supporting TeleNP procedures as well as the strengths and limitations of different models • Apply knowledge of models of TeleNP and evaluate potential feasibility within your own clinical settings • Understand key legal and ethical considerations when providing TeleNP services Outline • Ethical and Legal Challenges • Logistical and Practical Considerations • Models of TeleNP • Evidence for use of Specific Measures over TeleNP and Patient Satisfaction • Practical Considerations for Home-Based TeleNP Our Experience with TeleNP • Dr. Hammers leads the University of Utah TeleNP Program • Joint relationship between University of Utah Cognitive Disorders Clinic and St. -
A Systematic Review of Validity Procedures Used in Neuropsychological Batteries
Psychology & Neuroscience, 2013, 6, 3, 311 - 329 DOI: 10.3922/j.psns.2013.3.09 A systematic review of validity procedures used in neuropsychological batteries Josiane Pawlowski1, Joice Dickel Segabinazi2, Flávia Wagner2, and Denise Ruschel Bandeira2 1. Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil 2. Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil Abstract This study presents a systematic review of validity evidence for neuropsychological batteries. Studies published in international databases between 2005 and 2012 were examined. Considering the specificity of neuropsychological batteries, the aim of the study was to review the statistical analyses and procedures that have been used to validate these instruments. A total of 1,218 abstracts were read, of which 147 involved studies of neuropsychological batteries or tests that evaluated at least three cognitive processes. The full text of each article was analyzed according to publication year, focal instrument of the study, sample type, sample age range, characterization of the participants, and procedures and analyses used to provide evidence of validity. The results showed that the studies primarily analyzed patterns of convergence and divergence by correlating the instruments with other tests. Measures of reliability, such as internal consistency and test-retest reliability, were also frequently employed. To provide evidence of relationships between test scores and external criteria, the most common procedures were evaluations of sensitivity and specificity, and comparisons were made between contrasting groups. The statistical analyses frequently used were Receiver Operating Characteristic analysis, Pearson correlation, and Cronbach’s alpha. We discuss the necessity of incorporating both classic and modern psychometric procedures and presenting a broader scope of validity evidence, which would represent progress in this field. -
Neuropsychological Testing
Medical Coverage Policy Effective Date ............................................. 8/15/2021 Next Review Date ....................................... 8/15/2022 Coverage Policy Number .................................. 0258 Neuropsychological Testing Table of Contents Related Coverage Resources Overview .............................................................. 1 Attention-Deficit/Hyperactivity Disorder: Assessment Coverage Policy ................................................... 1 and Treatment General Background ............................................ 2 Autism Spectrum Disorder/Pervasive Developmental Medicare Coverage Determinations .................. 15 Disorders: Assessment and Treatment Coding/Billing Information .................................. 16 Cognitive Rehabilitation Lyme Disease Treatment— Antibiotic Treatment References ........................................................ 28 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary -
(MCI) and Dementias in Your Clinical Practice
6/6/18 Assessment, Identification, and Management of Mild Cognitive Impairment (MCI) and Dementias in Your Clinical Practice Mark Hogue, Psy.D. Donald McAleer, Psy.D., ABPP Northshore Neurosciences Overview • MCI • Definitions, Subtypes, Screening/ assessment • Dementias • Definitions, Subtypes, Screening / Assessment • Management of Cognitive issues for the general clinician • Referrals/ treatments • Family • Legal / Driving 1 6/6/18 Erie Times-News June 3, 2018 Dementia and Mild Cognitive Impairment • Globally, the number of people diagnosed with dementia is increasing every year at an alarming rate. There are currently over 46.8 million people living with dementia and this is estimated to rise to 131.5 million people by 2050. (Tozer, 7/5/17) • Dementia • A loss of cognitive processes from a prior level of cognitive processes, as compared to age-mates, and due to a pathophysiological process. • MCI • An intermediate step between normal cognition and dementia • A measurable deficit in at least one domain, absent dementia and showing no appreciable deficit in ADL functioning 2 6/6/18 Mild Cognitive Impairment • Diagnos(c concepts to describe cogni(ve change in aging • Benign senescent forge-ulness (BSF) – Kral, 1962 • Mild Cogni?ve Impairment (MCI) – Reisberg et al., 1982 • Age-Associated Memory Impairment (AAMI) – CooK et al., 1986 • Late-life forge-ulness (LLF) – BlacKford & La Rue, 1989 • Age-Associated Cogni?ve Decline (AACD) – Levy et al., 1994 • Cogni?ve Impairment No Demen?a (CIND) – Graham et al., 1997 • Amnes?c Mild Cogni?ve -
List of Psychological Tests Material Was Prepared for Use As an Aid in Handling Requests for Psychological Testing
List of Psychological Tests Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a cost-effective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions. INSTRUMENT TYPE AGE MINUT COMMENTS ES 16 Personality Factor Questionnaire (16-PF) Personality 16+ 30 35-60 min per Tests in Print for admin time only ABEL Screen Sexual Interest Adol + 120 Primarily forensic in nature: may not be covered Achenbach System of Empirically Based Assessment 60 Preschool Module Behav Rating Scale 1.5-5 10 Caregiver-Teacher Report Form Behav Rating Scale 1.5-5 10 Child Behavior Checklist (CBCL) Behav Rating Scale 1.5-5 15 Teacher Report Form Behav Rating Scale 6-18 20 Youth Self-Report (YSR) Behav Rating Scale 11-18 20 ACTeERS-ADD-H Comprehensive, Teachers Rating Scale Behav Rating Scale 5 – 13 15 Adaptive Behavior Assessment System (ABAS II) Behav Rating Scale 0-89 30 Adaptive Behavior Scale (ABS) Developmental 3-18 30 ADHD Rating Scale Behav Rating Scale 4 – 18 15 Adolescent Anger Rating Scale Behav Rating Scale 11-19 15 Adolescent Apperception Cards Projective Personality 12 – 19 60 Adult Behavior Checklist (ABCL) Behav Rating Scale 18-89 30 Admin. Time 20 min. + 10 min. for scoring, interpretation, write up. Adolescent Psychopathology Scale Personality Child-adult 60 Alzheimer’s Quick Test (AQT) Neuro Adult 10 Amen System Checklist Behav Rating Scale Adult 15 Animal Naming Neuro Child-adult 10 Aphasia Screening Test (Reitan Indiana) Neuro 5+ 30 Asperger’s Syndrome Diagnostic Scales (ASDS) Rating scale 5-18 20 Attention Deficit Disorder Eval. -
CTMT) in Brain Injured Children
UNLV Theses, Dissertations, Professional Papers, and Capstones 5-1-2017 Neurocognitive Correlates of the Comprehensive Trail Making Test (CTMT) in Brain Injured Children Abigail Rose Mayfield University of Nevada, Las Vegas Follow this and additional works at: https://digitalscholarship.unlv.edu/thesesdissertations Part of the Psychology Commons Repository Citation Mayfield, Abigail Rose, "Neurocognitive Correlates of the Comprehensive Trail Making Test (CTMT) in Brain Injured Children" (2017). UNLV Theses, Dissertations, Professional Papers, and Capstones. 3010. http://dx.doi.org/10.34917/10986050 This Thesis is protected by copyright and/or related rights. It has been brought to you by Digital Scholarship@UNLV with permission from the rights-holder(s). You are free to use this Thesis in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s) directly, unless additional rights are indicated by a Creative Commons license in the record and/ or on the work itself. This Thesis has been accepted for inclusion in UNLV Theses, Dissertations, Professional Papers, and Capstones by an authorized administrator of Digital Scholarship@UNLV. For more information, please contact [email protected]. NEUROCOGNITIVE CORRELATES OF THE COMPREHENSIVE TRAIL MAKING TEST (CTMT) IN BRAIN INJURED CHILDREN By Abigail Mayfield Bachelor of Science in Psychology Texas State University - San Marcos 2011 A thesis submitted in partial fulfillment -
Medical Policy Neuropsychological and Psychological Testing
Medical Policy Neuropsychological and Psychological Testing Table of Contents • Policy: Commercial • Coding Information • Information Pertaining to All Policies • Policy: Medicare • Description • References • Authorization Information • Policy History Policy Number: 151 BCBSA Reference Number: N/A Related Policies N/A Policyi Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity Neuropsychological Testing Neuropsychological testing is MEDICALLY NECESSARY when conditions are met using McKesson InterQual® criteria for medical necessity reviews. Neuropsychological testing for Attention Deficit Hyperactivity Disorder (ADHD) may be MEDICALLY NECESSARY for the following: • when routine treatment for ADHD has not improved patient outcomes and there is well documented evidence of treatment failure, and • when psychological testing has been completed and further clinical information is needed to rule out a medical or psychiatric diagnosis. Neuropsychological testing for the routine diagnosis of ADHD is NOT MEDICALLY NECESSARY. Neuropsychological testing is considered NOT MEDICALLY NECESSARY when used primarily for: • educational or vocational assessment or training (to diagnose specific reading disorders, developmental disorders of scholastic skills, dyslexia and alexia), or • determining eligibility for special needs programs, • assessment or diagnosing of pervasive developmental disorders or other disorders or psychological development, • improving academic performance, • baseline assessment of function, • monitoring of chronic -
Neuropsychological Testing Crosswalk for 2019 Neuropsychological Testing and Evaluation CPT® Codes CPT® Codes and Descriptors Effective January 1, 2019
Neuropsychological Testing Crosswalk for 2019 Neuropsychological Testing and Evaluation CPT® Codes CPT® Codes and Descriptors Effective January 1, 2019 Professional and Technical Activities Performed by the Neuropsychologist Please note that the new codes do not cross-walk on a one-to-one basis with the deleted codes. The single code, 96118, will now be billed using up to four (4) codes; two (2) codes for Neuropsychological Evaluation Services (96132, 96133) and two (2) for Test Administration and Scoring (96136, 96137). • Evaluation services include interpretation of test results and clinical • Evaluation services must always be performed by the professional prior data, integration of patient data, clinical decision making, treatment to test administration, and may be billed on the same or different days. planning, report generation, and interactive feedback to the patient, • Test administration and scoring services performed by the family member(s) or caregiver(s). neuropsychologist includes time spent to administer and score a - The first hour of neuropsychological evaluation is billed using minimum of two (2) neuropsychological tests. 96132 and each additional hour needed to complete the service • The time spent scoring tests is now considered to be billable time. is billed with code 96133. - The first 30 minutes of test administration and scoring is billed - CPT Time Rules allow an additional unit of a time-based code using 96136 and each additional 30-minute increment needed to be reported as long as the mid-point of the stated amount to complete the service is billed with code 96137. of time is passed. Beyond the first hour (96132), at least - CPT time rules apply to the add-on code if, beyond the first 30 an additional 31 minutes of work must be performed to bill minutes, at least an additional 16 minutes of work is performed. -
Neuropsychological Testing*
Neuropsychological and Psychological Testing Corporate Medical Policy File Name: Neuropsychological and Psychological Testing File Code: UM.DIAG.04 Origination: 07/2011 (NAME CHANGE - Replaces Neuropsychological Testing section of BCBSVT Policy on Neurodevelopmental Assessment & Neuropsychological Testing which is now an archived policy) Last Review: 01/2020 Adaptive Maintenance Cycle Only Next Review: 05/2020 Effective Date: 04/01/2020 (Adaptive Maintenance Changes Only) Neuropsychological Testing* *If the testing proposed is primarily Psychological Testing, please see section “Psychological Testing” below. Description/Summary Neuropsychological testing (including higher cerebral function testing) consists of the administration of reliable and valid tests to identify the presence of brain damage, injury or dysfunction and any associated neuropsychological deficits. Findings are documented in a written report and help to determine the patient’s prognosis and assist with long-term treatment planning. Neuropsychological testing is typically covered under the medical benefit and will be covered up to eight cumulative hours without the need for prior authorization. • Neuropsychological testing differs from that of psychological testing in that neuropsychological testing generally consists of the administration of measures that sample cognitive and performance domains sensitive to the functional integrity of the brain, such as memory and learning, attention, language, problem solving, sensorimotor functions, etc. Neuropsychological tests are objective and quantitative in nature and tend to be specific to determining function in certain cortical regions, whereas psychological testing may test for broader cortical function, such as personality traits, and include self-report questionnaires, rating scales or projective techniques. The length of the evaluation depends upon a number of factors. These include not only the nature of the specific diagnosis, but also the patient's level of impairment, motivation, endurance and ability to cooperate with examination requests. -
People with Dementia As Witnesses to Emotional Events
The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: People with Dementia as Witnesses to Emotional Events Author: Aileen Wiglesworth, Ph.D., Laura Mosqueda, M.D. Document No.: 234132 Date Received: April 2011 Award Number: 2007-MU-MU-0002 This report has not been published by the U.S. Department of Justice. To provide better customer service, NCJRS has made this Federally- funded grant final report available electronically in addition to traditional paper copies. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. FINAL TECHNICAL REPORT PRINCIPAL INVESTIGATOR: Laura Mosqueda, M.D. INSTITION: The Regents of the University of California, UC, Irvine, School of Medicine, Program in Geriatrics GRANT NUMBER: 2007-MU-MU-0002 TITLE OF PROJECT: People with Dementia as Witnesses to Emotional Events AUTHORS: Aileen Wiglesworth, PhD, Laura Mosqueda, MD DATE: December 23, 2009 Abstract Purpose: Demented elders are often the only witnesses to crimes against them, such as physical or financial elder abuse, yet they are disparaged and discounted as unreliable. Clinical experience with this population indicates that significant emotional experiences may be salient to people with dementia, and that certain behaviors and characteristics enhance their credibility as historians.