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Psychiatric Assessment of a Nursing Home Population Using Audiovisual Telecommunication

Daniel Weintraub, MD

David Sayles, MD

Allen Raskin, PhD

Paul Ruskin, MD

The purpose of this study was to demonstrate that psychiatric assessment of nursing home residents could be reli ably carried out remotely via telecommunications. Twenty-seven nursing home residents each had two interviews consisting of the following three rating scales: the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS), and the Brief Psychiatric Rating Scale (BPRS). The interviews were conducted by three trained psy chiatrists, each of whom interviewed two-thirds of the subjects. Subjects were sequentially assigned to have either two in-person interviews (in-person group) or one in-person and one remote interview via telecommunication (remote group). Inter-rater reliability was calculated separately for each condition (in-person vs remote group) for each of the three rating scales. Intraclass correlations on the MMSE were .95 for the remote group and .83 for the in-person group. On the GDS, they were .82 for the remote group and .86 for the in-person group. Finally, on the BPRS, they were .81 for the remote group and .49 for the in-person group. There were no statistically significant differences in intraclass correlation on any of the three scales for the remote group compared with the in-person group, indicat ing that nursing home residents can be reliably assessed remotely via telecommunication. (J Geriatr Psychiatry Neurol 2001; 14:63-65).

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