Affiliations: [a] The Memory and Aging Center, Department of Neurology, and Global Brain Health Institute, University of California San Francisco, San Francisco, CA, USA
| [b] VA Medical Center-Palo Alto, Palo Alto, CA, USA
| [c] Stanford School of Medicine, Stanford, CA, USA
Correspondence:
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Correspondence to: Katherine Possin, PhD, The Memory and Aging Center, Department of Neurology, and Global Brain Health Institute, University of California San Francisco, 1651 4th St, Room 383B, Box 3101, San Francisco, CA, 94158, USA. E-mail: Katherine.Possin@ucsf.edu.
Abstract: O’Caoimh et al. demonstrated that caregivers or family members could administer and score a brief cognitive screening instrument and detect cognitive impairment with comparable accuracy to similar measures administered in-person by trained staff. This novel approach challenges us to consider the boundaries of how caregivers or other family members are used in remote testing. We discuss the potential risks of administration bias, test integrity, and impacts on the patient and caregiver or family member, and we recommend further research before incorporating this practice into routine clinical or research use.
