Abstract

Objective: Despite expansion of telecommunication strategies across health services and data supporting feasibility of videoconference-based neuropsychological assessment, relatively little is known about teleneuropsychology (TeleNP) use in practice. The current COVID-19 pandemic provides an opportunity for greater use of TeleNP and understanding of neuropsychologists’ experience with this unique assessment medium.

Methods: During the course of a no-cost global webinar related to practical/ethical considerations of TeleNP practice, attendees were invited to engage in a 26-question survey about their TeleNP use and related COVID-19 concerns. TeleNP practices before the COVID-19 pandemic and early on during the global outbreak were queried among survey participants, along with examination of TeleNP intentions following COVID-19.

Results: Multiple countries were represented across five continents, with two-thirds of respondents being from the United States. Approximately one-fourth of respondents reported using TeleNP for clinical interview, feedback, and intervention prior to the onset of the COVID-19 pandemic, and approximately one-tenth of individuals used TeleNP for testadministration. Increased use of TeleNP for clinical interview, feedback, and intervention was reported within the first few weeks of the global COVID-19 outbreak, though the use of TeleNP for testing remained relatively unchanged. Most respondents indicated an intention for future use of TeleNP.

Conclusions: Our findings suggest the use of TeleNP is increasing, although use of remote TeleNP testing is still developing. Findings also illustrate increasing use of TeleNP in the context of the COVID-19 pandemic and encourage follow-up investigation in future studies to understand the changing practices and rates of TeleNP provision over time.

摘要

目标：尽管医疗服务和数据支持基于视频会议的神经心理学评估的可行性的电信战略的扩展，但对远程神经心理学 (TeleNP) 在实践中的使用知之甚少。当前的 COVID-19 大流行为更多地使用 TeleNP 和了解神经心理学家对这种独特评估媒介的经验提供了机会。

方法：在与 TeleNP 实践的实践/道德考虑相关的免费全球网络研讨会期间，邀请与会者参与一项关于他们的 TeleNP 使用和相关 COVID-19 问题的 26 个问题调查。调查参与者询问了在 COVID-19 大流行之前和全球爆发早期的TeleNP 做法，以及在 COVID-19 之后检查 TeleNP 的意图。

结果：五大洲的多个国家都有代表，三分之二的受访者来自美国。大约四分之一的受访者报告说在 COVID-19 大流行开始之前使用 TeleNP 进行临床访谈、反馈和干预，大约十分之一的人使用 TeleNP 进行测试管理。据报道，在全球 COVID-19 爆发的最初几周内，更多地使用 TeleNP 进行临床访谈、反馈和干预，尽管使用 TeleNP 进行测试保持相对不变。大多数受访者表示有意在未来使用 TeleNP。

结论：我们的研究结果表明 TeleNP 的使用正在增加，尽管远程 TeleNP 测试的使用仍在发展中。调查结果还说明了在 COVID-19 大流行的背景下越来越多地使用 TeleNP，并鼓励在未来的研究中进行后续调查，以了解 TeleNP 提供的实践和比率随时间的变化。