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Home-Based Pediatric Teleneuropsychology: A validation study
Archives of Clinical Neuropsychology ( IF 2.1 ) Pub Date : 2020-09-16 , DOI: 10.1093/arclin/acaa070
Lana Harder 1, 2, 3 , Ana Hernandez 1 , Cole Hague 4 , Joy Neumann 1, 2 , Morgan McCreary 3 , C Munro Cullum 2, 3, 5 , Benjamin Greenberg 3, 6
Affiliation  

OBJECTIVE To evaluate home-based teleneuropsychology in a pediatric cohort to determine if assessment via in-person and home-based videoconference yield similar results. The second objective was to determine the level of satisfaction with videoconference-based assessment among participants and caregivers. METHOD Fifty-eight participants, aged 6-20 years, were recruited through specialty programs for pediatric demyelinating disorders. Each participant was administered the same brief neuropsychological battery of common measures twice, once during an in-person session and once during a remote home-based videoconference session. Order of sessions was counterbalanced and time between assessments ranged from 1 to 50 days. It was hypothesized that results obtained through in-person vs. remote videoconference sessions would not be significantly different and that most participants and caregivers would rate the experience with teleneuropsychology as satisfactory. RESULTS Mann-Whitney U tests showed no significant differences in results obtained in the in-person first vs. remote videoconference first sessions or the change in performance across sessions. Satisfaction ratings by participants and caregivers were largely favorable for the use of the videoconference testing format. CONCLUSIONS The current study is the first to validate home-based teleneuropsychology and is the first to validate teleneuropsychological assessment in a pediatric sample. Future studies should replicate these findings as well as expand on sample size, diversity of populations evaluated, and the assessment tools administered. Careful consideration of ethical and practical factors should be given before providing pediatric teleneuropsychology services.

中文翻译:

基于家庭的儿科远程神经心理学:一项验证研究

目的 评估儿科队列中基于家庭的远程神经心理学,以确定通过面对面和基于家庭的视频会议进行的评估是否产生类似的结果。第二个目标是确定参与者和护理人员对基于视频会议的评估的满意度。方法 通过儿童脱髓鞘疾病的专业项目招募了 58 名年龄在 6-20 岁之间的参与者。每个参与者都接受了两次相同的简短神经心理学常用措施,一次是在面对面会议期间,一次是在远程家庭视频会议期间。会议的顺序是平衡的,评估之间的时间从 1 天到 50 天不等。假设通过面对面获得的结果与通过面对面获得的结果不同。远程视频会议不会有太大的不同,大多数参与者和护理人员会认为远程神经心理学的体验令人满意。结果 Mann-Whitney U 测试表明,在面对面的第一次会议与远程视频会议的第一次会议中获得的结果或会议之间的性能变化没有显着差异。参与者和护理人员的满意度评分在很大程度上有利于使用视频会议测试格式。结论 目前的研究是第一个验证基于家庭的远程神经心理学的研究,也是第一个验证儿科样本中的远程神经心理学评估的研究。未来的研究应该复制这些发现,并扩大样本量、评估人群的多样性和管理的评估工具。
更新日期:2020-09-16
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