Abstract Objective Teleneuropsychology (TeleNP) is a growing and promising practice within the telemedicine landscape that has been well established within the adult neuropsychology literature. This project aimed to demonstrate the feasibility of TeleNP in a pediatric clinical population and disseminate clinical decision-making procedures to guide best practices for pediatric TeleNP. Method This project conducted during the 2019 coronavirus (COVID-19) pandemic reflects the largest clinical cohort to date of TeleNP in a pediatric population (N = 129). Data were gathered retrospectively from patients who were rescheduled from in-person assessment to TeleNP between March to June 2020. Results TeleNP was an accessible option for most patients and families, with no differences in demographic variables in patient appointment attendance, whether testing was conducted, and whether the patient was referred for face-to-face follow-up. Patients using laptops/desktops were more likely to undergo remote test administration in comparison with patients using phones/tablets (χ2 = 23.83, p < .002). Sixty-three percent of the sample were referred for a face-to-face follow-up assessment. Conclusions TeleNP is feasible in a pediatric clinical population ranging to begin the process of differential diagnosis and treatment planning. Pediatric TeleNP may be most efficacious as a screening procedure due to limited measures suited for remote administration and behavioral challenges interfering with testing requiring in-person follow-up. TeleNP screening as standard practice for patients who do not require a full, traditional neuropsychological battery may provide a more efficient care model, with more patients able to be seen using shorter batteries with less wait time.

中文翻译：

---

小儿远程神经心理学：可行性和建议

摘要 目标远程神经心理学 (TeleNP) 是远程医疗领域中一种不断发展和有前途的实践，已在成人神经心理学文献中得到很好的确立。该项目旨在证明 TeleNP 在儿科临床人群中的可行性，并传播临床决策程序以指导儿科 TeleNP 的最佳实践。方法 该项目在 2019 年冠状病毒 (COVID-19) 大流行期间进行，反映了迄今为止在儿科人群 (N = 129) 中使用 TeleNP 的最大临床队列。数据是从 2020 年 3 月至 2020 年 6 月期间从面对面评估重新安排到 TeleNP 的患者中回顾性收集的。结果 TeleNP 是大多数患者和家庭的可访问选择，患者预约出席率的人口统计变量没有差异，是否进行了测试，以及患者是否被转介进行面对面的随访。与使用手机/平板电脑的患者相比，使用笔记本电脑/台式机的患者更有可能接受远程测试管理（χ2 = 23.83，p < .002）。63% 的样本被转介进行面对面的后续评估。结论 TeleNP 在儿科临床人群中是可行的，可以开始鉴别诊断和治疗计划的过程。由于适用于远程管理的有限措施和干扰需要亲自跟进的测试的行为挑战，儿科 TeleNP 作为筛查程序可能是最有效的。TeleNP 筛查作为不需要完整的传统神经心理学电池的患者的标准做法可能会提供更有效的护理模式，