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Feasibility and Acceptance of Direct-to-Home Tele-neuropsychology Services during the COVID-19 Pandemic
Journal of the International Neuropsychological Society ( IF 2.6 ) Pub Date : 2021-05-06 , DOI: 10.1017/s1355617721000436
Michael W Parsons 1, 2 , Melissa M Gardner 1 , Janet C Sherman 1 , Kathryn Pasquariello 1 , Julie A Grieco 1 , Christina D Kay 1 , Lauren E Pollak 1 , Amy K Morgan 1 , Britt Carlson-Emerton 1 , Karen Seligsohn 1 , Sigurros Davidsdottir 1 , Margaret B Pulsifer 1 , Giuliana V Zarrella 1 , Sarah M Burstein 1 , Sarah M Mancuso 1
Affiliation  

Objective:Neuropsychological assessment via video conferencing has been proposed during the COVID-19 pandemic. Existing literature has demonstrated feasibility and acceptance of neuropsychological measures administered by videoconference, although few studies have examined feasibility and patient acceptance of TNP visits directly to patients’ homes (DTH-TNP).Methods:We modified a previously published patient satisfaction survey for DTH-TNP and developed a clinician feasibility survey to examine experiences during DTH-TNP.Results:Seventy-two patients (age range: preschool-geriatric) evaluated by DTH-TNP for cognitive problems at an academic medical center responded to voluntary surveys between April 20, 2020, and August 19, 2020, and 100% indicated satisfaction. Fifty-nine percent of patients reported limitations (e.g., technological concern) during the appointment. 134 clinician surveys were collected and indicated that clinicians achieved the goal of their appointment in 90% of encounters.Conclusions:These qualitative data suggest that patients and clinicians found DTH-TNP to be satisfactory during the COVID-19 pandemic, while also recognizing limitations of the practice. These results are limited in that voluntary surveys are subject to bias. They support the growing body of literature suggesting that DTH-TNP provides a valuable service, though additional research to establish reliability and validity is needed.

中文翻译:

在 COVID-19 大流行期间直接到家远程神经心理学服务的可行性和接受度

客观的:在 COVID-19 大流行期间,有人提出通过视频会议进行神经心理学评估。现有文献已经证明了通过视频会议管理的神经心理学措施的可行性和接受度,尽管很少有研究检查 TNP 直接到患者家中就诊 (DTH-TNP) 的可行性和患者接受度。方法:我们修改了之前发布的 DTH-TNP 患者满意度调查,并制定了临床医生可行性调查来检查 DTH-TNP 期间的经验。结果:在 2020 年 4 月 20 日至 2020 年 8 月 19 日期间,由 DTH-TNP 评估的 72 名患者(年龄范围:学龄前-老年)在学术医疗中心的认知问题对自愿调查做出了回应,100% 的患者表示满意。59% 的患者在预约期间报告了限制(例如,技术问题)。收集了 134 份临床医生调查,表明临床医生在 90% 的会诊中实现了预约目标。结论:这些定性数据表明,患者和临床医生发现 DTH-TNP 在 COVID-19 大流行期间令人满意,同时也认识到实践的局限性。这些结果是有限的,因为自愿调查会受到偏见。他们支持越来越多的文献表明 DTH-TNP 提供了有价值的服务,尽管需要进一步的研究来确定可靠性和有效性。
更新日期:2021-05-06
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