Abstract

Objective:

Recent teleneuropsychology (TeleNP) models provide some degree of guidance in the application of telecommunication technologies toward the practice of neuropsychology. However, there remains a paucity of peer-reviewed data on TeleNP practices with culturally diverse patients, including Asian patients. This manuscript describes the challenges related to TeleNP practices with Asian patients and offers practical recommendations to complement existing TeleNP guidelines.

Method:

Based on extant literature on multicultural applications of neuropsychology, we

provide recommendations for TeleNP services with Asian patients that pertain to specific components of a TeleNP evaluation, such as a) pre-evaluation preparation, b) determining the appropriateness of the referral, c) determining language proficiency, d) working with interpreters, e) informed consent and confidentiality issues, f) conducting a culturally sensitive clinical interview, g) behavioral observations and communication, h) test selection, and i) interpreting data and writing reports.

Conclusions:

Our recommendations for TeleNP services with Asian patients highlight the need for flexibility to accommodate cultural differences and commitment to the complex nature of working with patients requiring interpretation services, while also recognizing the importance of preserving the validity of neuropsychological methods. Moving forward, it is imperative that the field of neuropsychology increases the training and accessibility of neuropsychologists who are knowledgeable in providing TeleNP services to Asian patients, and promotes research on the validation of TeleNP for Asian and other ethnic minority groups.

中文翻译：

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亚洲患者远程神经心理学的跨文化考虑

摘要

客观的：

最近的远程神经心理学（TeleNP）模型为电信技术在神经心理学实践中的应用提供了一定程度的指导。然而，关于 TeleNP 治疗不同文化患者（包括亚洲患者）的同行评审数据仍然很少。本手稿描述了与亚洲患者的 TeleNP 实践相关的挑战，并提供了实用的建议来补充现有的 TeleNP 指南。

方法：

基于神经心理学多元文化应用的现有文献，我们

为针对亚洲患者的 TeleNP 服务提供与 TeleNP 评估的特定组成部分相关的建议，例如 a) 预评估准备，b) 确定转诊的适当性，c) 确定语言能力，d) 与口译员合作，e)知情同意和保密问题，f) 进行文化敏感的临床访谈，g) 行为观察和沟通，h) 测试选择，以及 i) 解释数据和撰写报告。

结论：

我们对亚洲患者的 TeleNP 服务的建议强调需要灵活地适应文化差异，并致力于与需要口译服务的患者一起工作的复杂性，同时也认识到保持神经心理学方法有效性的重要性。展望未来，神经心理学领域迫切需要加强对神经心理学家的培训和可及性，这些神经心理学家在为亚洲患者提供 TeleNP 服务方面拥有丰富的知识，并促进针对亚洲和其他少数族裔群体的 TeleNP 验证研究。