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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Do parents implement pediatric neuropsychological report recommendations?

John Elias1, Eric Zimak2, Andrea Sherwood2

  • 1Neuropsychology Service, Baylor Scott & White Health, Round Rock, TX, USA.

The Clinical Neuropsychologist
|February 4, 2020
PubMed
Summary

Parent-reported implementation rates for pediatric neuropsychological recommendations were explored. School and home recommendations were more frequently implemented than medical ones, with barriers including cost and time.

Keywords:
Neuropsychologyimplementationoutcomespediatricrecommendations

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Area of Science:

  • Pediatric Neuropsychology
  • Clinical Psychology
  • Child Development

Background:

  • Pediatric neuropsychological evaluations provide crucial recommendations for children's care.
  • Understanding the implementation of these recommendations is vital for optimizing outcomes.
  • Parental perspectives on recommendation adherence are essential for clinical practice.

Purpose of the Study:

  • To investigate parent-reported implementation rates of medical, home/community, and school recommendations after pediatric neuropsychological evaluations.
  • To identify demographic differences in recommendation implementation.
  • To explore barriers encountered in implementing these recommendations.

Main Methods:

  • A study involving 55 parents of children and adolescents who underwent outpatient neuropsychological evaluations.
  • Data collected via phone interviews 4-6 months post-evaluation, focusing on recommendation implementation.
  • Analysis of implementation rates across different recommendation types and demographic groups.

Main Results:

  • Overall implementation rate of 52% for all recommendations.
  • Higher implementation for school (62%) and home/community (53%) recommendations compared to medical (40%).
  • Significantly lower implementation in low-income households, particularly for medical recommendations; barriers included time, resources, ambivalence, and resistance.

Conclusions:

  • Findings offer insights into pediatric neuropsychological recommendation implementation rates and influencing factors.
  • Identified disparities based on recommendation type and socioeconomic status highlight areas for targeted support.
  • Further research is needed to develop practical strategies for enhancing recommendation adherence.