Pediatric Teleneuropsychology: Feasibility and Recommendations

Area of Science:

• Neuropsychology
• Telemedicine
• Pediatric Healthcare

Background:

• Teleneuropsychology (TeleNP) is established in adult literature.
• TeleNP offers a promising avenue within telemedicine.
• Pediatric TeleNP requires specific guidance for best practices.

Purpose of the Study:

• Demonstrate the feasibility of TeleNP in pediatric patients.
• Disseminate clinical decision-making procedures for pediatric TeleNP.
• Establish best practices for pediatric TeleNP.

Main Methods:

• Retrospective data collection from a pediatric clinical cohort (N=129).
• Study conducted during the COVID-19 pandemic (March-June 2020).
• Compared in-person assessments rescheduled to TeleNP.

Main Results:

• TeleNP was accessible for most pediatric patients and families.
• No demographic differences in attendance, testing, or referral for follow-up.
• Laptop/desktop users were more likely to complete remote testing than phone/tablet users.

Conclusions:

• Pediatric TeleNP is feasible for initial diagnosis and treatment planning.
• TeleNP may be most effective as a screening tool due to measure limitations and behavioral challenges.
• Standardized TeleNP screening can improve care efficiency with shorter batteries and reduced wait times.