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Home-Based Pediatric Teleneuropsychology: A validation study.

Lana Harder^1,2,3, Ana Hernandez¹, Cole Hague⁴

¹Children's Health, Children's Medical Center, Dallas, TX, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists

|November 19, 2020

Summary

Home-based teleneuropsychology using videoconferencing provides results comparable to in-person assessments for pediatric patients. Most participants and caregivers reported high satisfaction with this remote neuropsychological testing method.

Keywords:

Assessment Home-based teleneuropsychology Pediatric teleneuropsychology Teleneuropsychology

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Area of Science:

Neuroscience
Pediatric Psychology
Telehealth

Background:

Pediatric neuropsychological assessments are crucial for diagnosing and managing neurodevelopmental and neurological conditions.
Traditional in-person assessments can present logistical challenges for families, including travel and time off school/work.
The integration of telehealth, specifically videoconferencing, offers a potential solution to improve accessibility and convenience.

Purpose of the Study:

To evaluate the comparability of home-based teleneuropsychology with in-person assessments in a pediatric cohort.
To determine participant and caregiver satisfaction with remote videoconference-based neuropsychological evaluations.

Main Methods:

Fifty-eight pediatric participants (aged 6-20 years) with demyelinating disorders underwent a standardized neuropsychological battery twice.
Assessments were conducted both in-person and via remote home-based videoconference, with session order counterbalanced.
Time between assessments ranged from 1 to 50 days to minimize practice effects.

Main Results:

No significant differences were found between in-person and videoconference assessment results using Mann-Whitney U tests.
Performance changes across sessions did not differ significantly between the two assessment modalities.
Participant and caregiver satisfaction ratings for the videoconference format were predominantly favorable.

Conclusions:

This study provides the first validation of home-based teleneuropsychology in a pediatric population.
Findings suggest teleneuropsychological assessment is a reliable alternative to in-person evaluations for pediatric patients.
Further research is recommended to expand sample size, diversity, and assessment tools, while carefully considering ethical and practical implementation factors.