Clinical Neuropsychologist最新文献

{"title":"Your clinical interview <i>is</i> data: The benefit of telehealth appointments to triage referrals made to pediatric neuropsychology.","authors":"Jonathan J Mietchen, Tayler M Cieminski, Alanna M Kessler-Jones","doi":"10.1080/13854046.2025.2456160","DOIUrl":"10.1080/13854046.2025.2456160","url":null,"abstract":"<p><p><b>Objective</b>: We conducted a project to manage a high volume of referrals to pediatric neuropsychology. We aimed to manage referrals for children and adolescents without known medical risk factors. We proposed that a clinical neurodevelopmental interview conducted <i>via</i> telehealth would reduce the number of patients on the waitlist and identify those who do not need neuropsychological evaluation. <b>Method</b>: We conducted clinical neurodevelopmental interviews <i>via</i> telehealth to assess patients' need and urgency for neuropsychological testing. These patients had no or unclear risk factors and non-specific concerns with learning, attention, and/or behavior. We monitored our waitlist over a 2-year period to determine if this service could reduce our waitlist. We measured the time to initial consultation before and after this new service. We surveyed referring providers to assess their satisfaction of this service. <b>Results</b>: Using this new triage consultation service, we found that 1 in 4 children did not require a neuropsychological evaluation. This reduced our waitlist by about 5 months, even while we had an increase in referrals during the same period. After implementation, patients were seen for consultation within a month of the referral. Referring providers were generally satisfied with this service. <b>Conclusions</b>: Implementing telehealth clinical interviews was effective in triaging healthy children with non-specific learning, attention, and/or behavior concerns. This new service effectively reduced our waitlist and offered quick access to neuropsychological consultation and recommendations. Referring providers appreciated efforts to increase access to pediatric neuropsychology services for those who were anticipated to benefit the most from such services.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1266-1285"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of direct-to-home teleneuropsychological assessment: A within-subject design study.","authors":"Elif Yildirim, Ezgi Soncu Buyukiscan, Şükriye Akça Kalem, Hakan Gürvit","doi":"10.1080/13854046.2025.2451247","DOIUrl":"10.1080/13854046.2025.2451247","url":null,"abstract":"<p><p><b>Objective:</b> During the COVID-19 pandemic, the need to continue diagnosis and treatment processes, in addition to scientific research, led to a rapid shift towards direct-to-home tele-neuropsychology administrations, the reliability and validity of which had not been clearly established then. This study, therefore, aimed to examine the reliability of direct-to-home tele-neuropsychological assessment (TNP). <b>Method:</b> The sample included 105 cognitively healthy individuals aged between 50-83 years, and 47 patients diagnosed with neurocognitive disorders (mild cognitive impairment and early-stage Alzheimer's type dementia). All participants underwent both face-to-face and teleneuropsychological assessments in a counterbalanced order. <b>Results:</b> The results revealed that performances across measures of attention, working memory, verbal fluency, verbal and visual memory, and visual perception were comparable across assessment modalities. Intraclass correlation coefficients of the tests ranged from .54 to .92. <b>Conclusions:</b> The findings of the study provide support for direct-to-home teleneuropsychological assessment among patients with neurocognitive disorders. Neuropsychological tests relying on verbal administration and independent of motor performance may represent a reliable alternative for this patient group when administered in settings where external distractions or technological limitations are controlled. For cognitively healthy individuals, on the other hand, the reliability of the TNP application is more questionable for memory and some executive function tests and therefore needs further exploration.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1097-1118"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mayo Normative Studies: Regression-based normative data for remote self-administration of the Stricker Learning Span, Symbols Test, and Mayo Test Drive Screening Battery Composite and validation in individuals with mild cognitive impairment and dementia.","authors":"Nikki H Stricker, Ryan D Frank, Elizabeth A Boots, Winnie Z Fan, Teresa J Christianson, Walter K Kremers, John L Stricker, Mary M Machulda, Julie A Fields, John A Lucas, Jason Hassenstab, Paula A Aduen, Gregory S Day, Neill R Graff-Radford, Clifford R Jack, Jonathan Graff-Radford, Ronald C Petersen","doi":"10.1080/13854046.2025.2469340","DOIUrl":"10.1080/13854046.2025.2469340","url":null,"abstract":"<p><p><b>Objective:</b> Few normative data for unsupervised, remotely-administered computerized cognitive measures are available. We examined variables to include in normative models for Mayo Test Drive (MTD, a multi-device remote cognitive assessment platform) measures, developed normative data, and validated the norms. <b>Method:</b> 1240 Cognitively Unimpaired (CU) adults ages 32-100 years (96% White) from the Mayo Clinic Study of Aging and Mayo Alzheimer's Disease Research Center with Clinical Dementia Rating^® of 0 were included. We converted raw scores to normalized scaled scores and derived regression-based normative data adjusting for age, age², sex, and education (base model); alternative norms are also provided (age + age² + sex; age + age²). We assessed additional terms using an <i>a priori</i> cut-off of 1% variance improvement above the base model. We examined low test performance rates (< -1 <i>SD</i>) in independent validation samples (<i>n</i> = 167 CU, <i>n</i> = 64 mild cognitive impairment (MCI), <i>n</i> = 14 dementia). Rates were significantly different when 95% confidence intervals (CI) did not include the expected 14.7% base rate. <b>Results:</b> No model terms met the <i>a priori</i> cut-off beyond the base model, including device type, response input source (e.g. mouse, etc.), or session interference. Norms showed expected low performance rates in CU and greater rates of low performance in MCI and dementia in independent validation samples. <b>Conclusion:</b> Typical normative models appear appropriate for remote self-administered MTD measures and are sensitive to cognitive impairment. Device type and response input source did not explain enough variance for inclusion in normative models but are important for individual-level interpretation. Future work will increase the inclusion of individuals from under-represented groups.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1206-1235"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The feasibility of remote administration of oral processing speed measures in children with chronic medical conditions.","authors":"Rachel K Peterson, Rowena Ng","doi":"10.1080/13854046.2025.2469337","DOIUrl":"10.1080/13854046.2025.2469337","url":null,"abstract":"<p><p><b>Objective:</b> Processing speed is an important neuropsychological construct, with weaknesses evident across many pediatric medical conditions. During the COVID-19 pandemic, tele-neuropsychological evaluations were widely utilized in children with various health conditions to examine cognitive functioning as part of standard care or disease surveillance. Although remote testing afforded better access to neuropsychological care for many families, psychometric properties of tele-neuropsychological assessments, and particularly the equivalence of processing speed measures across in-person versus telehealth test modality, remain underexamined. <b>Method:</b> Pediatric patients with a medical condition completed a measure of intellectual functioning and oral processing speed (verbal fluency, speeded object naming, speeded word reading) either in-person prior to the pandemic or <i>via</i> telehealth during the pandemic. <i>T</i>-tests or chi-squared tests examined differences in processing speed outcomes in patients by testing modality. Additionally, the impact of test modality on processing speed performance was examined across individual medical conditions to determine if remote testing may be more appropriate in the monitoring of cognition for select diagnoses. <b>Results:</b> As a whole, patients performed similarly on oral processing speed measures regardless of testing modality. By medical diagnosis, pediatric oncology patients' performance was higher on a measure of speeded color naming but lower on a measure of speeded object naming when administered <i>via</i> tele-testing. <b>Conclusions:</b> Findings suggest that oral processing speed can be assessed remotely in pediatric patients with medical conditions, though assessment in pediatric oncology patients should be further examined. Limitations and implications for practice are discussed.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1332-1344"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Normative data for teleneuropsychological testing: Findings from a Canadian adult cohort.","authors":"Zoë M Gilson, Alison F Chung, Cian L Dabrowski, Madeline A Gregory, Morgan J Schaeffer, Kristina M Gicas, Theone S E Paterson","doi":"10.1080/13854046.2025.2461773","DOIUrl":"10.1080/13854046.2025.2461773","url":null,"abstract":"<p><strong>Objective: </strong>Use of teleneuropsychological services has greatly increased since the beginning of the COVID-19 pandemic. The present study aimed to create normative data for a neuropsychological test battery of diverse cognitive domains in a Canadian population.</p><p><strong>Method: </strong>A sample (<i>n</i> = 291) of adults aged 19 or older completed a comprehensive neuropsychological assessment (i.e. memory, executive function, etc.) <i>via</i> Zoom. Participants included those with a COVID-19 diagnosis (<i>n</i> = 146) and participants who had not contracted COVID-19 (<i>n</i> = 145). Data were stratified by age group as follows: 19-34, 35-49, 50-64, 65-79. Linear bivariate regression in the entire sample and groups stratified by age was used to test the relationship between age and test scores. Test scores were converted to z-scores using the mean and standard deviation for that group, with z-scores then transformed into normative scores for each test.</p><p><strong>Results: </strong>Age was a significant predictor of scores for all tests except for FAS, HVLT-R (Retention, Recognition), and Digit Span (Forwards, Backwards). After raw test scores were regressed onto age for each group, age was no longer a significant predictor for most test scores, with exceptions for each age group.</p><p><strong>Conclusions: </strong>This study created normative data for a diverse teleneuropsychological test battery in a Canadian population. Standard-ized scores generally fell within the average range, with the exception of TOPF and JLO scores, which may be explained by high educational attainment and virtual testing environment, respectively. The results suggest that the teleneuropsychological testing environment results in similar performance to in-person assessment.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1178-1193"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tele-neuropsychology in culturally and linguistically diverse populations within the U.S. and U.S. territories: A scoping review¹.","authors":"Ana C Messler, Katherine D Kane, Yesenia Serrano","doi":"10.1080/13854046.2023.2215954","DOIUrl":"10.1080/13854046.2023.2215954","url":null,"abstract":"<p><p><b>Objective:</b> Tele-neuropsychology (teleNP) has the potential to deliver assessment to people who face limited access to culturally and linguistically appropriate services, health disparities, and negative social determinants of health (SDOH). We reviewed to what extent teleNP has been examined in racially and ethnically diverse samples within the U.S. and U.S. territories and describe validity, feasibility, barriers, and facilitators. <b>Method:</b> A scoping review was conducted to examine factors relevant to teleNP with racially/ethnically diverse samples, using Google Scholar and PubMed®. Key words referenced \"tele-neuropsychology,\" racial/ethnic populations within the U.S. and territories, and relevant constructs (e.g. \"validity,\" \"feasibility\"). Studies included in the final analysis were empirical, addressed teleNP, and included racially/ethnically diverse individuals within the U.S. The search resulted in 10,312 articles total, with 9,670 following removal of duplicates. We excluded 9,600 following abstract review, and an additional 54 articles following full-text review. Thus, 16 studies were included in the final analysis. <b>Results:</b> Results showed the greatest number of studies supporting feasibility and utility of teleNP with older LatinX/Hispanic adults. Limited reliability and validity data suggested that, for the most part, teleNP and face-to-face neuropsychological evaluations were broadly equivalent, and no studies contraindicated use of teleNP in culturally diverse populations. <b>Conclusions:</b> This review provides preliminary support, particularly in terms of teleNP feasibility, with culturally diverse individuals. Current research is hampered by low inclusion of culturally diverse individuals and limited studies, and while support is nascent, these findings should be balanced with promotion of healthcare equity/access.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1345-1367"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural tele-neuropsychology: The use of cultural consultation and interpretation services to improve access for patients and trainees.","authors":"Ann Jeeyoon Lee, Stacey Lipio Brothers, Heather Mesa, Tedd Judd, Christopher Minh Nguyen","doi":"10.1080/13854046.2025.2474274","DOIUrl":"10.1080/13854046.2025.2474274","url":null,"abstract":"<p><p><b>Objective</b>: The COVID-19 pandemic necessitated a rapid transition to tele-neuropsychology (teleNP), fundamentally altering the delivery of neuropsychological services traditionally relying on face-to-face interactions. Research indicates that teleNP assessments can yield reliable diagnostic outcomes, yet existing literature has primarily focused on non-Hispanic White populations. This is particularly concerning given the increasing diversity of the U.S. population. There remains a notable gap in the evidence regarding the validity of teleNP assessments among historically underrepresented groups, compounded by linguistic heterogeneity and the scarcity of culturally congruent neuropsychologists. This manuscript addresses this disparity by providing a framework for incorporating cultural consultation and interpretation services in teleNP. <b>Method</b>: We provide a framework for cultural consultation and interpretation services in teleNP based on an examination of literature relevant to teleNP and its impact on service delivery and the authors' clinical experience. A case study highlights practical considerations for incorporating these services. Key measures include rapport-building techniques and assessments of cultural competency in neuropsychological evaluations. <b>Results:</b> The findings indicate that teleNP assessments can yield reliable diagnostic outcomes; however, there remains a significant gap in evidence regarding their validity for historically underrepresented groups. The case study demonstrates effective collaboration with cultural consultants, emphasizing their role in enhancing cultural responsiveness. <b>Conclusions:</b> Enhancing cultural competence within teleNP frameworks is essential for addressing disparities in neuropsychological care. By leveraging teleNP to provide access to culturally appropriate services, neuropsychologists can better meet the needs of diverse patient populations, promoting equitable access to mental health services and improving clinical outcomes and patient satisfaction.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1368-1391"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABBA Letter Alternation: A telehealth inspired measure of executive functioning/inhibitory control.","authors":"David W Loring, Kelsey C Hewitt, Daniel L Drane, Liping Zhao, Han Xu, James J Lah, Felicia C Goldstein","doi":"10.1080/13854046.2024.2448872","DOIUrl":"10.1080/13854046.2024.2448872","url":null,"abstract":"<p><p><b>Objective:</b> To introduce ABBA Letter Alternation (ABBA) as a computerized measure of response inhibition/response alternation developed for telehealth following restrictions of in-person testing due to COVID-19. ABBA consists of two PowerPoint-administered trials: Letter Reading of 25 capital As or Bs individually presented, and Letter Alternation with instructions to say the opposite letter to what is presented. <b>Method:</b> We obtained initial normative ABBA performance from 899 healthy research volunteers participating in the Emory Healthy Brain Study (EHBS) with Montreal Cognitive Assessment (MoCA) scores 24/30 and higher. Cutpoints derived from the EHBS sample were applied to a series of 32 Parkinson disease (PD) patients being evaluated for deep brain stimulation to provide preliminary clinical validation. Trail Making B (TMT B) was also examined in both groups. <b>Results:</b> 775 (86.2%) EHBS participants made 0-1 ABBA Letter Alternation errors, 58 (6.5%) EHBS participants had 2 ABBA alternation errors, and 66 (7.3%) made 3+ errors. Applying these thresholds to PD patients, 22 (68.8%) made 0-1 alternation errors, 3 PD (9.4%) patients made 2 errors, and 7 PD subjects (21.8%) made 3+ errors, which significantly differed in frequency from the EHBS group (<i>χ²</i>=9.8, <i>p</i>=.007). EHBS vs. PD differed on MoCA, a medium effect (<i>p</i><.00001; <i>η²=</i>.076), and on TMT B (<i>p</i><.00001; <i>η²=</i>.158), which is considered a large effect. <b>Conclusion:</b> These results provide initial support for ABBA Letter Alternation as a response inhibition/response alternation. Application in larger clinical samples, in both telehealth and face-to-face settings, will be needed to more fully establish ABBA's clinical utility.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1194-1205"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introductory editorial to the special issue on tele-neuropsychology: Expanding evidence and clinical applications¹.","authors":"Ana C Messler, David D Hargrave","doi":"10.1080/13854046.2025.2504092","DOIUrl":"10.1080/13854046.2025.2504092","url":null,"abstract":"","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1011-1016"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of in-home tele-neuropsychological testing in patients with Parkinson's disease: A randomized trial.","authors":"Scott A Sperling, Jiali Dong, Brittany Lapin, Yadi Li","doi":"10.1080/13854046.2025.2503374","DOIUrl":"10.1080/13854046.2025.2503374","url":null,"abstract":"<p><strong>Objective: </strong>To assess the reliability and diagnostic validity of in-home tele-neuropsychological testing (in-home tele-npt) in individuals with Parkinson's disease (PD).</p><p><strong>Method: </strong>We randomized 79 individuals with PD to in-person npt or in-home tele-npt at Baseline, and again to the same or crossover group for Week 4 testing. We assessed group differences in mean test scores using ANOVAs with Dunnett's t-tests. Test-retest reliability was assessed using intraclass correlation coefficients and Pearson correlations and compared across groups using 95% confidence intervals and z-tests with Fisher's z transformations. We compared the percentage of participants exceeding each test's standardized regression-based index across groups. We examined diagnostic validity by comparing group differences in cognitive classifications using Pearson's Chi-square test and Fisher's Exact test.</p><p><strong>Results: </strong>For most tests, the mean scores between in-home tele-npt and in-person npt were not significantly different. In-home tele-npt had weaker Baseline processing speed scores. The test-retest reliability was similar between the repeated tele-npt and repeated in-person npt groups in most tests. The crossover groups had weaker test-retest reliability in processing speed, verbal fluency, and memory tests. The percentage of significant change scores varied between groups and across tests. The percentage of participants classified as cognitively impaired, and the agreement of cognitive classification between testing sessions, were not significantly different between groups.</p><p><strong>Conclusions: </strong>With few exceptions, in-home tele-npt and in-person tele-npt yield similar scores. Test-retest reliability is better when the testing paradigm is held constant. There are no significant differences in cognitive diagnostic classification rates between testing paradigms in individuals with PD.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1119-1154"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}