{"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":"Tele-neuropsychology in culturally and linguistically diverse populations within the U.S. and U.S. territories: A scoping review<sup>1</sup>.","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}
Zoë M Gilson, Alison F Chung, Cian L Dabrowski, Madeline A Gregory, Morgan J Schaeffer, Kristina M Gicas, Theone S E Paterson
{"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}
Ann Jeeyoon Lee, Stacey Lipio Brothers, Heather Mesa, Tedd Judd, Christopher Minh Nguyen
{"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}
David W Loring, Kelsey C Hewitt, Daniel L Drane, Liping Zhao, Han Xu, James J Lah, Felicia C Goldstein
{"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>χ<sup>2</sup></i>=9.8, <i>p</i>=.007). EHBS vs. PD differed on MoCA, a medium effect (<i>p</i><.00001; <i>η<sup>2</sup>=</i>.076), and on TMT B (<i>p</i><.00001; <i>η<sup>2</sup>=</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 applications<sup>1</sup>.","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}
Scott A Sperling, Jiali Dong, Brittany Lapin, Yadi Li
{"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}
Jessica I Alva, Ryan C Brewster, Zanjbeel Mahmood, Kathryn M Harrell, Natalie C Kaiser, Paul Riesthuis, Kaitlyn YoungSciortino, Hannah E Brunet, Megan E Johnson, Shannon Kovach
{"title":"Are tele-neuropsychology and in-person assessment scores meaningfully different? A systematic review and meta-analysis.","authors":"Jessica I Alva, Ryan C Brewster, Zanjbeel Mahmood, Kathryn M Harrell, Natalie C Kaiser, Paul Riesthuis, Kaitlyn YoungSciortino, Hannah E Brunet, Megan E Johnson, Shannon Kovach","doi":"10.1080/13854046.2025.2493343","DOIUrl":"10.1080/13854046.2025.2493343","url":null,"abstract":"<p><p><b>Objectives:</b> Despite growing evidence supporting tele-neuropsychology (teleNP), clinicians have voiced concerns about comparability to traditional in-person testing and the limited availability of teleNP practice guidelines. In response, we completed a PRISMA-compliant systematic review and meta-analysis to investigate mean score differences in the context of test-level administration modifications. <b>Methods:</b> Eligible studies included adult participants, within-subject designs, commonly used English-language neuropsychological tests, and mean test scores for teleNP and in-person assessment. Studies were identified in databases (ProQuest, PubMed, EBSCOhost), reference lists, forward citation searches of eligible reports, and published teleNP reviews through July 2024. A multilevel random effects meta-analysis was conducted. <b>Results:</b> Twenty-four studies including 1,197 clinically and geographically diverse participants aged 18-96 and 46 neuropsychological tests representing 11 cognitive domains were synthesized. Results revealed a statistically nonsignificant mean of true effect sizes, Cohen's <i>d</i><sub>z</sub> = .01, 95% CI [-0.01, .04], 95% PI [-0.04, .07], <i>z =</i> .89, <i>p</i> = .37. Qualitative exploration of administration modifications revealed extensive variability and inconsistent reporting. <b>Discussion:</b> Limitations include publication bias favoring null findings. Risk of bias was judged to be low for most studies. Findings suggest teleNP has a nonsignificant and exceptionally minimal effect on test scores with a high certainty of evidence. Mean in-person test scores were 0.01 standard deviations greater than teleNP. Examination of mean differences revealed 77% of tests/subtests with a difference of less than one point. This updated review supports continued application of teleNP and encourages additional research on administration modifications to standardize practice. PROSPERO 2024: CRD42024530068.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1037-1072"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063179","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}
Sandy J Lwi, Jas M Chok, Brian Curran, Krista Schendel, Maria Spinelli, Isabella Santavicca, Timothy J Herron, Juliana V Baldo
{"title":"Automated remote longitudinal neuropsychological testing with the California Cognitive Assessment Battery.","authors":"Sandy J Lwi, Jas M Chok, Brian Curran, Krista Schendel, Maria Spinelli, Isabella Santavicca, Timothy J Herron, Juliana V Baldo","doi":"10.1080/13854046.2025.2482084","DOIUrl":"10.1080/13854046.2025.2482084","url":null,"abstract":"<p><p><b>Objective</b>: Traditional neuropsychological testing with paper-and-pencil tests has been a mainstay of cognitive assessment. However, paper-and-pencil testing is prone to inter-examiner variability, insensitive to subtle cognitive changes, time-consuming, and often unavailable to rural and under-resourced communities. Computerized and web-based neuropsychological assessments such as the California Cognitive Assessment Battery (CCAB) have been developed to address these issues. <b>Method</b>: The CCAB is a fully automated battery with 30+ cognitive tests that parallel traditional paper-and-pencil measures. Participants were tested on the CCAB at home, with remote proctoring via web-based interface. In Experiment 1, we measured concurrent validity by comparing performance on CCAB measures to performance on corresponding paper-and-pencil measures. Test-retest reliability was evaluated with repeat CCAB administration. In Experiment 2, the CCAB was administered at baseline, 6, 18, and 30 months to evaluate cognitive performance longitudinally in healthy older adults. <b>Results</b>: The CCAB showed acceptable to good concurrent validity (<i>r</i>s = 0.44-0.79) and reliability (<i>r</i>s = 0.57-0.84). Factor analysis of data from Experiment 2 identified three primary factors: Memory, Semantics, and Visuospatial-Executive (variance explained: 6.9-11.7%). In the longitudinal analysis, age, gender, education, and ethnicity were significant predictors of cognitive performance. <b>Conclusions</b>: The CCAB has acceptable psychometric properties and can be used to measure cognitive performance longitudinally in an older cohort. Given the aging of the population and the need for early diagnosis of diseases such as MCI and dementia, computerized tools like the CCAB can play an important role in providing access to early cognitive assessments that help track and improve health outcomes.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1236-1251"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059071","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}
Ana C Messler, David D Hargrave, Emily H Trittschuh, Jeffrey Sordahl
{"title":"National survey of telehealth neuropsychology practices: Current attitudes, practices, and relevance of tele-neuropsychology three years after the onset of Covid-19.","authors":"Ana C Messler, David D Hargrave, Emily H Trittschuh, Jeffrey Sordahl","doi":"10.1080/13854046.2023.2192422","DOIUrl":"10.1080/13854046.2023.2192422","url":null,"abstract":"<p><p><b>Objective:</b> Examination of current tele-neuropsychology (teleNP) practices and attitudes within the clinical neuropsychology community, conducted September - November 2022. <b>Method:</b> Clinical neuropsychologists in U.S. and U.S. territories were invited to participate in an online survey of teleNP practices. The final sample consisted of 326 neuropsychologists. <b>Results:</b> Forty-six percent of the sample indicated they currently practice teleNP. Fourteen percent of the sample not currently practicing teleNP were considering practicing teleNP. The remainder was not practicing teleNP and had no plans to (41%). Most respondents agreed that teleNP where the patient is located in clinic is generally feasible and acceptable (71%); to a lesser extent, teleNP to home was viewed as feasible and acceptable (45% agreed, while 16% rated feasibility and acceptability as neutral). Only 11% agreed that teleNP is a feasible and acceptable part of forensic neuropsychology practice. Most respondents (74%) currently engaged in teleNP either agreed or strongly agreed that teleNP enabled them to provide similar quality of care as face-to-face neuropsychology. Current practice of teleNP was positively correlated with career phase, with greater adoption among early career neuropsychologists. Current teleNP providers anticipated teleNP to permanently comprise 31-40% of their overall practice on average. <b>Conclusions:</b> There is variability in teleNP acceptance by setting and career phase. While hesitancy around teleNP was expressed by some, results show that the adoption of teleNP has increased over time and remains a permanent feature of practice for a substantial number of respondents three years following onset of the Covid-19 pandemic.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1017-1036"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9302608","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}