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Teleneuropsychology : Are Patient And Family Satisfaction And Understanding Of Cognitive Test Results Similar Across In-Person And Videoconferencing Modalities ?. Dr. JoAnne Savoie, L.Psych . Clinical Neuropsychologist Stan Cassidy Center for Rehabilitation. Goal.
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Teleneuropsychology: Are Patient And Family Satisfaction And Understanding Of Cognitive Test Results Similar Across In-Person And Videoconferencing Modalities? Dr. JoAnne Savoie, L.Psych. Clinical Neuropsychologist Stan Cassidy Center for Rehabilitation
Goal • Are patient experiences the same across in-person (IP) or videoconferencing (VC) feedback? • How, if at all, do cognitive and emotional factors impact satisfaction and understanding of complex information?
Issue • Clear communication of neuropsychological assessment • Improves understanding of one’s thinking skills • Contributes to one’s psychological well-being • Improves rehabilitation outcomes • Many factors influence optimal giving and receiving of assessment findings. • cognitive deficits increase potential for misunderstanding and not remembering the results. • TeleHealth adds another layer of complexity. • There has been little empirical study of feedback as part of the neuropsychological assessment process and even less as it relates to providing the results in different modalities.
Measurement • Informed consent procedures followed at outset of the assessment. • 55 patients (45 IP: 10 VC) and 35 accompanying loved ones. completed an 18-item questionnaire immediately following the feedback session. • Patient data included: • Demographic information • Diagnosis • Intellectual functioning (Wechsler Intelligence Scales) • Emotional distress (BDI-II and BAI)
Intervention/Actions • At the time of assessment, patient is given option for IP or VC feedback. • Feedback usually 3-4 weeks after assessment. • Encouraged to bring a loved one.
Outcomes • Patient satisfaction levels high across both modalities. • Patients and loved ones report similar experiences (r=0.63, p<.001). • Emotional distress levels did not predict overall satisfaction. • Intellectual skills did not correlate with overall satisfaction.