a Behavioral Sciences Department , Rush University Medical Center , Chicago , IL , USA.
b Department of Psychiatry , University of Illinois at Chicago , Chicago , IL , USA.
Clin Neuropsychol. 2018 Apr;32(3):422-435. doi: 10.1080/13854046.2017.1400105. Epub 2017 Nov 8.
In more recent years, studies have begun to examine levels of satisfaction of individuals or family members of individuals who undergo neuropsychological evaluation. However, to date there have been only a handful of formal studies that have specifically examined the role and contribution of neuropsychological assessment in patient care and management. This study sought to examine one specific component of neuropsychological assessment, namely the impact of patient feedback regarding neuropsychological testing on patient outcome.
Participants included 218 patients who were recruited from a neuropsychological outpatient clinic at a Midwest academic medical center. This study examined potential differences between outcome measures for patients who attended feedback sessions versus those who did not receive direct feedback.
Results indicated that compared with the No Feedback group, the Feedback group reported greater improvement in quality of life, increased understanding of their condition, and an increased ability to cope with their condition at follow-up. There were no significant demographic differences between the Feedback and No Feedback group.
These findings suggest that there is benefit for the individuals who chose to engage in feedback sessions. Feedback sessions can be utilized to assist with integral decision-making processes and assisting in treatment planning among other areas. It also allows time for patients and family members to discuss their concerns regarding important test findings and recommendations. Given the current climate of value-based services and clinical outcomes, the findings from this study lend support to the utility of neuropsychological assessments and, in particular, the role of feedback within neuropsychological evaluations.
近年来，研究开始检查接受神经心理评估的个体或其家庭成员的满意度水平。然而，迄今为止，只有少数几项专门研究检查了神经心理评估在患者护理和管理中的作用和贡献。本研究旨在检查神经心理评估的一个特定组成部分，即患者对神经心理测试的反馈对患者结果的影响。
参与者包括 218 名从中西部学术医疗中心的神经心理门诊招募的患者。本研究检查了参加反馈会议的患者和未接受直接反馈的患者的结果测量之间的潜在差异。
结果表明，与无反馈组相比，反馈组在随访时报告生活质量改善更大，对自身病情的理解增加，以及应对病情的能力增加。反馈组和无反馈组之间没有显著的人口统计学差异。
这些发现表明，选择参与反馈会议的个人会从中受益。反馈会议可用于协助重要决策过程和治疗计划等方面。它还为患者及其家属提供了时间来讨论他们对重要测试结果和建议的关注。鉴于当前基于价值的服务和临床结果的情况，本研究的结果支持神经心理评估的实用性，特别是反馈在神经心理评估中的作用。
