Division of Psychology, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Arch Clin Neuropsychol. 2020 Nov 19;35(8):1240-1248. doi: 10.1093/arclin/acaa097.
Telephone-based neuropsychological assessment (TeleNP) has been shown to be a valid alternative to in-person or video-based assessment. However, there is limited information regarding patients' satisfaction with TeleNP. This report presents satisfaction survey data from a diverse, clinical sample who received TeleNP during the coronavirus disease pandemic.
A total of 43 adult patients (30.2% Hispanic/Latinx, 32.6% Black), aged 24-75, who received TeleNP as part of routine clinical care participated in a postassessment satisfaction survey. Responses were analyzed qualitatively and via nonparametric comparisons based on demographic factors.
Given options of "Not Satisfied," "Somewhat Satisfied," "Satisfied," or "Very Satisfied," 97.7% of patients reported satisfaction with their visit as well as the visit length, and 80% felt the visit met their needs ("Good" + "Very Good"). There were no significant differences in responses based on age, race/ethnicity, sex, or education. Endorsed advantages of TeleNP included "Avoid potential exposure to illness" and "Flexibility/Convenience," and 20% reported difficulty communicating, concentrating, and/or connecting with their provider as potential disadvantages. Although 67.7% reported a preference for in-person visits, 83.7% expressed interest in another "virtual visit" (telephone or video conference) with their provider.
TeleNP was well received by the sample and demonstrated good patient satisfaction. These results in conjunction with other research supporting the validity of TeleNP support consideration of this assessment modality for patients who might not otherwise have access to in-person or video conference-based neuropsychological services. Based on these findings, a greater focus on rapport building may be warranted when utilizing TeleNP to enhance patients' sense of connection to their provider.
基于电话的神经心理评估(TeleNP)已被证明是替代面对面或基于视频评估的有效方法。然而,关于患者对 TeleNP 的满意度的信息有限。本报告介绍了在冠状病毒病大流行期间接受 TeleNP 的来自不同临床样本的满意度调查数据。
共有 43 名成年患者(30.2%为西班牙裔/拉丁裔,32.6%为黑人),年龄在 24-75 岁之间,他们作为常规临床护理的一部分接受了 TeleNP,参与了一项事后评估满意度调查。根据人口统计学因素,对回答进行了定性和非参数比较分析。
在“不满意”“有些满意”“满意”和“非常满意”这几个选项中,97.7%的患者对他们的就诊以及就诊时长表示满意,80%的患者认为就诊满足了他们的需求(“好”+“非常好”)。基于年龄、种族/民族、性别或教育程度,没有观察到回答的显著差异。TeleNP 的优点包括“避免潜在的疾病暴露”和“灵活性/便利性”,20%的患者报告在与他们的提供者沟通、集中注意力和/或建立联系方面存在困难,认为这是潜在的缺点。尽管 67.7%的患者报告更喜欢面对面就诊,但 83.7%的患者表示有兴趣接受与他们的提供者进行另一次“虚拟就诊”(电话或视频会议)。
TeleNP 受到了样本的欢迎,患者满意度较高。这些结果与其他支持 TeleNP 有效性的研究一起,支持考虑为那些可能无法获得面对面或基于视频会议的神经心理服务的患者采用这种评估模式。基于这些发现,在使用 TeleNP 时,可能需要更加注重建立融洽关系,以增强患者与提供者的联系感。