NYU Child Study Center, New York, NY, USA.
Department of Child and Adolescent Psychiatry, Child Study Center, Hassenfeld Children's Hospital at NYU Langone, New York, NY, USA.
Child Neuropsychol. 2021 Oct;27(7):922-948. doi: 10.1080/09297049.2021.1908980. Epub 2021 Apr 13.
To synthesize current knowledge of the impact of pediatric neuropsychological evaluations on child functioning, we conducted a systematic review of the literature on parents' overall satisfaction with their child's evaluation and perceptions of how helpful the evaluation was for understanding their child's abilities and how useful the evaluation was for providing actionable information to elicit change. Parent satisfaction is important in this context because studies on healthcare consumption indicate a substantial relationship between patient satisfaction with services and implementation of recommendations and follow-up care. We followed PRISMA guidelines to conduct a systematic review of the literature on parent perception of pediatric neuropsychological evaluations for children aged 3-21 years. Using a set of predefined search terms, we identified 1,163 abstracts across PubMed, PsycINFO, Cochrane Library, and Web of Science electronic databases and included 12 studies in our qualitative synthesis. In general, parents reported high levels of satisfaction with their child's evaluation. Feedback from the evaluation was helpful for understanding their child's pattern of strengths and weaknesses and included useful information for obtaining support. Although parents did report improvement in their child's functional participation in home, school, and community settings, they tended to rate the usefulness of the evaluation for eliciting change lower than their overall satisfaction with the evaluation or how helpful the evaluation was for understanding their child's abilities. Additional effort appears to be needed for pediatric neuropsychological evaluations recommendations to result in durable, meaningful change in child functioning.
为了综合目前关于儿科神经心理评估对儿童功能影响的知识,我们对关于父母对其孩子评估的总体满意度以及对评估在了解孩子能力方面的帮助程度和为提供可采取行动的信息以引发变化方面的看法的文献进行了系统回顾。在这种情况下,家长满意度很重要,因为有关医疗保健消费的研究表明,患者对服务的满意度与建议的实施和后续护理之间存在实质性关系。我们遵循 PRISMA 指南,对 3-21 岁儿童的儿科神经心理评估的父母感知进行了系统的文献回顾。使用一组预先确定的搜索词,我们在 PubMed、PsycINFO、Cochrane 图书馆和 Web of Science 电子数据库中确定了 1163 篇摘要,并将 12 项研究纳入我们的定性综合分析。一般来说,父母对孩子的评估报告了较高的满意度。评估反馈有助于了解孩子的优势和劣势模式,并为获得支持提供了有用的信息。尽管父母确实报告说他们孩子在家庭、学校和社区环境中的功能参与有所改善,但他们往往对评估在引发变化方面的有用性的评价低于他们对评估的总体满意度或评估在了解孩子能力方面的帮助程度。似乎需要更多的努力,以使儿科神经心理评估建议在儿童功能方面产生持久、有意义的变化。