Psychology Assessment Center, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, 1 Bowdoin Square Suite 701, Boston, MA02114, USA.
Stephen and Catherine Pappas Center for Neuro-Oncology, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, Yawkey 9E, Boston, MA02114, USA.
J Int Neuropsychol Soc. 2022 Feb;28(2):210-215. doi: 10.1017/S1355617721000436. Epub 2021 May 6.
Neuropsychological assessment via video conferencing has been proposed during the COVID-19 pandemic. Existing literature has demonstrated feasibility and acceptance of neuropsychological measures administered by videoconference, although few studies have examined feasibility and patient acceptance of TNP visits directly to patients' homes (DTH-TNP).
We modified a previously published patient satisfaction survey for DTH-TNP and developed a clinician feasibility survey to examine experiences during DTH-TNP.
Seventy-two patients (age range: preschool-geriatric) evaluated by DTH-TNP for cognitive problems at an academic medical center responded to voluntary surveys between April 20, 2020, and August 19, 2020, and 100% indicated satisfaction. Fifty-nine percent of patients reported limitations (e.g., technological concern) during the appointment. 134 clinician surveys were collected and indicated that clinicians achieved the goal of their appointment in 90% of encounters.
These qualitative data suggest that patients and clinicians found DTH-TNP to be satisfactory during the COVID-19 pandemic, while also recognizing limitations of the practice. These results are limited in that voluntary surveys are subject to bias. They support the growing body of literature suggesting that DTH-TNP provides a valuable service, though additional research to establish reliability and validity is needed.
在 COVID-19 大流行期间，已经提出了通过视频会议进行神经心理学评估。现有文献已经证明了通过视频会议进行神经心理学测量的可行性和可接受性，尽管很少有研究直接检查 TNP 家访（DTH-TNP）的可行性和患者接受程度。
我们修改了之前发表的用于 DTH-TNP 的患者满意度调查，并开发了临床医生可行性调查，以检查 DTH-TNP 期间的体验。
2020 年 4 月 20 日至 2020 年 8 月 19 日，在学术医疗中心对认知问题进行 DTH-TNP 评估的 72 名患者（年龄范围：学龄前-老年）对自愿调查做出了回应，他们对 DTH-TNP 的满意度为 100%。59%的患者在预约期间报告了一些限制（例如，技术方面的担忧）。共收集了 134 份临床医生调查问卷，结果表明，在 90%的就诊中，临床医生达到了预约的目标。
这些定性数据表明，在 COVID-19 大流行期间，患者和临床医生都发现 DTH-TNP 令人满意，但同时也认识到了该实践的局限性。这些结果存在局限性，因为自愿调查容易受到偏差的影响。它们支持越来越多的文献表明，DTH-TNP 提供了有价值的服务，尽管需要进一步的研究来建立可靠性和有效性。
