Department of Psychiatry & Behavioral Health, Ohio State University Wexner Medical Center, Columbus, OH, USA.
Department of Psychology, Children's Hospital of Orange County, Orange, CA, USA.
Clin Neuropsychol. 2023 Jul;37(5):896-910. doi: 10.1080/13854046.2021.1948104. Epub 2021 Jul 7.
Recent teleneuropsychology (TeleNP) models provide some degree of guidance in the application of telecommunication technologies toward the practice of neuropsychology. However, there remains a paucity of peer-reviewed data on TeleNP practices with culturally diverse patients, including Asian patients. This manuscript describes the challenges related to TeleNP practices with Asian patients and offers practical recommendations to complement existing TeleNP guidelines.
Based on extant literature on multicultural applications of neuropsychology, weprovide recommendations for TeleNP services with Asian patients that pertain to specific components of a TeleNP evaluation, such as a) pre-evaluation preparation, b) determining the appropriateness of the referral, c) determining language proficiency, d) working with interpreters, e) informed consent and confidentiality issues, f) conducting a culturally sensitive clinical interview, g) behavioral observations and communication, h) test selection, and i) interpreting data and writing reports.
Our recommendations for TeleNP services with Asian patients highlight the need for flexibility to accommodate cultural differences and commitment to the complex nature of working with patients requiring interpretation services, while also recognizing the importance of preserving the validity of neuropsychological methods. Moving forward, it is imperative that the field of neuropsychology increases the training and accessibility of neuropsychologists who are knowledgeable in providing TeleNP services to Asian patients, and promotes research on the validation of TeleNP for Asian and other ethnic minority groups.
最近的远程神经心理学（TeleNP）模型在将电信技术应用于神经心理学实践方面提供了一定程度的指导。然而，关于具有文化多样性的患者（包括亚洲患者）的 TeleNP 实践的同行评审数据仍然很少。本文描述了与亚洲患者进行 TeleNP 实践相关的挑战，并提供了实用建议来补充现有的 TeleNP 指南。
基于神经心理学的多元文化应用的现有文献，我们为亚洲患者的 TeleNP 服务提供了建议，这些建议涉及 TeleNP 评估的特定组成部分，例如：a）预评估准备；b）确定转诊的适宜性；c）确定语言熟练程度；d）与口译员合作；e）知情同意和保密问题；f）进行文化敏感的临床访谈；g）行为观察和沟通；h）测试选择；和 i）解释数据和撰写报告。
我们对亚洲患者的 TeleNP 服务建议强调了需要灵活适应文化差异，并致力于解决需要口译服务的患者的复杂性，同时也认识到保持神经心理学方法有效性的重要性。展望未来，神经心理学领域必须增加对具有提供亚洲患者 TeleNP 服务知识的神经心理学家的培训和可及性，并促进针对亚洲和其他少数族裔群体的 TeleNP 验证的研究。
