Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, USA.
Department of Psychiatry and Behavioral Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Child Neuropsychol. 2023 Nov;29(8):1388-1397. doi: 10.1080/09297049.2023.2170996. Epub 2023 Feb 2.
The reliability of teleneuropsychology (teleNP) within pediatric populations, particularly those with low intellectual functioning (LIF; i.e., Intellectual Quotient <80), is largely unknown. This repeated-measures study compared performance on WISC-V and WAIS-IV subtests administered in-person before the COVID-19 pandemic and via teleNP during the pandemic in individuals with LIF versus broadly average (BA) intellectual functioning in a clinically referred pediatric cohort. Data were collected from a retrospective chart review of 35 pediatric patients who underwent in-person neuropsychological evaluation at an academic medical center before the pandemic (M = 10.10 years, = 2.93) and videoconference teleNP assessment during the pandemic (M = 13.47 years, = 2.88). Participants completed the Similarities, Matrix Reasoning, and Digit Span subtests from the WISC-V or WAIS-IV at both time points. After controlling for test-retest time interval, partial correlations showed relatively strong associations in test-retest performance across subtests in the whole sample and among the subset of LIF patients. Distribution of significant reliable change indices (RCI) between the LIF and BA groups were similar. Strong correlations were observed between performances on select Wechsler subtests administered in-person and via teleNP. Results lend initial support toward the utility of teleNP administration of these measures in children with a broad range of intellectual functioning.
远程神经心理学（teleNP）在儿科人群中的可靠性，特别是在智力功能低下（LIF；即智商<80）的人群中，还知之甚少。这项重复测量研究比较了在 COVID-19 大流行之前亲自进行的 WISC-V 和 WAIS-IV 子测试和在大流行期间通过 teleNP 进行的测试，参与者为具有 LIF 和广泛平均（BA）智力功能的临床转介儿科队列中的个体。数据是从对在大流行前在学术医疗中心进行亲自神经心理评估的 35 名儿科患者的回顾性图表审查中收集的（M = 10.10 岁，SD = 2.93），并在大流行期间通过视频会议进行 teleNP 评估（M = 13.47 岁，SD = 2.88）。参与者在两个时间点都完成了 WISC-V 或 WAIS-IV 的相似性、矩阵推理和数字跨度子测试。在控制了测试-重测时间间隔后，偏相关显示在整个样本中和在 LIF 患者亚组中，子测试之间的测试-重测表现具有较强的相关性。在 LIF 和 BA 组之间，显著可靠变化指数（RCI）的分布相似。在亲自和通过 teleNP 管理的特定韦氏子测试的表现之间观察到了强烈的相关性。结果初步支持了在具有广泛智力功能的儿童中通过 teleNP 管理这些措施的实用性。
