Clinical Neuropsychology Residency Program, Research and Postgraduate Division, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, México.
J Clin Exp Neuropsychol. 2023 Feb;45(1):12-30. doi: 10.1080/13803395.2023.2189229. Epub 2023 Mar 13.
The use of teleneuropsychology (TeleNP) increased as a result of the COVID-19 pandemic; however, there have been no studies of the benefits and difficulties with this modality in middle-income countries. This study aimed to assess the current use of TeleNP in Mexico.
Mexican neuropsychologists were invited to participate in an online survey regarding the use of TeleNP during the COVID-19 pandemic. The survey was based on issues from a literature review and consisted of 36 questions requiring yes/no, multiple choice, or ordinal answers. The survey was created using Google Forms and asked respondents to provide informed consent. A total of 107 clinical neuropsychologists completed the survey.
82% of participants currently use TeleNP, and most reported learning about TeleNP through personal experience, literature research, and colleagues. Brief evaluations, delivery of results, and intervention were the principal services provided, most frequently on a home-to-home basis. Almost 30% of clinicians reported not requiring informed consent for use of the modality. Consultations included children, adolescents, and adults in similar numbers; older adults were less frequent. Technological limitations were the most frequent reason for ruling out the modality with particular patients. Perceived benefits included the ability to continue consultations despite social distancing measures, lesser risk of COVID-19 infection, and the possibility of seeing patients with limited access to neuropsychological services. Reasons for not using TeleNP included a lack of standardized instruments, not feeling comfortable with the modality, and lack of technological resources and skills.
Despite the socioeconomic differences between Mexico and high-income countries, most of our findings were similar to reports from those countries. However, technological limitations were common, and smartphones were commonly used, contrary to recommendations in the literature. The future use of TeleNP in Mexico should include formal training and ethical guidelines.
由于 COVID-19 大流行，远程神经心理学（TeleNP）的使用有所增加；然而，在中等收入国家，尚未有关于该模式的益处和困难的研究。本研究旨在评估墨西哥目前在 TeleNP 中的使用情况。
邀请墨西哥神经心理学家参与一项关于 COVID-19 大流行期间使用 TeleNP 的在线调查。该调查基于文献综述中的问题，由 36 个问题组成，需要回答是/否、多项选择或有序回答。该调查使用 Google 表单创建，并要求受访者提供知情同意。共有 107 名临床神经心理学家完成了调查。
82%的参与者目前正在使用 TeleNP，大多数人通过个人经验、文献研究和同事了解 TeleNP。主要提供简短评估、结果交付和干预，最常以家庭对家庭的方式进行。近 30%的临床医生报告称，在使用该模式时不需要获得知情同意。咨询包括儿童、青少年和成人，数量相似；老年人较少。排除特定患者使用该模式的最常见原因是技术限制。认为的好处包括能够继续咨询，尽管采取了社交距离措施、感染 COVID-19 的风险较低，以及有机会看到接受神经心理服务有限的患者。不使用 TeleNP 的原因包括缺乏标准化工具、对该模式不舒适以及缺乏技术资源和技能。
尽管墨西哥与高收入国家之间存在社会经济差异，但我们的大多数发现与这些国家的报告相似。然而，技术限制很常见，智能手机的使用很常见，这与文献中的建议相反。墨西哥未来在 TeleNP 的使用应包括正式培训和道德准则。
