Lee Ann Jeeyoon, Lipio Brothers Stacey, Mesa Heather, Judd Tedd, Nguyen Christopher Minh
Department of Psychology, The Ohio State University College of Arts and Sciences, Columbus, Ohio, USA.
Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Clin Neuropsychol. 2025 Jul;39(5):1368-1391. doi: 10.1080/13854046.2025.2474274. Epub 2025 Mar 18.
: The COVID-19 pandemic necessitated a rapid transition to tele-neuropsychology (teleNP), fundamentally altering the delivery of neuropsychological services traditionally relying on face-to-face interactions. Research indicates that teleNP assessments can yield reliable diagnostic outcomes, yet existing literature has primarily focused on non-Hispanic White populations. This is particularly concerning given the increasing diversity of the U.S. population. There remains a notable gap in the evidence regarding the validity of teleNP assessments among historically underrepresented groups, compounded by linguistic heterogeneity and the scarcity of culturally congruent neuropsychologists. This manuscript addresses this disparity by providing a framework for incorporating cultural consultation and interpretation services in teleNP. : We provide a framework for cultural consultation and interpretation services in teleNP based on an examination of literature relevant to teleNP and its impact on service delivery and the authors' clinical experience. A case study highlights practical considerations for incorporating these services. Key measures include rapport-building techniques and assessments of cultural competency in neuropsychological evaluations. The findings indicate that teleNP assessments can yield reliable diagnostic outcomes; however, there remains a significant gap in evidence regarding their validity for historically underrepresented groups. The case study demonstrates effective collaboration with cultural consultants, emphasizing their role in enhancing cultural responsiveness. Enhancing cultural competence within teleNP frameworks is essential for addressing disparities in neuropsychological care. By leveraging teleNP to provide access to culturally appropriate services, neuropsychologists can better meet the needs of diverse patient populations, promoting equitable access to mental health services and improving clinical outcomes and patient satisfaction.
：新冠疫情使得迅速转向远程神经心理学（teleNP）成为必要，这从根本上改变了传统上依赖面对面互动的神经心理学服务的提供方式。研究表明，远程神经心理学评估能够产生可靠的诊断结果，但现有文献主要关注非西班牙裔白人人群。鉴于美国人口日益多样化，这尤其令人担忧。在历史上代表性不足的群体中，关于远程神经心理学评估有效性的证据仍存在显著差距，语言异质性以及缺乏文化适配的神经心理学家使这一情况更加复杂。本手稿通过提供一个在远程神经心理学中纳入文化咨询和口译服务的框架来解决这一差异。 ：我们基于对与远程神经心理学及其对服务提供的影响相关文献的研究以及作者的临床经验，提供了一个远程神经心理学文化咨询和口译服务的框架。一个案例研究突出了纳入这些服务的实际考量。关键措施包括建立融洽关系的技巧以及神经心理学评估中的文化能力评估。研究结果表明，远程神经心理学评估能够产生可靠的诊断结果；然而，关于其对历史上代表性不足群体有效性的证据仍存在重大差距。该案例研究展示了与文化顾问的有效合作，强调了他们在增强文化响应能力方面的作用。在远程神经心理学框架内增强文化能力对于解决神经心理学护理中的差异至关重要。通过利用远程神经心理学提供获得文化适配服务的机会，神经心理学家能够更好地满足不同患者群体的需求，促进心理健康服务的公平可及，并改善临床结果和患者满意度。
