Improved parent self-efficacy following pediatric evaluation: evidence for value of a telemedicine approach in psychological and neuropsychological assessment
T. Andrew Zabel, Erin Jones, Rachel K. Peterson, Nathaniel Comi-Morog, Catherine Stephan, Kimberly Milla, Alison E. Pritchard and Lisa A. Jacobson
Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Psychology, Clinical Science & Technology Psychology Social Sciences
Objective: While considerable inquiry is currently underway into the comparability of psychological test results obtained in onsite/in-person settings versus telemedicine settings, there has been less attention given to the comparability of the impact/outcome of the assessment process across settings. The current quality improvement study conceptualized impact/outcome according to the model of Austin et al. and sought to determine whether the prior finding of increased parent self-efficacy following onsite neuropsychological assessment was also observed when psychological and neuropsychological assessment was conducted via a telemedicine modality. Method: In the course of standard care delivery, ratings from Austin et al.'s four parent self-efficacy items were obtained at time 1 prior to patients' assessment visits and then again at time 2 either (1) following their last assessment/feedback visit (the Complete Assessment group; n = 157) or (2) in the middle of the assessment process prior to the last planned visit (the Incomplete Assessment group; n = 117). Results: Analyses revealed significant findings for time and time x group. Parent self-efficacy ratings improved over time in both groups, with significantly higher ratings in the Complete Assessment group at time 2. When compared to reference means from the in-person/onsite Austin et al. study, ratings from the current study found comparable improvement in parent self-efficacy achieved via telemedicine assessment in the Complete Assessment group. Conclusions: These data support the use of telemedicine based psychological and neuropsychological evaluation and provide preliminary evidence that the impact/outcome is comparable with in-person/onsite assessment.
Improved parent self-efficacy following pediatric evaluation: evidence for value of a telemedicine approach in psychological and neuropsychological assessment
Creators
T. Andrew Zabel - Kennedy Krieger Institute
Erin Jones - Kennedy Krieger Institute
Rachel K. Peterson - Kennedy Krieger Institute
Nathaniel Comi-Morog - Kennedy Krieger Institute
Catherine Stephan - Drexel Univ, Dept Psychol, Philadelphia, PA 19104 USA
Kimberly Milla - Kennedy Krieger Institute
Alison E. Pritchard - Johns Hopkins Medicine
Lisa A. Jacobson - Kennedy Krieger Inst, Dept Neuropsychol, 1750 East Fairmount Ave, Baltimore, MD 21231 USA
Publication Details
Clinical neuropsychologist, v 37(6), pp 1221-1238
Publisher
Taylor & Francis
Number of pages
18
Resource Type
Journal article
Language
English
Academic Unit
Psychological and Brain Sciences (Psychology); Drexel University
Web of Science ID
WOS:000823838800001
Scopus ID
2-s2.0-85134054886
Other Identifier
991021861277004721
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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Psychology
Psychology, Clinical
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