Clinical utility of teleneuropsychology among pediatric patients with broadly average and low intellectual functioning

Research output: Contribution to journalArticlepeer-review

Abstract

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 (Mage = 10.10 years, SD = 2.93) and videoconference teleNP assessment during the pandemic (Mage = 13.47 years, SD = 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.

Original languageEnglish (US)
Pages (from-to)1388-1397
Number of pages10
JournalChild Neuropsychology
Volume29
Issue number8
DOIs
StatePublished - 2023

Keywords

  • Telehealth
  • assessment
  • intellectual functioning
  • pediatric neuropsychology
  • reliability

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health

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