Tele-Neuropsychology: From Science to Policy to Practice

Scott A. Sperling, Shawn K. Acheson, Joshua Fox-Fuller, Mary K. Colvin, Lana Harder, C. Munro Cullum, John J. Randolph, Kirstine R. Carter, Patricia Espe-Pfeifer, Laura H. Lacritz, Peter A. Arnett, Stephen R. Gillaspy

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Objective: The primary aim of this paper is to accelerate the number of randomized experimental studies of the reliability and validity in-home tele-neuropsychological testing (tele-np-t). Method: We conducted a critical review of the tele-neuropsychology literature. We discuss this research in the context of the United States’ public and private healthcare payer systems, including the Centers for Medicare & Medicaid Services (CMS) and Current Procedural Terminology (CPT) coding system’s telehealth lists, and existing disparities in healthcare access. Results: The number of tele-np publications has been stagnant since the onset of the COVID-19 pandemic. There are less published experimental studies of tele-neuropsychology (tele-np), and particularly in-home tele-np-t, than other tele-np publications. There is strong foundational evidence of the acceptability, feasibility, and reliability of tele-np-t, but relatively few studies of the reliability and validity of in-home tele-np-t using randomization methodology. Conclusions: More studies of the reliability and validity of in-home tele-np-t using randomization methodology are necessary to support inclusion of tele-np-t codes on the CMS and CPT telehealth lists, and subsequently, the integration and delivery of in-home tele-np-t services across providers and institutions. These actions are needed to maintain equitable reimbursement of in-home tele-np-t services and address the widespread disparities in healthcare access.

Original languageEnglish (US)
Pages (from-to)227-248
Number of pages22
JournalArchives of Clinical Neuropsychology
Volume39
Issue number2
DOIs
StatePublished - Mar 1 2024

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

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