Teleneuropsychology in the time of COVID-19: The experience of The Australian Epilepsy Project.
Teleneuropsychology in the time of COVID-19: The experience of The Australian Epilepsy Project.
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Covid-19时代的远程心理学：澳大利亚癫痫项目的经验。
DOI：
10.1016/j.seizure.2020.10.005
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Jackson GD
中科院分区：
文献类型：
--
作者：
Tailby C;Collins AJ;Vaughan DN;Abbott DF;O'Shea M;Helmstaedter C;Jackson GD
传统的神经心理测试会增加考生和考官的新冠肺炎风险。在此，我们描述了澳大利亚癫痫项目（AEP）的试点研究如何过渡到远程神经心理学（teleNP），从而能够在大流行期间继续安全操作。AEP包括首次无端发作、新诊断癫痫或耐药局灶性癫痫的成人（18-60岁）。在启动研究后不久，与新冠肺炎相关的限制要求适应远程enp，包括通过视频会议提供口头任务；通过文档摄像机传递视觉刺激；使用网上托管的电脑化评估；用口试代替笔试；在线发放问卷；终止远程医疗不兼容的任务。到目前为止，我们已经完成了24次远程enp评估：18次远程评估（参与者在自己家里）和6次现场评估（参与者在研究设施使用设备）。在过渡到远程计划之前进行了五次面对面评估。由于各种原因（技术、程序、环境），通过teleNP进行的408项测试中有8项（1.9%）无效。数据证实了癫痫相关缺陷的典型模式（p < 0.05），影响处理速度、执行功能、语言和记忆。问卷调查结果显示，情绪（34%）和焦虑障碍（38%）高危患者的比例升高。研究远程enp评估揭示了癫痫损伤的典型模式。在引入teleNP时，必须考虑一系列问题，例如技术和管理设置、测试选择和交付以及队列适用性。TeleNP使在社交距离期间（及以后）进行大规模神经心理学研究成为可能，并为扩大神经心理学服务的范围和广度提供了机会。
Traditional neuropsychological testing carries elevated COVID-19 risk for both examinee and examiner. Here we describe how the pilot study of the Australian Epilepsy Project (AEP) has transitioned to tele-neuropsychology (teleNP), enabling continued safe operations during the pandemic. The AEP includes adults (age 18–60) with a first unprovoked seizure, new diagnosis of epilepsy or drug resistant focal epilepsy. Shortly after launching the study, COVID-related restrictions necessitated adaptation to teleNP, including delivery of verbal tasks via videoconference; visual stimulus delivery via document camera; use of web-hosted, computerised assessment; substitution of oral versions for written tests; online delivery of questionnaires; and discontinuation of telehealth incompatible tasks. To date, we have completed 24 teleNP assessments: 18 remotely (participant in own home) and six on-site (participant using equipment at research facility). Five face-to-face assessments were conducted prior to the transition to teleNP. Eight of 408 tests administered via teleNP (1.9 %) have been invalidated, for a variety of reasons (technical, procedural, environmental). Data confirm typical patterns of epilepsy-related deficits (p < .05) affecting processing speed, executive function, language and memory. Questionnaire responses indicate elevated rates of patients at high risk of mood (34 %) and anxiety disorder (38 %). Research teleNP assessments reveal a typical pattern of impairments in epilepsy. A range of issues must be considered when introducing teleNP, such as technical and administrative set up, test selection and delivery, and cohort suitability. TeleNP enables large-scale neuropsychological research during periods of social distancing (and beyond), and offers an opportunity to expand the reach and breadth of neuropsychological services.
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DOI：
10.1017/s1355617797004359
发表时间：
1997-09-01
影响因子：
2.6
作者：
Barr, William B.;Chelune, Gordon J.;Westerveld, Michael
通讯作者：
Westerveld, Michael
影响因子：
12.8
作者：
Hall, Katharyn E.;Isaac, Claire L.;Harris, Peter
通讯作者：
Harris, Peter
影响因子：
9.9
作者：
French, Jacqueline A.;Brodie, Martin J.;Cross, J. Helen
通讯作者：
Cross, J. Helen
影响因子：
3.9
作者：
Grosch, Maria C.;Gottlieb, Michael C.;Cullum, C. Munro
通讯作者：
Cullum, C. Munro
影响因子：
5.6
作者：
DODRILL, CB
通讯作者：
DODRILL, CB