Tele-neuropsychological assessment of children and young people: A systematic review

Walker, Elise J., Kirkham, Fenella J., Stotesbury, Hanne, Dimitriou, Dagmara and Hood, Anna M. (2023) Tele-neuropsychological assessment of children and young people: A systematic review. Journal of Pediatric Neuropsychology, 9. pp. 113-126. ISSN 2119-2681

Preview

PDF (2025-22564-001) - Published Version Available under License Creative Commons Attribution. Download (759kB) | Preview

Abstract

The coronavirus pandemic identified a clinical need for pediatric tele-neuropsychology (TeleNP) assessment. However, due to limited research, clinicians have had little information to develop, adapt, or select reliable pediatric assessments for TeleNP. This preliminary systematic review aimed to examine the feasibility of pediatric TeleNP assessment alongside (1) patient/family acceptability, (2) reliability, and (3) the quality of the literature. Between May 2021 and November 2022, manual searches of PubMed, PsycINFO, and Google Scholar were conducted using terms related to “pediatric” and “tele-neuropsychology.” After extracting relevant papers with samples aged 0–22 years, predefined exclusion criteria were applied. Quality assessment was completed using the AXIS appraisal tool (91% rater-agreement). Twenty-one studies were included in the review, with reported qualitative and quantitative data on the feasibility, reliability, and acceptability extracted. Across included studies, TeleNP was completed via telephone/video conference with participants either at home, in a local setting accompanied by an assistant, or in a different room but in the same building as the assessor. Pediatric TeleNP was generally reported to be feasible (e.g., minimal behavioral differences) and acceptable (e.g., positive feedback). Nineteen studies conducted some statistical analyses to assess reliability. Most observed no significant difference between in-person and TeleNP for most cognitive domains (i.e., IQ), with a minority finding variable reliability for some tests (e.g., attention, speech, visuo-spatial). Limited reporting of sex-assigned birth, racialized identity, and ethnicity reduced the quality and generalizability of the literature. To aid clinical interpretations, studies should assess underexamined cognitive domains (e.g., processing speed) with larger, more inclusive samples.

Item Type:	Article
Additional Information:	Data Availability: Data sharing is not applicable to this article as no new data were created or analyzed in this study.
Uncontrolled Keywords:	testing,tele-neuropsychology,pediatric,remote assessment,cognition
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	LivePure Connector
Date Deposited:	20 Oct 2025 09:30
Last Modified:	21 Oct 2025 00:05
URI:	https://ueaeprints.uea.ac.uk/id/eprint/100724
DOI:	10.1007/s40817-023-00144-6

Downloads

Actions (login required)

View Item