Working group recommendations for the practice of teleneuropsychology in Latin America

Objective: Teleneuropsychology (teleNP) could potentially expand access to services for patients who are confined, have limited personal access to healthcare, or live in remote areas. The emergence of the COVID-19 pandemic has significantly increased the use of teleNP for cognitive assessments. The...

Full description

Autores:
Crivelli, Lucía
Quiroz, Yakeel T.
Calandri, Ismael Luis
Martin, María Eugenia
Velilla, Lina
Cusicanqui, María I.
Yglesias, Fernando Coto
Llibre-Rodríguez, Juan J
Armele, Montserrat
Román, Fabián
Barceló, Ernesto
Dechent, Claudia
Carello, María Agostina
Olavarría, Loreto
Yassuda, Monica Sanches
Custodio, Nilton
Dansilio, Sergio
Sosa Ortiz, Ana Luisa
Dozzi Brucki, Sonia Maria
CARAMELLI, PAULO
Slachevsky, Andrea
Nitrini, Ricardo
Carrillo, María C.
Crivelli, Lucía
Allegri, Ricardo Francisco
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/9340
Acceso en línea:
https://hdl.handle.net/11323/9340
https://doi.org/10.1093/arclin/acab080
https://repositorio.cuc.edu.co/
Palabra clave:
Neuropsychology
Latinos/Latinas
Videoconferencing
Healthcare delivery
Evidence-based practice
Neuropsychological assessment
Rights
embargoedAccess
License
Atribución 4.0 Internacional (CC BY 4.0)
id RCUC2_bcad8e548fe412add07c14373ae74a80
oai_identifier_str oai:repositorio.cuc.edu.co:11323/9340
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.eng.fl_str_mv Working group recommendations for the practice of teleneuropsychology in Latin America
title Working group recommendations for the practice of teleneuropsychology in Latin America
spellingShingle Working group recommendations for the practice of teleneuropsychology in Latin America
Neuropsychology
Latinos/Latinas
Videoconferencing
Healthcare delivery
Evidence-based practice
Neuropsychological assessment
title_short Working group recommendations for the practice of teleneuropsychology in Latin America
title_full Working group recommendations for the practice of teleneuropsychology in Latin America
title_fullStr Working group recommendations for the practice of teleneuropsychology in Latin America
title_full_unstemmed Working group recommendations for the practice of teleneuropsychology in Latin America
title_sort Working group recommendations for the practice of teleneuropsychology in Latin America
dc.creator.fl_str_mv Crivelli, Lucía
Quiroz, Yakeel T.
Calandri, Ismael Luis
Martin, María Eugenia
Velilla, Lina
Cusicanqui, María I.
Yglesias, Fernando Coto
Llibre-Rodríguez, Juan J
Armele, Montserrat
Román, Fabián
Barceló, Ernesto
Dechent, Claudia
Carello, María Agostina
Olavarría, Loreto
Yassuda, Monica Sanches
Custodio, Nilton
Dansilio, Sergio
Sosa Ortiz, Ana Luisa
Dozzi Brucki, Sonia Maria
CARAMELLI, PAULO
Slachevsky, Andrea
Nitrini, Ricardo
Carrillo, María C.
Crivelli, Lucía
Allegri, Ricardo Francisco
dc.contributor.author.spa.fl_str_mv Crivelli, Lucía
Quiroz, Yakeel T.
Calandri, Ismael Luis
Martin, María Eugenia
Velilla, Lina
Cusicanqui, María I.
Yglesias, Fernando Coto
Llibre-Rodríguez, Juan J
Armele, Montserrat
Román, Fabián
Barceló, Ernesto
Dechent, Claudia
Carello, María Agostina
Olavarría, Loreto
Yassuda, Monica Sanches
Custodio, Nilton
Dansilio, Sergio
Sosa Ortiz, Ana Luisa
Dozzi Brucki, Sonia Maria
CARAMELLI, PAULO
Slachevsky, Andrea
Nitrini, Ricardo
Carrillo, María C.
dc.contributor.author.none.fl_str_mv Crivelli, Lucía
Allegri, Ricardo Francisco
dc.subject.proposal.eng.fl_str_mv Neuropsychology
Latinos/Latinas
Videoconferencing
Healthcare delivery
Evidence-based practice
Neuropsychological assessment
topic Neuropsychology
Latinos/Latinas
Videoconferencing
Healthcare delivery
Evidence-based practice
Neuropsychological assessment
description Objective: Teleneuropsychology (teleNP) could potentially expand access to services for patients who are confined, have limited personal access to healthcare, or live in remote areas. The emergence of the COVID-19 pandemic has significantly increased the use of teleNP for cognitive assessments. The main objective of these recommendations is to identify which procedures can be potentially best adapted to the practice of teleNP in Latin America, and thereby facilitate professional decision-making in the region. Method: Steps taken to develop these recommendations included (1) formation of an international working group with representatives from 12 Latin American countries; (2) assessment of rationale, scope, and objectives; (3) formulation of clinical questions; (4) evidence search and selection; (5) evaluation of existing evidence and summary; and (6) formulation of recommendations. Levels of evidence were graded following the Oxford Centre for Evidence-Based Medicine system. Databases examined included PubMed, WHO-IRIS, WHO and PAHO-IRIS, Índice Bibliográfico Español en Ciencias de la Salud (IBCS), and LILACS. Results: Working group members reviewed 18,400 titles and 422 abstracts and identified 19 articles meeting the criteria for level of evidence, categorization, and elaboration of recommendations. The vast majority of the literature included teleNP tests in the English language. The working group proposed a series of recommendations that can be potentially best adapted to the practice of teleNP in Latin America. Conclusions: There is currently sufficient evidence to support the use of videoconferencing technology for remote neuropsy chological assessments. These recommendations will likely contribute to the advancement of teleNP research and practice in the region.
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-10-20
dc.date.accessioned.none.fl_str_mv 2022-07-07T13:26:38Z
dc.date.available.none.fl_str_mv 2022-07-07T13:26:38Z
2023-07-01
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/ART
format http://purl.org/coar/resource_type/c_6501
dc.identifier.citation.spa.fl_str_mv Lucía Crivelli, Yakeel T Quiroz, Ismael L Calandri, María E Martin, Lina M Velilla, María I Cusicanqui, Fernando Coto Yglesias, Juan J Llibre-Rodríguez, Monserrat Armele, Fabián Román, Ernesto Barceló, Claudia Dechent, María Agostina Carello, Loreto Olavarría, Mônica S Yassuda, Nilton Custodio, Sergio Dansilio, Ana L Sosa, Daisy M Acosta, Sonia M D Brucki, Paulo Caramelli, Andrea Slachevsky, Ricardo Nitrini, María C Carrillo, Ricardo F Allegri, Working Group Recommendations for the Practice of Teleneuropsychology in Latin America, Archives of Clinical Neuropsychology, Volume 37, Issue 3, May 2022, Pages 553–567, https://doi.org/10.1093/arclin/acab080
dc.identifier.issn.spa.fl_str_mv 0887-6177
dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/9340
dc.identifier.url.spa.fl_str_mv https://doi.org/10.1093/arclin/acab080
dc.identifier.doi.spa.fl_str_mv 10.1093/arclin/acab080
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv Lucía Crivelli, Yakeel T Quiroz, Ismael L Calandri, María E Martin, Lina M Velilla, María I Cusicanqui, Fernando Coto Yglesias, Juan J Llibre-Rodríguez, Monserrat Armele, Fabián Román, Ernesto Barceló, Claudia Dechent, María Agostina Carello, Loreto Olavarría, Mônica S Yassuda, Nilton Custodio, Sergio Dansilio, Ana L Sosa, Daisy M Acosta, Sonia M D Brucki, Paulo Caramelli, Andrea Slachevsky, Ricardo Nitrini, María C Carrillo, Ricardo F Allegri, Working Group Recommendations for the Practice of Teleneuropsychology in Latin America, Archives of Clinical Neuropsychology, Volume 37, Issue 3, May 2022, Pages 553–567, https://doi.org/10.1093/arclin/acab080
0887-6177
10.1093/arclin/acab080
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
url https://hdl.handle.net/11323/9340
https://doi.org/10.1093/arclin/acab080
https://repositorio.cuc.edu.co/
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartofjournal.spa.fl_str_mv Archives of Clinical Neuropsychology
dc.relation.references.spa.fl_str_mv American Telemedicine Association, Flores-Vaquero, P., Tiwari, A., Alcock, J., Hutabarat, W., Turner, C., et al. (2014). Core operational guidelines for telehealth services involving provider-patient interactions. Journal of Telemedicine and Telecare, 19(5), 1–53.
Arias, F., Safi, D. E., Miranda, M., Carrión, C. I., Diaz Santos, A. L., Armendariz, V., et al. (2020). Teleneuropsychology for monolingual and bilingual spanish-speaking adults in the time of COVID-19: Rationale, professional considerations, and resources. Archives of Clinical Neuropsychology, 35(8), 1249–1265.
Bilder, R. M., Postal, K. S., Barisa, M., Aase, D. M., Cullum, C. M., Gillaspy, S. R., et al. (2020). Inter organizational practice committee recommendation s/guidance for teleneuropsychology (TeleNP) in response to the COVID-19 pandemic. The Clinical Neuropsychologist, 34(7–8), 1314–133.
Bloem, B. R., Dorsey, E. R., & Okun, M. S. (2020). The coronavirus disease 2019 crisis as catalyst for telemedicine for chronic neurological disorders. JAMA Neurology, 77(8), 927
Brandt, J., Spencer, M., & Folstein, M. (1988). The telephone interview for cognitive status. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 1(2), 111–117.
Brearly, T. W., Shura, R. D., Martindale, S. L., Lazowski, R. A., Luxton, D. D., Shenal, B. V., et al. (2017). Neuropsychological test administration by videoconference: A systematic review and meta-analysis. Neuropsychology Review, 27(2), 174–186.
Brouwers, M. C., Kerkvliet, K., & Spithoff, K. (2016). The AGREE reporting checklist: A tool to improve reporting of clinical practice guidelines. BMJ, 352, i1152.
Calandri, I. L., Hawkes, M. A., Marrodan, M., Ameriso, S. F., Correale, J., & Allegri, R. F. (2021). Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina. Frontiers in Neurology, 1410.
Castanho, T. C., Amorim, L., Moreira, P. S., Mariz, J., Palha, J. A., Sousa, N., et al. (2016). Assessing cognitive function in older adults using a videoconference approach. eBioMedicine, 11, 278–284.
Castanho, T. C., Sousa, N., & Santos, N. C. (2017). When new technology is an answer for old problems: The use of videoconferencing in cognitive aging assessment. Journal of Alzheimer’s Disease Reports, 1(1), 15–21.
Cullum, C. M., Hynan, L. S., Grosch, M., Parikh, M., & Weiner, M. F. (2014). Teleneuropsychology: Evidence for video teleconference-based neuropsycho logical assessment. Journal of the International Neuropsychological Society, 20(10), 1028–1033.
Debanne, S. M., Patterson, M. B., Dick, R., Riedel, T. M., Schnell, A., & Rowland, D. Y. (1997). Validation of a telephone cognitive assessment battery. Journal of the American Geriatrics Society, 45(11), 1352–1359.
Fox-Fuller, J. T., Rizer, S., Andersen, S., & Sunderaraman, P. (in press). Survey findings about the experiences, challenges, and practical advice/solutions regarding teleneuropsychological assessment in adults. Archives of Clinical Neuropsychology.
Franco, M., Bernardo-Ramos, M., & Soto-Pérez, F. (2012). Cyber-neuropsychology: Application of new technologies in neuropsychological evaluation. Actas Españolas de Psiquiatría, 40, 308–314.
Galusha-Glasscock, J. M., Horton, D. K., Weiner, M. F., & Cullum, C. M. (2016). Video teleconference administration of the repeatable battery for the assessment of neuropsychological status. Archives of Clinical Neuropsychology, 31(1), 8–11.
Goodglass, H., Kaplan, E., & Weintraub, S. (2001). BDAE: The Boston Diagnostic Aphasia Examination. Philadelphia, PA: Lippincott Williams & Wilkins..
Grosch, M. C., Gottlieb, M. C., & Cullum, C. M. (2011). Initial practice recommendations for teleneuropsychology. The Clinical Neuropsychologist, 25(7), 1119–1133.
Grosch, M. C., Weiner, M. F., Hynan, L. S., Shore, J., & Cullum, C. M. (2015). Video teleconference-based neurocognitive screening in geropsychiatry. Psychiatry Research, 225(3), 734–735.
Guyatt, G. H., Sackett, D. L., Sinclair, J. C., Hayward, R., Cook, D. J., & Cook, R. J. (1995). Users’ guides to the medical literature. IX. A method for grading health care recommendations. Evidence-based medicine working group. JAMA, 274(22), 1800–1804.
Ham-Chande, R., & Nava-Bolaños, I. (2019). Convergence toward demographic aging in Latin America and the Caribbean. Annual Review of Sociology, 45(1), 607–623.
Hildebrand, R., Chow, H., Williams, C., Nelson, M., & Wass, P. (2004). Feasibility of neuropsychological testing of older adults via videoconference: Implications for assessing the capacity for independent living. Journal of Telemedicine and Telecare, 10(3), 130–134.
Heneghan, C. (2009). EBM resources on the new CEBM website. BMJ Evidence-Based Medicine, 14(3), 67–67.
Joint Task Force for the Development of Telepsychology Guidelines for Psychologists (2013). Guidelines for the practice of telepsychology. American Psychologist, 68(9), 791–800.
Kämpfen, F., & Maurer, J. (2018). Does education help “old dogs” learn “new tricks”? The lasting impact of early-life education on technology use among older adults. Research Policy, 47(6), 1125–1132.
Kirkwood, K. T., Peck, D. F., & Bennie, L. (2000). The consistency of neuropsychological assessments performed via telecommunication and face to face. Journal of Telemedicine and Telecare, 6(3), 147–151.
Lachman, M. E., Agrigoroaei, S., Tun, P. A., & Weaver, S. L. (2013). Monitoring cognitive functioning. Assessment, 21(4), 404–417.
Lindauer, A., Seelye, A., Lyons, B., Dodge, H. H., Mattek, N., Mincks, K., et al. (2017). Dementia care comes home: Patient and caregiver assessment via telemedicine. The Gerontologist, 57(5), e85–e93.
Loh, P. K., Ramesh, P., Maher, S., Saligari, J., Flicker, L., & Goldswain, P. (2004). Can patients with dementia be assessed at a distance? The use of telehealth and standardised assessments. Internal Medicine Journal, 34(5), 239–242.
Marra, D. E., Hamlet, K. M., Bauer, R. M., & Bowers, D. (2020). Validity of teleneuropsychology for older adults in response to COVID-19: A systematic and critical review. The Clinical Neuropsychologist, 34(7–8), 1411–1452.
Miller, J. B., & Barr, W. B. (2017). The technology crisis in neuropsychology. Archives of Clinical Neuropsychology, 32(5), 541–554.
Morgan, D. G., Crossley, M., Kirk, A., McBain, L., Stewart, N. J., D’Arcy, C., et al. (2011). Evaluation of telehealth for preclinic assessment and follow-up in an interprofessional rural and remote memory clinic. Journal of Applied Gerontology, 30(3), 304–331.
Organización Panamericana de la Salud. (2014). Estrategia para el acceso universal a la salud y cobertura universal de salud. 53rd Directing Council 66th Session of The Regional Committee of WHO For The Americas. Washington, D.C., USA, 29 September-3 October 2014 https://www.paho.org/hq/dmdo cuments/2014/CD53-5-s.pdf.
Postal, K. S., Bilder, R. M., Lanca, M., Aase, D. M., Barisa, M., Holland, A. A., et al. (2020). InterOrganizational practice committee guidance/recommendation for models of care during the novel coronavirus pandemic. The Clinical Neuropsychologist, 35(1), 81–98.
Randolph, C., Tierney, M. C., Mohr, E., & Chase, T. N. (1998). The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): preliminary clinical validity. Journal of clinical and experimental neuropsychology, 20(3), 310–319.
Schum, R.L., Sivan, A.B., & Benton, A. (1989). Multilingual aphasia examination. Norms for Children. The Clinical Neuropsychologist, 3(4), 375–383.
Sports Neuropsychological Asscociation. (2020). The SNS Teleneuropsychology Resource Document. Sports Neuropsychological Society. March 21, 2020. https://cdn.ymaws.com/www.asppb.net/resource/resmgr/covid19/teleneuropsychology_resource.pdf.
Strasser, R. (2003). Rural health around the world: Challenges and solutions. Family Practice, 20(4), 457–463.
Temple, V., Drummond, C., Valiquette, S., & Jozsvai, E. (2010). A comparison of intellectual assessments over video conferencing and in-person for individuals with ID: Preliminary data. Journal of Intellectual Disability Research, 54(6), 573–577.
Turkstra, L. S., Quinn-Padron, M., Johnson, J. E., Workinger, M. S., & Antoniotti, N. (2012). In-person versus telehealth assessment of discourse ability in adults with traumatic brain injury. The Journal of Head Trauma Rehabilitation, 27(6), 424–432.
United Nations, Department of Economic and Social Affairs, population division (2017). World population ageing 2017 - highlights (ST/ESA/SER.A/397). United Nations Sales No. E.17.XIII.3 ISBN 978-92-1-151551-0 Copyright © United Nations, 2017 All rights reserved.
Vahia, I. V., Ng, B., Camacho, A., Cardenas, V., Cherner, M., Depp, C. A., et al. (2015). Telepsychiatry for neurocognitive testing in older rural Latino adults. The American Journal of Geriatric Psychiatry, 23(7), 666–670.
Vakil, E. (2012). Neuropsychological assessment: Principles, rationale, and challenges. Journal of Clinical and Experimental Neuropsychology, 34(2), 135–150.
Vestal, L., Smith-Olinde, L., Hicks, G., Hutton, T., & Hart, J. (2006). Efficacy of language assessment in Alzheimer’s disease: Comparing in-person examination and telemedicine. Clinical Interventions in Aging, 1(4), 467–471.
Wadsworth, H. E., Dhima, K., Womack, K. B., Hart, J., Weiner, M. F., Hynan, L. S., et al. (2018). Validity of teleneuropsychological assessment in older patients with cognitive disorders. Archives of Clinical Neuropsychology, 33(8), 1040–1045.
Wadsworth, H. E., Galusha-Glasscock, J. M., Womack, K. B., Quiceno, M., Weiner, M. F., Hynan, L. S., et al. (2016). Remote neuropsychological assessment in rural American Indians with and without cognitive impairment. Archives of Clinical Neuropsychology, 31(5), 420–425.
WHO, & The World Bank. (2017). Tracking universal health coverage: 2017 global monitoring report. World Health Organization and International Bank for Reconstruction and Development / The World Bank; 2017. Licence: CC BY-NC-SA 3.0 IGO. https://apps.who.int/iris/bitstream/ha ndle/10665/259817/9789241513555-ng.pdf;jsessionid=C29E21005A5692511BE2B70BD2D3C941?se.
Willis Towers Watson. (2021). Global medical trends: Resultados de latinoamérica [Data set]. https://www.willistowerswatson.com/es-AR/Insights/2020/11/e ncuesta-2021-global-medical-trends.
dc.relation.citationendpage.spa.fl_str_mv 567
dc.relation.citationstartpage.spa.fl_str_mv 553
dc.relation.citationissue.spa.fl_str_mv 3
dc.relation.citationvolume.spa.fl_str_mv 37
dc.rights.spa.fl_str_mv Atribución 4.0 Internacional (CC BY 4.0)
© The Author(s) 2021. Published by Oxford University Press. All rights reserved.
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/embargoedAccess
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_f1cf
rights_invalid_str_mv Atribución 4.0 Internacional (CC BY 4.0)
© The Author(s) 2021. Published by Oxford University Press. All rights reserved.
https://creativecommons.org/licenses/by/4.0/
http://purl.org/coar/access_right/c_f1cf
eu_rights_str_mv embargoedAccess
dc.format.extent.spa.fl_str_mv 14 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Elsevier BV
dc.publisher.place.spa.fl_str_mv United Kingdom
institution Corporación Universidad de la Costa
dc.source.url.spa.fl_str_mv https://academic.oup.com/acn/article-abstract/37/3/553/6406697?redirectedFrom=fulltext
bitstream.url.fl_str_mv https://repositorio.cuc.edu.co/bitstreams/93097882-d90a-4198-8c95-36db64d5f752/download
https://repositorio.cuc.edu.co/bitstreams/5075cc43-d862-46b2-bdc4-7019640a6d00/download
https://repositorio.cuc.edu.co/bitstreams/0fd3bce3-16ba-45c1-8319-ef140514737f/download
https://repositorio.cuc.edu.co/bitstreams/f918a163-379e-4811-ad79-da2bb22a260e/download
bitstream.checksum.fl_str_mv 583f988e2222fd5e5d8abba1ef4800fb
e30e9215131d99561d40d6b0abbe9bad
599f8ed61e2bb67987739620089852cd
246a78869caf295fe1fee05b957a7958
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio de la Universidad de la Costa CUC
repository.mail.fl_str_mv repdigital@cuc.edu.co
_version_ 1828166625570848768
spelling Crivelli, LucíaQuiroz, Yakeel T.Calandri, Ismael LuisMartin, María EugeniaVelilla, LinaCusicanqui, María I.Yglesias, Fernando CotoLlibre-Rodríguez, Juan JArmele, MontserratRomán, FabiánBarceló, ErnestoDechent, ClaudiaCarello, María AgostinaOlavarría, LoretoYassuda, Monica SanchesCustodio, NiltonDansilio, SergioSosa Ortiz, Ana LuisaDozzi Brucki, Sonia MariaCARAMELLI, PAULOSlachevsky, AndreaNitrini, RicardoCarrillo, María C.Crivelli, LucíaAllegri, Ricardo Franciscovirtual::813-12022-07-07T13:26:38Z2023-07-012022-07-07T13:26:38Z2021-10-20Lucía Crivelli, Yakeel T Quiroz, Ismael L Calandri, María E Martin, Lina M Velilla, María I Cusicanqui, Fernando Coto Yglesias, Juan J Llibre-Rodríguez, Monserrat Armele, Fabián Román, Ernesto Barceló, Claudia Dechent, María Agostina Carello, Loreto Olavarría, Mônica S Yassuda, Nilton Custodio, Sergio Dansilio, Ana L Sosa, Daisy M Acosta, Sonia M D Brucki, Paulo Caramelli, Andrea Slachevsky, Ricardo Nitrini, María C Carrillo, Ricardo F Allegri, Working Group Recommendations for the Practice of Teleneuropsychology in Latin America, Archives of Clinical Neuropsychology, Volume 37, Issue 3, May 2022, Pages 553–567, https://doi.org/10.1093/arclin/acab0800887-6177https://hdl.handle.net/11323/9340https://doi.org/10.1093/arclin/acab08010.1093/arclin/acab080Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objective: Teleneuropsychology (teleNP) could potentially expand access to services for patients who are confined, have limited personal access to healthcare, or live in remote areas. The emergence of the COVID-19 pandemic has significantly increased the use of teleNP for cognitive assessments. The main objective of these recommendations is to identify which procedures can be potentially best adapted to the practice of teleNP in Latin America, and thereby facilitate professional decision-making in the region. Method: Steps taken to develop these recommendations included (1) formation of an international working group with representatives from 12 Latin American countries; (2) assessment of rationale, scope, and objectives; (3) formulation of clinical questions; (4) evidence search and selection; (5) evaluation of existing evidence and summary; and (6) formulation of recommendations. Levels of evidence were graded following the Oxford Centre for Evidence-Based Medicine system. Databases examined included PubMed, WHO-IRIS, WHO and PAHO-IRIS, Índice Bibliográfico Español en Ciencias de la Salud (IBCS), and LILACS. Results: Working group members reviewed 18,400 titles and 422 abstracts and identified 19 articles meeting the criteria for level of evidence, categorization, and elaboration of recommendations. The vast majority of the literature included teleNP tests in the English language. The working group proposed a series of recommendations that can be potentially best adapted to the practice of teleNP in Latin America. Conclusions: There is currently sufficient evidence to support the use of videoconferencing technology for remote neuropsy chological assessments. These recommendations will likely contribute to the advancement of teleNP research and practice in the region.14 páginasapplication/pdfengElsevier BVUnited KingdomAtribución 4.0 Internacional (CC BY 4.0)© The Author(s) 2021. Published by Oxford University Press. All rights reserved.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/embargoedAccesshttp://purl.org/coar/access_right/c_f1cfWorking group recommendations for the practice of teleneuropsychology in Latin AmericaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85https://academic.oup.com/acn/article-abstract/37/3/553/6406697?redirectedFrom=fulltextArchives of Clinical NeuropsychologyAmerican Telemedicine Association, Flores-Vaquero, P., Tiwari, A., Alcock, J., Hutabarat, W., Turner, C., et al. (2014). Core operational guidelines for telehealth services involving provider-patient interactions. Journal of Telemedicine and Telecare, 19(5), 1–53.Arias, F., Safi, D. E., Miranda, M., Carrión, C. I., Diaz Santos, A. L., Armendariz, V., et al. (2020). Teleneuropsychology for monolingual and bilingual spanish-speaking adults in the time of COVID-19: Rationale, professional considerations, and resources. Archives of Clinical Neuropsychology, 35(8), 1249–1265.Bilder, R. M., Postal, K. S., Barisa, M., Aase, D. M., Cullum, C. M., Gillaspy, S. R., et al. (2020). Inter organizational practice committee recommendation s/guidance for teleneuropsychology (TeleNP) in response to the COVID-19 pandemic. The Clinical Neuropsychologist, 34(7–8), 1314–133.Bloem, B. R., Dorsey, E. R., & Okun, M. S. (2020). The coronavirus disease 2019 crisis as catalyst for telemedicine for chronic neurological disorders. JAMA Neurology, 77(8), 927Brandt, J., Spencer, M., & Folstein, M. (1988). The telephone interview for cognitive status. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 1(2), 111–117.Brearly, T. W., Shura, R. D., Martindale, S. L., Lazowski, R. A., Luxton, D. D., Shenal, B. V., et al. (2017). Neuropsychological test administration by videoconference: A systematic review and meta-analysis. Neuropsychology Review, 27(2), 174–186.Brouwers, M. C., Kerkvliet, K., & Spithoff, K. (2016). The AGREE reporting checklist: A tool to improve reporting of clinical practice guidelines. BMJ, 352, i1152.Calandri, I. L., Hawkes, M. A., Marrodan, M., Ameriso, S. F., Correale, J., & Allegri, R. F. (2021). Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina. Frontiers in Neurology, 1410.Castanho, T. C., Amorim, L., Moreira, P. S., Mariz, J., Palha, J. A., Sousa, N., et al. (2016). Assessing cognitive function in older adults using a videoconference approach. eBioMedicine, 11, 278–284.Castanho, T. C., Sousa, N., & Santos, N. C. (2017). When new technology is an answer for old problems: The use of videoconferencing in cognitive aging assessment. Journal of Alzheimer’s Disease Reports, 1(1), 15–21.Cullum, C. M., Hynan, L. S., Grosch, M., Parikh, M., & Weiner, M. F. (2014). Teleneuropsychology: Evidence for video teleconference-based neuropsycho logical assessment. Journal of the International Neuropsychological Society, 20(10), 1028–1033.Debanne, S. M., Patterson, M. B., Dick, R., Riedel, T. M., Schnell, A., & Rowland, D. Y. (1997). Validation of a telephone cognitive assessment battery. Journal of the American Geriatrics Society, 45(11), 1352–1359.Fox-Fuller, J. T., Rizer, S., Andersen, S., & Sunderaraman, P. (in press). Survey findings about the experiences, challenges, and practical advice/solutions regarding teleneuropsychological assessment in adults. Archives of Clinical Neuropsychology.Franco, M., Bernardo-Ramos, M., & Soto-Pérez, F. (2012). Cyber-neuropsychology: Application of new technologies in neuropsychological evaluation. Actas Españolas de Psiquiatría, 40, 308–314.Galusha-Glasscock, J. M., Horton, D. K., Weiner, M. F., & Cullum, C. M. (2016). Video teleconference administration of the repeatable battery for the assessment of neuropsychological status. Archives of Clinical Neuropsychology, 31(1), 8–11.Goodglass, H., Kaplan, E., & Weintraub, S. (2001). BDAE: The Boston Diagnostic Aphasia Examination. Philadelphia, PA: Lippincott Williams & Wilkins..Grosch, M. C., Gottlieb, M. C., & Cullum, C. M. (2011). Initial practice recommendations for teleneuropsychology. The Clinical Neuropsychologist, 25(7), 1119–1133.Grosch, M. C., Weiner, M. F., Hynan, L. S., Shore, J., & Cullum, C. M. (2015). Video teleconference-based neurocognitive screening in geropsychiatry. Psychiatry Research, 225(3), 734–735.Guyatt, G. H., Sackett, D. L., Sinclair, J. C., Hayward, R., Cook, D. J., & Cook, R. J. (1995). Users’ guides to the medical literature. IX. A method for grading health care recommendations. Evidence-based medicine working group. JAMA, 274(22), 1800–1804.Ham-Chande, R., & Nava-Bolaños, I. (2019). Convergence toward demographic aging in Latin America and the Caribbean. Annual Review of Sociology, 45(1), 607–623.Hildebrand, R., Chow, H., Williams, C., Nelson, M., & Wass, P. (2004). Feasibility of neuropsychological testing of older adults via videoconference: Implications for assessing the capacity for independent living. Journal of Telemedicine and Telecare, 10(3), 130–134.Heneghan, C. (2009). EBM resources on the new CEBM website. BMJ Evidence-Based Medicine, 14(3), 67–67.Joint Task Force for the Development of Telepsychology Guidelines for Psychologists (2013). Guidelines for the practice of telepsychology. American Psychologist, 68(9), 791–800.Kämpfen, F., & Maurer, J. (2018). Does education help “old dogs” learn “new tricks”? The lasting impact of early-life education on technology use among older adults. Research Policy, 47(6), 1125–1132.Kirkwood, K. T., Peck, D. F., & Bennie, L. (2000). The consistency of neuropsychological assessments performed via telecommunication and face to face. Journal of Telemedicine and Telecare, 6(3), 147–151.Lachman, M. E., Agrigoroaei, S., Tun, P. A., & Weaver, S. L. (2013). Monitoring cognitive functioning. Assessment, 21(4), 404–417.Lindauer, A., Seelye, A., Lyons, B., Dodge, H. H., Mattek, N., Mincks, K., et al. (2017). Dementia care comes home: Patient and caregiver assessment via telemedicine. The Gerontologist, 57(5), e85–e93.Loh, P. K., Ramesh, P., Maher, S., Saligari, J., Flicker, L., & Goldswain, P. (2004). Can patients with dementia be assessed at a distance? The use of telehealth and standardised assessments. Internal Medicine Journal, 34(5), 239–242.Marra, D. E., Hamlet, K. M., Bauer, R. M., & Bowers, D. (2020). Validity of teleneuropsychology for older adults in response to COVID-19: A systematic and critical review. The Clinical Neuropsychologist, 34(7–8), 1411–1452.Miller, J. B., & Barr, W. B. (2017). The technology crisis in neuropsychology. Archives of Clinical Neuropsychology, 32(5), 541–554.Morgan, D. G., Crossley, M., Kirk, A., McBain, L., Stewart, N. J., D’Arcy, C., et al. (2011). Evaluation of telehealth for preclinic assessment and follow-up in an interprofessional rural and remote memory clinic. Journal of Applied Gerontology, 30(3), 304–331.Organización Panamericana de la Salud. (2014). Estrategia para el acceso universal a la salud y cobertura universal de salud. 53rd Directing Council 66th Session of The Regional Committee of WHO For The Americas. Washington, D.C., USA, 29 September-3 October 2014 https://www.paho.org/hq/dmdo cuments/2014/CD53-5-s.pdf.Postal, K. S., Bilder, R. M., Lanca, M., Aase, D. M., Barisa, M., Holland, A. A., et al. (2020). InterOrganizational practice committee guidance/recommendation for models of care during the novel coronavirus pandemic. The Clinical Neuropsychologist, 35(1), 81–98.Randolph, C., Tierney, M. C., Mohr, E., & Chase, T. N. (1998). The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): preliminary clinical validity. Journal of clinical and experimental neuropsychology, 20(3), 310–319.Schum, R.L., Sivan, A.B., & Benton, A. (1989). Multilingual aphasia examination. Norms for Children. The Clinical Neuropsychologist, 3(4), 375–383.Sports Neuropsychological Asscociation. (2020). The SNS Teleneuropsychology Resource Document. Sports Neuropsychological Society. March 21, 2020. https://cdn.ymaws.com/www.asppb.net/resource/resmgr/covid19/teleneuropsychology_resource.pdf.Strasser, R. (2003). Rural health around the world: Challenges and solutions. Family Practice, 20(4), 457–463.Temple, V., Drummond, C., Valiquette, S., & Jozsvai, E. (2010). A comparison of intellectual assessments over video conferencing and in-person for individuals with ID: Preliminary data. Journal of Intellectual Disability Research, 54(6), 573–577.Turkstra, L. S., Quinn-Padron, M., Johnson, J. E., Workinger, M. S., & Antoniotti, N. (2012). In-person versus telehealth assessment of discourse ability in adults with traumatic brain injury. The Journal of Head Trauma Rehabilitation, 27(6), 424–432.United Nations, Department of Economic and Social Affairs, population division (2017). World population ageing 2017 - highlights (ST/ESA/SER.A/397). United Nations Sales No. E.17.XIII.3 ISBN 978-92-1-151551-0 Copyright © United Nations, 2017 All rights reserved.Vahia, I. V., Ng, B., Camacho, A., Cardenas, V., Cherner, M., Depp, C. A., et al. (2015). Telepsychiatry for neurocognitive testing in older rural Latino adults. The American Journal of Geriatric Psychiatry, 23(7), 666–670.Vakil, E. (2012). Neuropsychological assessment: Principles, rationale, and challenges. Journal of Clinical and Experimental Neuropsychology, 34(2), 135–150.Vestal, L., Smith-Olinde, L., Hicks, G., Hutton, T., & Hart, J. (2006). Efficacy of language assessment in Alzheimer’s disease: Comparing in-person examination and telemedicine. Clinical Interventions in Aging, 1(4), 467–471.Wadsworth, H. E., Dhima, K., Womack, K. B., Hart, J., Weiner, M. F., Hynan, L. S., et al. (2018). Validity of teleneuropsychological assessment in older patients with cognitive disorders. Archives of Clinical Neuropsychology, 33(8), 1040–1045.Wadsworth, H. E., Galusha-Glasscock, J. M., Womack, K. B., Quiceno, M., Weiner, M. F., Hynan, L. S., et al. (2016). Remote neuropsychological assessment in rural American Indians with and without cognitive impairment. Archives of Clinical Neuropsychology, 31(5), 420–425.WHO, & The World Bank. (2017). Tracking universal health coverage: 2017 global monitoring report. World Health Organization and International Bank for Reconstruction and Development / The World Bank; 2017. Licence: CC BY-NC-SA 3.0 IGO. https://apps.who.int/iris/bitstream/ha ndle/10665/259817/9789241513555-ng.pdf;jsessionid=C29E21005A5692511BE2B70BD2D3C941?se.Willis Towers Watson. (2021). Global medical trends: Resultados de latinoamérica [Data set]. https://www.willistowerswatson.com/es-AR/Insights/2020/11/e ncuesta-2021-global-medical-trends.567553337NeuropsychologyLatinos/LatinasVideoconferencingHealthcare deliveryEvidence-based practiceNeuropsychological assessmentPublication8b45be0f-580e-49a3-ac96-9e6a6914626b3a5e2fdd-48ee-4d8e-acc4-3119bbdc1a17virtual::813-13a5e2fdd-48ee-4d8e-acc4-3119bbdc1a17virtual::813-1https://scholar.google.com/citations?user=qOf7MgUAAAAJhttps://scholar.google.com/citations?user=-SIKk2UAAAAJ&hl=esvirtual::813-10000-0002-0083-93890000-0001-7166-1234virtual::813-1ORIGINALWorking Group Recommendations for the Practice of.pdfWorking Group Recommendations for the Practice of.pdfapplication/pdf503893https://repositorio.cuc.edu.co/bitstreams/93097882-d90a-4198-8c95-36db64d5f752/download583f988e2222fd5e5d8abba1ef4800fbMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-83196https://repositorio.cuc.edu.co/bitstreams/5075cc43-d862-46b2-bdc4-7019640a6d00/downloade30e9215131d99561d40d6b0abbe9badMD52TEXTWorking Group Recommendations for the Practice of.pdf.txtWorking Group Recommendations for the Practice of.pdf.txttext/plain65554https://repositorio.cuc.edu.co/bitstreams/0fd3bce3-16ba-45c1-8319-ef140514737f/download599f8ed61e2bb67987739620089852cdMD53THUMBNAILWorking Group Recommendations for the Practice of.pdf.jpgWorking Group Recommendations for the Practice of.pdf.jpgimage/jpeg14821https://repositorio.cuc.edu.co/bitstreams/f918a163-379e-4811-ad79-da2bb22a260e/download246a78869caf295fe1fee05b957a7958MD5411323/9340oai:repositorio.cuc.edu.co:11323/93402025-02-25 19:51:52.124https://creativecommons.org/licenses/by/4.0/Atribución 4.0 Internacional (CC BY 4.0)open.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa CUCrepdigital@cuc.edu.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

Publicaciones similares