Pediatric neuropsychological feedback and patient outcomes
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The present study advances the literature on the utility of current neuropsychological assessment (NA) by offering an in-depth examination of medical records of youth patients who complete NA, identifying the presence of NA report characteristics that may enhance NA utility, and examining NA recommendation follow-through within the hospital system. Participants include all patients aged 5 years or older who received neuropsychological testing services in the MU Health Care Pediatric and Adolescent Specialty Clinic between October 2021 and October 2022 (N=130). The PI created a novel coding system, "NA Characteristics Coding System" to collect all data for this study. Results show that majority of patients were referred by a source within the MU healthcare system (91.5 percent) and in-person feedback was the most common oral feedback modality (42.9 percent). NA reports for 130 patients included over 1,800 recommendations total (across school, medical, parenting/behavior change, books/websites/community resources, and therapy/mental health categories), with each patient receiving an average of 14 recommendations. The two neuropsychologist assessors differed significantly in the number and type of recommendations they provided. Follow-through with medical recommendations was most common for the general health follow-up, specialty provider follow-up, and medication categories. Future studies may utilize this method of chart review to characterize aspects of neuropsychological assessment, though caregiver interview is necessary to further investigate the subjective aspects of the process, such as attitudes and barriers to follow-through.
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M.A.