Do parents implement pediatric neuropsychological report recommendations?

Outcomes of pediatric neuropsychological services: A systematic review

“…Common participant exclusion criteria were the child being in foster care and the respondent not being proficient in English. The notable exception to the second criterion was Elias et al (2020), in which outcome data were obtained from both English and Spanish-speaking parents. Regarding neuropsychological service type, 16 studies involved traditional neuropsychological evaluation, two involved neuropsychological consultation (i.e.…”

“…See Table 1 for details about satisfaction with therapeutic alliance and feedback. Regarding perceived quality and utility of neuropsychological reports, Elias et al (2020) found that 98% of parents felt the report was understandable, while in a small sample of children with cancer, parents understood the report less often (73%; Cheung et al, 2014). In Farmer and Brazeal's (1998) study, the largest proportion of parents rated the written report as the most useful part of the evaluation (44%), as opposed to the testing day (25%) or feedback session Highest rating was for improved understanding of child strengths and weakness Lowest rating was for documenting treatment progress Factor analysis of items indicated two factors: 1) parent report of improved understanding, and 2) parent report that services led to changes (e.g.…”

“…Level 2 Outcomes: resource or strategy utilization Important methodological differences complicate the summary of information on resource or strategy utilization. Three studies examined recommendation adherence using interview questions that were individualized for the respondent and inquired about the specific recommendations in the child's report (Cheung et al, 2014;Elias et al, 2020;Quillen et al, 2011). Two studies examined changes in participation in certain treatments or services over time, irrespective of recommendations (Pritchard et al, 2014;Waber et al, 2017).…”

“…Three gray literature studies relied on informal methods involving parent recollection to examine adherence (Blechschmidt, 2016;Nowinski, 2009;Shephard et al, 2019). Given methodological concerns related to the parent recollection method, we focus on the more rigorous, published studies in our description of results (Cheung et al, 2014;Elias et al, 2020;Pritchard et al, 2014;Quillen et al, 2011;Waber et al, 2017). More information, including the majority of findings from gray literature studies, is available in Table S5.…”

“…Recommendation adherence. The three studies using the individualized interview method found overall recommendation adherence rates ranging from 44% to 52% (Cheung et al, 2014;Elias et al, 2020;Quillen et al, 2011).…”