Predictors of Patient Satisfaction with the Feedback After a Neuropsychological Assessment

Abstract

An increasing number of adults in general psychiatry are referred for assessment regarding AttentionDeficit/Hyperactivity Disorders (ADHD) and Autism Spectrum Disorders (ASD). The aim of this study was to investigate patients' recollections of satisfaction with the feedback after a neuropsychological assessment, measured by the Assessment Questionnaire (AQ). The results showed that the patients generally had a low level of satisfaction with this feedback, and a low level of satisfaction was especially related to low self-esteem. The results indicate a need for more empirical studies of how assessments should be designed in order to increase satisfaction.

Therapeutic assessment promotes treatment readiness but does not affect symptom change in patients with personality disorders: Findings from a randomized clinical trial.

“…The Assessment Questionnaire (AQ; Finn, Schroder, & Tonsager, 1994) was originally designed as a self-report instrument to measure several aspects of the client experience of assessment. It was developed through a combination rational, factor-analytic, and item-analytic techniques and has been used in other studies of assessment satisfaction (e.g., Allen, Montgomery, Tubman, Frazier, & Escovar, 2003; Holst, Nyman, & Larsson, 2009). Respondents rank each question on a 5-point scale ranging from 1 ( strongly disagree ) to 5 ( strongly agree ).…”

A Scoping Review of Communicating Neuropsychological Test Results to Patients and Family Members

“… Gruters et al, 2020 Research paper Gain insight into experiences of patients and family members with an NPA and diagnostic disclosure at the memory clinic D: qualitative P: 14 memory clinic patients and 13 family members S: three hospital-based clinics M: focus groups O: experiences with NPA and diagnostic disclosure The following themes were identified: uncertainty, early diagnostic paradox (both positive and negative experiences with NPA and diagnostic disclosure) and knowledge utilization (low information retention). Holst et al, 2009 Research paper Investigate patient's recollections of satisfaction with feedback after an NPA. D: quantitative, descriptive P: 32 patients with ADHD or autism spectrum disorder S: 2 psychiatric outpatient clinics M: survey O: satisfaction with feedback, self-perceived health, basic and earning self-esteem Low levels of in-person feedback was related to low self-esteem.…”

“…Most research papers used in-person feedback (Arffa & Knapp, 2008 ; Cheung et al, 2014 ; Connery et al, 2016 ; Fallows & Hilsabeck, 2013 ; Farmer & Brazeal, 1998 ; Foran et al, 2016 ; Holst et al, 2009 ; Kirkwood et al, 2016 , 2017 ; Lanca et al, 2019 ; Lopez et al, 2008 ; Malla et al, 1997 ; Meth et al, 2016 ; Rosado et al, 2018 ; Tharinger & Pilgrim, 2012 ; Westervelt et al, 2007 ; Gruters et al, 2020 ; Martin & Schroeder, 2020 ), and most of the other publications recommended in-person feedback (Allen et al, 1986 ; Carone et al, 2010 ; Carone et al, 2013 ; Carone, 2017 ; Crosson, 2000 ; Gass & Brown, 1992 ; Gorske, 2007 ; Gorske & Smith, 2009 ; Green, 2000 ; Griffin & Christie, 2008 ; Postal & Armstrong, 2013 ; Ruppert & Attix, 2014 ). A minority gave feedback via phone (Stimmel et al, 2019 ), via telemedicine (Clement et al, 2001 ; Turner et al, 2012 ) or via a written report (Evans et al, 2019 ).…”

“…In another study, participants criticized neuropsychological feedback, because the results were difficult to understand, expressing the need for additional feedback sessions (Foran et al, 2016 ). Holst et al ( 2009 ) found that low levels of satisfaction were related to low levels of self-esteem. Participants who were more satisfied were able to develop a more positive relationship with the examiner (Holst et al, 2009 ).…”

A Protocol for Measuring the Direct Psychological Benefit of Neuropsychological Assessment with Feedback in Multiple Sclerosis

“…These qualitative studies have focused almost exclusively on exploring the degree of patient and/or caregiver satisfaction with the assessment service; for example, their experience as consumers (Arffa & Knapp, 2008; Belciug, 2006; Bennett-Levy, Klein-Boonschate, Batchelor, McCarter, & Walton, 1994; Bodin et al, 2007; Farmer & Brazeal, 1998; Shepherd & Leathem, 1999; Westervelt, Brown, Tremont, Javorsky, & Stern, 2007). These studies have reported high satisfaction in most patient groups, with somewhat less satisfaction in minority racial groups (Shepherd & Leathem, 1999) and those with low self-esteem (Holst, Nyman, & Larsson, 2009). Several studies have highlighted specific benefits and concerns that are perceived by caregivers (Arffa & Knapp, 2008, Belciug, 2006; Bodin et al, 2007).…”