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dc.contributor.authorTailby, C
dc.contributor.authorCollins, AJ
dc.contributor.authorVaughan, DN
dc.contributor.authorAbbott, DF
dc.contributor.authorO'Shea, M
dc.contributor.authorHelmstaedter, C
dc.contributor.authorJackson, GD
dc.date.accessioned2020-12-16T23:41:29Z
dc.date.available2020-12-16T23:41:29Z
dc.date.issued2020-12-01
dc.identifierpii: S1059-1311(20)30316-2
dc.identifier.citationTailby, C., Collins, A. J., Vaughan, D. N., Abbott, D. F., O'Shea, M., Helmstaedter, C. & Jackson, G. D. (2020). Teleneuropsychology in the time of COVID-19: The experience of The Australian Epilepsy Project. SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 83, pp.89-97. https://doi.org/10.1016/j.seizure.2020.10.005.
dc.identifier.issn1059-1311
dc.identifier.urihttp://hdl.handle.net/11343/254471
dc.description.abstractPURPOSE: Traditional neuropsychological testing carries elevated COVID-19 risk for both examinee and examiner. Here we describe how the pilot study of the Australian Epilepsy Project (AEP) has transitioned to tele-neuropsychology (teleNP), enabling continued safe operations during the pandemic. METHODS: The AEP includes adults (age 18-60) with a first unprovoked seizure, new diagnosis of epilepsy or drug resistant focal epilepsy. Shortly after launching the study, COVID-related restrictions necessitated adaptation to teleNP, including delivery of verbal tasks via videoconference; visual stimulus delivery via document camera; use of web-hosted, computerised assessment; substitution of oral versions for written tests; online delivery of questionnaires; and discontinuation of telehealth incompatible tasks. RESULTS: To date, we have completed 24 teleNP assessments: 18 remotely (participant in own home) and six on-site (participant using equipment at research facility). Five face-to-face assessments were conducted prior to the transition to teleNP. Eight of 408 tests administered via teleNP (1.9 %) have been invalidated, for a variety of reasons (technical, procedural, environmental). Data confirm typical patterns of epilepsy-related deficits (p < .05) affecting processing speed, executive function, language and memory. Questionnaire responses indicate elevated rates of patients at high risk of mood (34 %) and anxiety disorder (38 %). CONCLUSION: Research teleNP assessments reveal a typical pattern of impairments in epilepsy. A range of issues must be considered when introducing teleNP, such as technical and administrative set up, test selection and delivery, and cohort suitability. TeleNP enables large-scale neuropsychological research during periods of social distancing (and beyond), and offers an opportunity to expand the reach and breadth of neuropsychological services.
dc.languageEnglish
dc.publisherW B SAUNDERS CO LTD
dc.titleTeleneuropsychology in the time of COVID-19: The experience of The Australian Epilepsy Project
dc.typeJournal Article
dc.identifier.doi10.1016/j.seizure.2020.10.005
melbourne.affiliation.departmentMelbourne School of Psychological Sciences
melbourne.affiliation.departmentFlorey Department of Neuroscience and Mental Health
melbourne.source.titleSeizure: European Journal of Epilepsy
melbourne.source.volume83
melbourne.source.pages89-97
melbourne.identifier.nhmrc1091593
melbourne.elementsid1474236
melbourne.openaccess.urlhttps://europepmc.org/articles/PMC7561524?pdf=render
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC7561524
melbourne.openaccess.statusPublished version
melbourne.contributor.authorAbbott, David
melbourne.contributor.authorTailby, Christopher
melbourne.contributor.authorJackson, Graeme
melbourne.contributor.authorO'Shea, Marie
melbourne.contributor.authorVaughan, David
melbourne.contributor.authorCollins, Alana
dc.identifier.eissn1532-2688
melbourne.identifier.fundernameidNHMRC, 1091593
melbourne.accessrightsAccess this item via the Open Access location


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