Identify factors influencing service delivery changes during COVID-19 and examine barriers provider satisfaction with teleneuropsychology (teleNP).Licensed clinical neuropsychologists within the United States recruited via neuropsychology-specific listservs (July-August 2020) to complete an online survey.A total of 261 individuals completed survey. Most (76%) reported delivering in-person testing in some capacity at time our Relatively more private practitioners identified concerns...

Older adults with cognitive impairment (CI) in postacute care (PAC) are at risk for an increased level of (LOC) postdischarge. Rehabilitation engagement may impact the relationship between CI and LOC. Ninety-two older veterans (> 50 years) were assessed by physical therapists or assistants Hopkins Engagement Rating Scale (HRERS) while participating Veterans Affairs PAC. Hierarchical logistic regression examined whether rehabilitation predicted LOC controlling cognition as Montreal Cognitive...

NeuroQuant (NQ) is a fully-automated program that overcomes several existing limitations in the clinical translation of MRI-derived volumetry. The current study characterized differences between original (NQ1) and an updated NQ version (NQ2) by 1) replicating previously identified relationships neuropsychological test performance medial temporal lobe volumes, 2) evaluating level agreement versions, 3) determining if addition NQ2 age-/sex-based z-scores hold greater utility for prediction...

Misdiagnosis and under-detection of delirium may occur in many medical settings. This is important to address as clearly increases risk morbidity mortality such study assessed whether Veterans who screened positive on a severity measure (Memorial Delirium Assessment Scale; MDAS) differed from those with without corresponding documentation terms cognitive functioning, psychiatric/medical history, medication use. A record review 266 inpatients at VA post-acute rehabilitation unit found that...

Objective: We sought to describe the LGBTQ + related education, training, and clinical practice of independently licensed neuropsychologists in United States identify factors that predict affirmative neuropsychological practices. hypothesized identity, female gender, more recent extent education/training would use guidelines. Method: A workgroup psychologists with experience psychology neuropsychology developed a survey personal professional testing The was distributed through organizations...

This study evaluated the quality of direct-to-home teleneuropsychology (teleNP) services that offered patients choice service modality. We conducted a assurance project in sample Veterans (

The Montreal Cognitive Assessment (MoCA) is often used for cognitive screening across health care settings, especially in rehabilitation centers, where assessment and treatment of function considered key successful multidisciplinary treatment. Although the original MoCA validation study suggested a cut score <26 to identify impairment, recent studies have that lower scores should be applied.To examine percentage positive screens impairment using veteran postacute (PAC) setting most accurate...

Abstract Objectives To evaluate the differential value of a self‐reported health and safety awareness measure relative to other medical, psychosocial, cognitive factors in predicting level care (LOC) needs after hospital discharge. Design Retrospective medical record review. Setting Community living center postacute (CLC‐PAC) unit at Veterans Affairs hospital. Participants A total 175 veterans admitted or directly CLC‐PAC from home. Methods Cognitive status was assessed with Mini‐Mental...

Objectives: Evaluate the relative contribution of cognitive test performance to post-acute care (PAC) length stay (LOS) and rehospitalization while controlling for key demographic, medical, functional outcomes. Methods: Retrospective medical record review 160 older Veterans, including (Addenbrooke’s Cognitive Examination–Revised [ACE-R]), on admission a Veterans Administration Hospital Community Living Center (CLC) PAC. Results: Individuals with impaired scores ACE-R had longer LOS (10...

Numerous non-pharmacological treatments (NPT) have been developed for older adults with mild cognitive impairment (MCI) (Bahar-Fuchs, Mowszowski, Lautenschlager, & Cox, 2021). Two forms of NPTs, namely rehabilitation (CR) and training (CT) may demonstrate benefit, but there remain significant methodological challenges in the field (Barban et al., 2016; McPhee, Downey Stough, 2019; Sherman 2020). One such limitation is contribution cultural demographic factors to study outcome heterogeneity....

Objective: The field of clinical neuropsychology has increasingly recognized the importance cultural and identity factors through development clinical, research, educational initiatives. Only within last 10 years have guidelines for psychological practice with lesbian, gay, bisexual, transgender, queer (LGBTQ+) people included recommendations neuropsychological assessment. However, it remains unclear to what extent neuropsychologists acquired knowledge skills necessary implement these...

Evaluate the reliability and validity of Hopkins Rehabilitation Engagement Scale (HRERS) in a postacute rehabilitation sample. We hypothesized that HRERS items would comprise single factor, demonstrate adequate internal consistency temporal stability, significant relationships with key constructs. Research Method Design: Retrospective medical record review between 2016 2017 older veterans (N = 107) admitted to community living center care (CLC-PAC) hospital unit address targeted physical...