INS NYC 2024 Program

Poster

Poster Session 11 Program Schedule

02/17/2024
10:45 am - 12:00 pm
Room: Majestic Complex (Posters 61-120)

Poster Session 11: Cultural Neuropsychology | Education/Training | Professional Practice Issues


Final Abstract #85

Neuropsychological Feedback: Consultation to Therapeutic Impact

Tyler Ramsey, Wright State University, Fairborn, United States
Omar Assaly, Wright State University, Fairborn, United States
Julie Williams, Wright State University, Fairborn, United States

Category: Career Development/Education/Training

Keyword 1: quality of life
Keyword 2: neuropsychological assessment
Keyword 3: intellectual disability

Objective:

The prevalence of brain disorders continually increases as populations live longer and neuropsychological services have expanded to serve many diverse populations across the globe (Hessen, 2017). Yet, there is often a gap in training on how to effectively communicate neuropsychological findings to various populations and their backgrounds (Postal & Armstrong, 2013). The objective of this poster is to investigate how the field of neuropsychology conducts neuropsychological feedback in various settings. Further, to advocate for possible frameworks and tools that may facilitate therapeutic communication of findings to clients. Disseminating this information is imperative for enhancing the consistent therapeutic outcomes of neuropsychologists.

Participants and Methods:

Literature between 1988 and 2023 was obtained by searching the Google Scholar and PubMed databases. Keywords such as communication, feedback, and neuropsychology were used. Articles were selected on the criterion of relevance to the objective. The remaining articles were reviewed, and themes were clustered to identify feedback models, tools, and skills. The findings were then utilized to present recommendations to highlight training gaps and feedback practices in clinical settings that may improve neuropsychologists’ therapeutic impact.

Results:

There are many benefits to conducting neuropsychological feedback sessions including better client memory and comprehension of findings, allowing time to help clients cope, increasing client satisfaction in the assessment process, improving treatment outcomes, and cultivating informed support systems. However, there are possible negative consequences that clinicians should consider (Gruters et al., 2019; Postal & Armstrong, 2013). Notably, it appears that the consequences discussed would be mitigated by training and the utilization of various feedback approaches, such as the SPIKES Protocol to deliver bad news (Baile et al., 2000, Nelson, 2019). Unfortunately, feedback frameworks currently have a shortage of empirical evidence. Yet, models have been proposed, such as Collaborative Therapeutic Neuropsychological Assessment and Feeback that Sticks (Gorske & Smith, 2008; Postal & Armstrong, 2013). Various communication aids have been investigated for their clinical utility. For example, summary sheets, step-by-step plans, fables, physical models, and digital media have been found to improve the communication of neuropsychological findings (Gruters et al., 2019; Postal & Armstrong, 2013). Lastly, there are many new methods and considerations for communicating feedback with telehealth practices. These new methods present opportunities to improve care for many underserved populations (Hammers et al., 2020).

Conclusions:

Despite the vast amount of literature on the benefits of communicating feedback to clients, there is a paucity of empirical evidence on the “how” to conduct feedback effectively (Gruters et al., 2019). Moreover, by investigating the current practices and tools used, the field can enhance the consistency of recommendations for communicating neuropsychological findings. Integrating and disseminating the knowledge of current models or tools can allow for better training and practices within clinical neuropsychology. Therefore, bringing awareness to the importance of empirically supported feedback frameworks can have implications for neuropsychologists' practice by enhancing their therapeutic impact on patient populations with various backgrounds. Future research should evaluate what tools and models work best in various neuropsychology subspecialties, patient demographics, and practice settings. Therefore, the findings can be disseminated to improve the therapeutic impact across the field.