The use of videoconferencing in clinical neuropsychology practice: A mixed methods evaluation of neuropsychologists' experiences and views

Objective Videoconference technology may be a means of improving access to neuropsychological services. We investigated the use of, and views on, videoconference for clinical purposes among neuropsychologists in Australia. Method An online survey was completed by a convenience sample of neuropsychologists (i.e., registered psychologists working in clinical neuropsychology roles) between March and June 2018, recruited through a profession-based email group and word-of-mouth. Quantitative data were analysed descriptively and open-ended responses summarised using thematic analysis. Results Among 90 eligible respondents (77 female;M-age= 39.9 years,SD= 9.6, range: 25-69;M-experience= 9.3 years,SD= 6.3, range: 1-26), only 25 (27.8%) had used videoconference in their clinical practice. The majority of these respondents had only used it once or less than monthly. Use was particularly scarce for history taking interviews (n= 6) and assessments (n= 6). Those who had not used videoconference were less willing to try it for clinical assessments in comparison to other areas of service delivery. Five themes characterised clinicians' views on videoconference in neuropsychology:tradition,practical and resource-related considerations,quality of the clinical service,improved service resource use and clinician convenience, andclient convenience,comfort and access. Conclusions Currently, few neuropsychologists use videoconferencing for client consultations. Positive and negative perceptions were reported. Education, training, and directions for future research were recommended to address barriers and increase uptake of the use of videoconference in clinical neuropsychology practice.