A qualitative exploration of videoconferencing technology in clinical neuropsychology: Clinicians’ perspectives

Objective: The implementation of videoconferencing technology (VCT) in healthcare has been expedited by the Covid-19 pandemic. This study aimed to explore clinicians’ experiences of using VCT and their views on its suitability for delivering neuropsychological care. Method: An exploratory thematic analysis was conducted using data from two focus groups of professionals working in clinical neuropsychology (N=9). Results were reported in accordance with COREQ criteria for qualitative research. Results: Six key themes were developed. Clinician experiences of using ‘technology’, the perceived ‘suitability’ of VCT for patients, and the potential ‘impact on wellbeing’ that VCT could have on both clinicians and patients, were highlighted. ‘Changing the therapeutic milieu’ and ‘neuropsychological considerations’ – such as assessment validity and opportunities for cognitive rehabilitation – were also conceptualised. VCT was also viewed as a means of ‘facilitating access’, particularly throughout Covid-19 restrictions. Conclusions: Whilst benefits of VCT were identified, a number of concerns were raised about how routine use of VCT may impact clinicians and their patients. Clinicians tended to view VCT as an adjunct to traditional services in the context of Covid-19, rather than a potential replacement. Further research is required to better understand the perspectives of professionals working in neuropsychology and their patients.