The telehealth information in this document is intended to support psychologists and qualified professionals in making informed, well-reasoned decisions around remote assessment. This information is not intended to be comprehensive regarding all considerations for assessment via telehealth. It should not be interpreted as a requirement or recommendation to conduct assessment via telehealth. Examiners should remain mindful to:
- Follow professional best practice recommendations and respective ethical codes
- Follow telehealth regulations and legal requirements from federal, state and local authorities, licensing boards, professional liability insurance providers, and payors
- Develop competence with assessment via telehealth through activities such as practicing, studying, consulting with other professionals, and engaging in professional development.
Examiners should use their clinical judgment to determine if assessment via telehealth is appropriate for a particular examinee, referral question, and situation. There are circumstances where assessment via telehealth is not feasible and/or is contraindicated. Documentation of all considerations, procedures, and conclusions remains a professional responsibility.
Several professional organizations and experts have provided guidance on telehealth assessment (American Psychological Association Services [APA Services], 2020;Association of State and Provincial Psychology Boards, 2013; Grosch, et al., 2011; Interorganizational Practice Committee, 2020; Stolwyk, et al., 2020) to assist psychologists in decision making and ethical and legal practice issues.
The Woodcock Reading Mastery Test, Third Edition (WRMT–III; Pearson, 2011) can be administered in a telehealth context by using digital tools from Q-global®, Pearson’s secure online-testing and scoring platform. Specifically, Q-global digital assets (e.g. stimulus book) are visible to an examinee in another location via the screen-sharing features of teleconference platforms. Details regarding Q-global and how it is used are provided on the Q-global product page.
A spectrum of options is available for administering the WRMT-III via telehealth; however, it is important to consider the fact that the normative data were collected via face-to-face assessment. Telehealth is a deviation from the standardized administration, and the methods and approaches to administering the WRMT-III via telehealth should be supported by research and practice guidelines when appropriate.
Providers engaging in telehealth assessment may train facilitators to work with them on a regular basis in order to provide greater coverage to underserved populations (e.g. only two providers within a 500-mile radius, shortage of school psychologists within a school district). If such a facilitator is well trained and in a professional role (i.e. a facilitator), they can help present the entire WRMT-III as would be expected in a face-to-face mode. If a professional facilitator is not used, it impacts the workflow of the session, subtest selection, and the approach to deriving composite scores.
In times when social distancing is necessary (such as the COVID-19 pandemic), using a professional facilitator may not be safe or feasible. If testing must occur under these conditions, the examinee may participate without the help of an onsite facilitator. If the examiner determines that no facilitator is required, the examinee can assist with technological and administrative tasks during testing and should be oriented to these responsibilities prior to, and again at the beginning of the session. An initial virtual meeting should occur in advance of the testing session to address numerous issues specific to testing via telehealth. This initial virtual meeting is described in the administrative and technological tasks portion of the Examiner Considerations section and referred to in various sections below. The examiner should consider best practice guidelines, the referral question, and the examinee’s condition, as well as telehealth equivalence study conditions to determine if this is possible and appropriate. Independent examinee participation may not be possible or appropriate, for example, for examinees with low cognitive ability or with low levels of technological literacy and experience.
If the examiner determines that the examinee cannot participate independently, and testing must occur under social distancing constraints, the only facilitator available maybe someone in the examinee’s home (e.g., a parent, guardian, or caretaker). If the onsite facilitator is not in a professional role (i.e., nonprofessional facilitator), they can assist with technological and administrative tasks during testing and should be oriented to these responsibilities in the initial virtual meeting and again at the beginning of the session.
Professional and nonprofessional facilitators typically do not remain in the room with the examinee throughout the testing session. The examiner should plan to minimize (as much as possible) the need for the facilitator to remain in the room. In rare cases when the facilitator must remain in the room, they should do so passively and unobtrusively, and merely to monitor and address the examinee’s practical needs, as well as any technological or administrative issues as necessary. The facilitator’s role should be defined clearly by the examiner. The facilitator should only perform those functions the examiner approves and deems necessary. In any case, if a facilitator is necessary it is preferred that the facilitator remain accessible.