B – 119 The Role of Rapport in Neuropsychology

Abstract Objective Research into the impact of rapport in neuropsychology test administration is under researched, and impact could be monumental to results of an examination. This study’s objectives were to understand the current use, establishment, definition, and impact of rapport in neuropsychology. Method Using a phenomenological qualitative approach, six neuropsychologists were interviewed on opinions, approach, and use of rapport. Inclusion criteria required participants to be licensed clinical psychologists currently practicing neuropsychology with an adult population. Participants were recruited through professional networks and completed a semi-structured interview via Zoom. Transcribed interviews were coded using MAXQDA software. Thematic analysis was used to code and analyze data, following steps outlined by Braun and Clarke (2006), to find common themes across participant responses. Results 10 major themes and 4 subthemes provided working definitions of rapport among practicing neuropsychologists, common attitudes, and ways to establish and maintain rapport in this unique setting. Findings revealed commonalities and differences regarding the use of rapport in neuropsychological evaluations. Conclusion The study highlighted consensus on the importance of rapport due to impact on engagement, adherence, and performance on neuropsychological testing. Additional indications included balance and deviation between of when to vary from standardized practices. Further research is advised for establishing an operational definition, creating updated directives, and to train in rapport building and management appropriately to provide exemplary patient care and maximize patient performance.