NEUROCHECK PRO AND THE FUTURE OF DIGITAL NEURODEVELOPMENTAL ASSESSMENT: LESSONS FROM UK PRACTICE AND DIRECTIONS FOR COLLABORATION WITH LOW- AND MIDDLE-INCOME COUNTRIES
Abstract
Timely, high-quality neurodevelopmental assessment remains out of reach for most people who need it, and the gap is widest in low- and middle-income countries. This article describes NeuroCheck Pro, a clinician-led digital platform delivering end-to-end assessment for autism and ADHD across the lifespan in line with National Institute for Health and Care Excellence guidance: validated multi-informant instruments, a computerised cognitive battery, automated threshold-based scoring, and a clinician-led video consultation culminating in a governed, clinician-authored report. Drawing on United Kingdom practice, it argues that the transferable asset for Pakistani collaborators is not the software alone but the structured, auditable pathway it encodes, which raises the consistency of specialist evaluation while reserving scarce clinical time for formulation. Remote structured assessment is already feasible and acceptable in Pakistan, and computerised testing reduces dependence on scarce psychometric resources; equity of access, connectivity, data governance, and local validation of instruments and norms remain the binding constraints. Three directions for collaboration follow: joint psychometric validation in Urdu and regional languages, pilot deployments in Pakistani institutions with local clinicians retaining diagnostic authority, and workforce development through supervised structured assessment. The invitation is to co-develop and scrutinise such platforms, not simply to adopt them.
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References
2. Hamdani SU, Huma ZE, Tamizuddin-Nizami A. Debate: Child and adolescent mental health services in Pakistan; Do we need in-patient mental health facilities for children and young people? Child Adolesc Ment Health. 2021;26(2):182-183. doi:10.1111/camh.12463
3. Male I, Farr W, McGrevey S, et al. How can we improve the timeliness and quality of diagnostic assessment for children with possible Autism? Qualitative findings and recommendations from a Realist Evaluation of Autism Service delivery in the United Kingdom. Autism. 2026;30(6):1562-1575. doi:10.1177/13623613261430914
4. Dalrymple RA, McKenna Maxwell L, Russell S, Duthie J. NICE guideline review: Attention deficit hyperactivity disorder: diagnosis and management (NG87). Arch Dis Child Educ Pract Ed. 2020;105(5):289-293. doi:10.1136/archdischild-2019-316928
5. Groom MJ, Young Z, Hall CL, Gillott A, Hollis C. The incremental validity of a computerised assessment added to clinical rating scales to differentiate adult ADHD from Autism spectrum disorder. Psychiatry Res. 2016;243:168-173. doi:10.1016/j.psychres.2016.06.042
6. Zamani L, Shahrivar Z, Alaghband-Rad J, et al. Reliability, Criterion and Concurrent Validity of the Farsi Translation of DIVA-5: A Semi-Structured Diagnostic Interview for Adults With ADHD. J Atten Disord. 2021;25(12):1666-1675. doi:10.1177/1087054720930816
7. Qadir TF, Fatima H, Usmani MH, Hussain SA. Telepsychiatry in Pakistan after natural disasters. Lancet Psychiatry. 2016;3(11):1016. doi:10.1016/S2215-0366(16)30323-6
8. Aga IZ, Khurram SS, Karim M, et al. Employing telepsychiatry services to assess the prevalence and identify mental health disorders using the PHQ-9 and GAD-7 in resource-constrained regions of Dadar Mansehra, Pakistan: an observational cross-sectional study. BMJ Open. 2023;13(12):e078976. doi:10.1136/bmjopen-2023-078976
9. Asad N, Pirani S, Osama K, Nadeem T. Patients' experiences with tele-mental health services during COVID-19 in Pakistan. East Mediterr Health J. 2024;30(4):283-291. doi:10.26719/2024.30.4.283
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