Child and Adolescent Psychiatric Clinics of North America
The Use of Telemedicine in Pediatric Psychology: Research Review and Current Applications
Section snippets
Methods
Studies were included in the review of the literature if they (1) consisted of telemedicine applications for presenting concerns, (2) focused on a chronic illness group of children or adolescents, and (3) included videoconferencing/teleconferencing as the method of remote intervention. Studies were excluded if they (1) were conducted using telephone interactions only (ie, without video), (2) used other technologies as a primary method for service delivery (ie, Web-based interventions), and (3)
Feasibility/Cost-Effectiveness
A common focus of investigations within the telemedicine literature is the feasibility/cost-effectiveness of intervention. A focus of this kind establishes the utility of an intervention in comparison to standard hospital care, suggesting that it may be viable for large-scale use. As such, studies of feasibility/cost-effectiveness are often initial or pilot studies of a particular intervention that include several outcome measures of interest. This review identified 6 studies that focused on
Current clinical applications
Because research on the use of interactive televideo in pediatric psychology is still rather new, it is important to also consider current clinical applications. The University of Kansas Medical Center, our own facility, has a nationally known Center for Telemedicine and Telehealth. As such, the institution has a strong program using interactive televideo in pediatric psychology. The following section describes the clinical use of telemedicine in pediatric psychology, focusing on individual
Summary
Pediatric psychology represents the integration of psychological theories and applications for children and adolescents in the hospital setting. Moreover, research in this area has established empirically supported treatments in a variety of contexts, including cystic fibrosis, diabetes, and obesity. Although such research has established the importance of the field in general, several areas within pediatric psychology remain to be studied in depth and their applications described in detail.
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A Retrospective Study of Children Transferred from General Emergency Departments to a Pediatric Emergency Department: Which Transfers Are Potentially Amenable to Telemedicine?
2021, Journal of PediatricsCitation Excerpt :The exclusion of patients with psychiatric diagnoses from our study population is another limitation of the generalizability of our results. Telemedicine has shown promising results in pediatric psychiatry as a scheduled outpatient service, and further studies are needed to explore management of pediatric psychiatric emergencies as an opportunity for telemedicine to obviate the need for transfer to a children's hospital.27-29 The small number of patients in our sample decreased the statistical power to identify clinical factors predictive of being a transfer potentially amenable to telemedicine.
Telepsychiatry and video-to-home (including security issues)
2021, Mental Health in a Digital WorldThe future of cystic fibrosis care: a global perspective
2020, The Lancet Respiratory MedicineCitation Excerpt :Clear criteria for monitoring of symptoms (eg, what constitutes an exacerbation) are also needed to enable the use of new technologies more reliably, and further insight is needed into the daily variation in cystic fibrosis symptoms. In addition, although telemonitoring appears to be feasible and readily accepted by patients, few studies have shown significant effects on health outcomes such as exacerbation frequency, lung function, HRQoL, and health care use to date.514 To establish and prove the long-term effectiveness and cost-effectiveness of telehealth, further well designed clinical studies, including investigations into psychological and behavioural issues, are needed.515
Clinical Update: Telepsychiatry With Children and Adolescents
2017, Journal of the American Academy of Child and Adolescent PsychiatryCitation Excerpt :Teleconsultation to PCPs concerning mental health care of patients with medical illness is well established for adults.36,62 Teleconsultation regarding the behavioral and mental health care of children with medical conditions42,161 developmental disorders42 and special needs162 is emerging. The preliminary evidence supports the feasibility and acceptability of providing behavioral interventions through ITV for conditions such as feeding disorders53 diabetes,58,59 and obesity.54,57,60
Telehealth as a Tool to Transform Pediatric Care: Views from Stakeholders
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This work was supported by Grant No. DK068221 (Davis) from the National Institutes of Health.
The authors have nothing to disclose.