Using Video from Mobile Phones to Improve Pediatric Phone Triage in an Underserved Population

FreemanBrandi,; MayneStephanie,; Russell, LocalioA.; LubertiAnthony,; ZorcJoseph, J; FiksAlexander, G

doi:10.1089/tmj.2016.0082

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…A Danish study on neonatal tele-homecare showed that telehealth service provided the parents with increased reassurance and empowerment [ 27 ]. Video transmission of children with asthma exacerbation from parents’ smartphones in a hospital waiting area to health care staff was feasible and appreciated by parents and health professionals [ 28 ]. The American Academy of Pediatrics has encouraged increased use of telemedicine to enhance access to pediatric care and address physician shortages [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

“We can’t do without it”: Parent and call-handler experiences of video triage of children at a medical helpline

et al. 2022

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Background Pediatric out-of-hours calls are common, as parents worry and seek reassurance and shared responsibility. Nevertheless, most children assessed in this context are not seriously ill. Conventional telephone triage lacks visual cues and is further limited by third part communication in calls concerning children. We investigated implementation of video triage in two previous studies. The aim of the present study was to investigate 1) How video triage versus telephone triage in children was experienced by parents and call-handlers, and 2) call-handlers’ evaluation of the video triage projects. Methods We triangulated data from surveys and interviews in five sub-studies. Sub-study 1: Parents’ experience of video triage reported in closed-ended questionnaire items using quantitative analysis; Sub-study 2: Parents’ experience of video triage reported as questionnaire free-text using qualitative content analysis; Sub-study 3: Call-handlers’ experience of video triage reported in closed-ended questionnaire items using quantitative analysis; and Sub-studies 4 and 5: Individual interviews of call-handlers’ experience of 1) video triage using thematic analysis and 2) the video triage project using process evaluation. Results Most parents’ comments regarding video triage were positive (n = 164, 83%). Video triage was perceived as reassuring and reducing the likelihood of misunderstandings and unnecessary hospital visits. Call-handlers experienced that video triage improved patient assessment and caller reassurance. Some call-handlers complained that the time allocated for study participation was inadequate and requested a more accessible video set-up. Both parents and call-handlers were significantly more satisfied and reassured after video triage than after telephone triage and suggested video triage as a permanent option. Conclusion Video triage was appreciated by parents and call-handlers and was recommended as a permanent option. The call-handlers suggested that designated time for participation in the studies would have been desirable in this busy call-center. We recommend video triage as a contemporary solution in out-of-hours service.

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Section: Discussionmentioning

confidence: 99%

“We can’t do without it”: Parent and call-handler experiences of video triage of children at a medical helpline

et al. 2022

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“…The domain-specific discussions of results, research gaps, and future research opportunities are presented in the domain-specific sections in Multimedia Appendix 3 [ 2 , 3 , 5 , 8 , 10 , 13 , 22 - 24 , 28 , 31 , 33 , 34 , 55 , 58 , 59 , 64 , 66 - 70 , 73 , 75 , 76 , 78 , 83 - 85 , 87 - 90 , 92 , 96 , 102 , 113 , 118 , 120 , 121 , 123 , 125 - 132 , 144 - 146 , 155 , 156 , 168 , 169 , 176 , 179 , 181 , 189 , 196 , 211 , 212 , 228 , 229 , 231 , 239 , 240 , 248 , 297 , 327 , 333 , 343 , 353 , 374 , 375 , 384 - 411 ], and the future research opportunities are summarized in…”

Section: Discussionmentioning

confidence: 99%

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

J Med Internet Res

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Background eHealth monitoring technologies offer opportunities to more objectively assess symptoms when they appear in daily life. Asthma is the most common chronic disease in childhood with an episodic course, requiring close follow-up of pediatric asthma control to identify disease deterioration, prevent exacerbations, and enhance quality of life. eHealth technologies in pediatric asthma care show promising results regarding feasibility, acceptability, and asthma-related health outcomes. However, broad systematic evaluations of eHealth technologies in pediatric asthma are lacking. Objective The objective of this scoping review was to identify the types and applications of eHealth technologies for monitoring and treatment in pediatric asthma and explore which monitoring domains show the most relevance or potential for future research. Methods A scoping review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A systematic and comprehensive search was performed on English papers that investigated the development, validation, or application of eHealth technologies for home monitoring or treatment of pediatric asthma in the following databases: PubMed, Cochrane Library, IEEE, Scopus, CINAHL, PsycINFO, and ACM Digital Library. Two authors independently assessed eligibility and extracted data. Data were presented by a descriptive analysis of characteristics and a narrative report for each eHealth domain. Results The review included 370 manuscripts. The following 10 monitoring domains were identified: air quality, airway inflammation markers, lung function, physical activity, sleep, audiovisual, other physiological measurements, questionnaires, medication monitoring, and digital environment (ie, digital platforms, applications, websites, and software tools to monitor or support monitoring). Rising numbers of studies were seen, and the numbers accelerated in the last few years throughout most domains, especially medication monitoring and digital environment. Limited studies (35/370, 9.5%) of multiparameter monitoring strategies, using three or more domains, were found. The number of monitoring validation studies remained stable, while development and intervention studies increased. Intervention outcomes seemed to indicate the noninferiority and potential superiority of eHealth monitoring in pediatric asthma. Conclusions This systematic scoping review provides a unique overview of eHealth pediatric asthma monitoring studies, and it revealed that eHealth research takes place throughout different monitoring domains using different approaches. The outcomes of the review showed the potency for efficacy of most monitoring domains (especially the domains of medication monitoring, lung function, and digital environment). Future studies could focus on modifying potentially relevant hospital-based diagnostics for the home setting to investigate potential beneficial effects and focus on combining home-monitoring domains to facilitate multiparameter decision-making and personalized clinical decision support.

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“…Videoconferencing is a technology-enabled communication method that allows 2 or more participants to see and hear each other in real-time over the internet� 73,74 Videoconferencing technology has been incorporated into a variety of health care services across Canada to facilitate remote consultations, virtual appointments, and telemedicine initiatives� 75,76 However, apart from Alberta's Health Link 811, provincial and territorial telephone triage programs have not yet adopted videoconferencing as a form of intake� 7 Based on the findings of international studies that have examined the effects of incorporating videoconferencing software in various triage processes, [77][78][79][80][81] the implementation of videoconferencing technology into telephone triage programs could enable visual examination, facilitate nonverbal communication, and foster greater patient engagement between users and health care professionals, allowing for more comprehensive and accurate assessments� In some situations, videoconferencing technology has the potential to improve the efficiency of services by reducing the time required for patient assessments� 77 For example, nurses conducting virtual assessments of patients' health status and symptoms may be able to quickly identify signs of distress or emergent conditions through visual cues that would not be available in audio-only conversations� 79 In 2020, the Yorkshire Ambulance Service in the UK piloted the use of videoconference technology for "hear and treat" consultations, which is similar to the health information and advice services offered through telephone triage programs in Canada� 81 Their 2021 study 81 concluded that video triage for low-acuity calls had high levels of patient satisfaction compared to standard telephone triage� Furthermore, clinical staff reported that video triage improved clinical assessment and decision-making compared to telephone alone� 81…”

Section: Videoconferencingmentioning

confidence: 99%

Telephone Triage Services in Canada

Young,

Walter,

Brundisini

2023

cjht

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Telephone triage programs (e.g., provincial and territorial 811 programs) provide timely access to trained health care professionals who perform virtual assessments of patients’ health status and symptoms and offer self-care advice and referrals to health care services and resources. This Environmental Scan aimed to describe telephone triage programs in Canada, including what services they provide, their number and types of staff, who administers the programs, and how much they cost. It also aimed to provide a summary of some important considerations related to health equity, as well as insights into the future of telephone triage programs, including how they may incorporate emerging technologies like artificial intelligence and wearable health devices into their operations. This scan was informed through a limited literature search and a survey completed by targeted jurisdictional contacts across Canada. All 13 provinces and territories in Canada provide residents with access to jurisdiction-wide telephone triage programs. While most of these programs have been in operation for many years, the programs in the Northwest Territories and Nunavut were established within the past 2 years. Our findings suggest that telephone triage programs in Canada vary in the types of services they offer, as well as their characteristics and features, administrative structures, and associated costs. While all programs offer telephone triage and advice services, certain programs offer additional services, such as mental health crisis lines, assistance for quitting smoking or tobacco use, and consultation with a variety of health care professionals like pharmacists, dieticians, and physicians. Most programs are primarily staffed by registered nurses, but some telephone triage teams also include nonclinical intake agents, administrative personnel, physicians, nurse practitioners, and other health and social care providers.

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Using Video from Mobile Phones to Improve Pediatric Phone Triage in an Underserved Population

Abstract: Obtaining mobile phone videos for telephone triage is acceptable to families, feasible, and may help improve the quality of telephone triage in an urban, minority population.

Cited by 7 publications

References 15 publications

“We can’t do without it”: Parent and call-handler experiences of video triage of children at a medical helpline

“We can’t do without it”: Parent and call-handler experiences of video triage of children at a medical helpline

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Telephone Triage Services in Canada

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