Baby CareLink: Using the Internet and Telemedicine to Improve  Care for High-Risk Infants

Gray, James E.; Safran, Charles; Davis, Roger B.; Pompilio-Weitzner, Grace; Stewart, Jane E.; Zaccagnini, Linda; Pursley, DeWayne M.

doi:10.1542/peds.106.6.1318

Cited by 190 publications

(110 citation statements)

References 3 publications

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“…One study demonstrated improvements in length of hospitalization and quality of care received in the neonatal ICU. 5 Gray et al 5 reported that infants ,1000 g enrolled in the videoconferencing program trended toward shorter length of stay (77.4 days vs 91.3 days), compared Our findings are also consistent with results found by other investigators using videoconferencing in the adult population. Chiang et al 13 reported that family caregivers of heart failure patients who received telenursing consultations experienced significant reductions in caregiver burden and stress and significant improvements in family function.…”

Section: Discussionsupporting

confidence: 89%

“…For example, it is increasingly common for health systems to facilitate virtual visits for parents and families with their children in the NICU and other inpatient wards using webcams or other mobile devices. [5][6][7] Such programs enable enhanced communication between patients, parents, families, and friends, hopefully improving the spirits and wellbeing of both those in the hospital as well as those who live far away or are unable to visit the hospital. However, despite the common use of these videoconferencing systems, little is known beyond anecdotal experience about their potential impact on the stress experienced by children during hospitalization.…”

mentioning

confidence: 99%

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Videoconferencing to Reduce Stress Among Hospitalized Children

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT:Previous research has demonstrated that family presence alongside hospitalized patients is associated with improvements in physiologic responses, reductions in anxiety, and expedited recovery. Recently, videoconferencing has been increasingly used for virtual visits to pediatric patients and their parents during hospitalization.WHAT THIS STUDY ADDS: Our study demonstrates that in some cases, the use of videoconferencing by children and their parents for virtual visits is associated with greater reductions in stress during hospitalization compared with children and parents who do not use videoconferencing.abstract OBJECTIVES: Family-Link is a videoconferencing program that allows hospitalized children and their parents to virtually visit family members and friends using laptops, webcams, and a secure Wi-Fi connection. We evaluated the association of Family-Link use on the reduction in stress experienced by children during hospitalization. METHODS:We offered Family-Link to pediatric patients who had an expected length of hospitalization equal to or greater than 4 days. We measured the stress levels of hospitalized children at admission and discharge using the previously published Parental Stress Survey. We used propensity score matching and multivariable linear regression methods to evaluate the relationship between the use of Family-Link and stress experienced by children during hospitalization. RESULTS:We included a total of 367 children in the study: 232 FamilyLink users and 135 non-Family-Link users. Using the propensity score matching method, we found that the use of Family-Link was significantly associated with a greater reduction in overall mean stress compared with non-Family-Link users among the cohort of patients who lived closer to the hospital and had shorter lengths of hospitalization (b = 0.23; 95% confidence interval, 0.03 to 0.43; P , .05). In this cohort, the reduction in overall mean stress was 37% greater among Family-Link users than non-Family-Link users. CONCLUSIONS:The use of videoconferencing by some hospitalized children and families to conduct virtual visits with family and friends outside of the hospital was associated with a greater reduction in stress during hospitalization than those who did not use videoconferencing. Dr Yang conceptualized and designed the study, coordinated the data collection process, completed the analyses, interpreted the results, and drafted the initial manuscript; Dr Dharmar conceptualized and designed the study, coordinated the data collection process, assisted with the analyses, interpreted the results, and revised the manuscript; Ms Hojman assisted with the data collection process, assisted with the analyses, and critically reviewed the manuscript; Ms Sadorra coordinated the data collection process, assisted with the analyses, and critically reviewed the manuscript; Ms Sundberg coordinated the data collection process and critically reviewed the manuscript; Mr Wold assisted with the data collection process and critically reviewed t...

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Section: Discussionsupporting

confidence: 89%

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confidence: 99%

Videoconferencing to Reduce Stress Among Hospitalized Children

et al. 2014

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“…Home-based systems have been used in other pediatric venues, such as with critically ill newborns. 17,18 Links to community Community-based contact information for parents could be accessed through the resources web. It could also link parents with information about specific concerns.…”

Section: Home Visitsmentioning

confidence: 99%

Reshaping Health Care Delivery for Adolescent Parents: Healthy Steps and Telemedicine

Nelson¹,

Citarelli²,

Cook³

et al. 2003

Telemedicine Journal and e-Health

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HealthySteps over Telemedicine uses telemedicine technology to bring child development services to adolescent parents in an urban school district. Videoconferencing units link teen parents at a Kansas City high school to developmental specialists and physicians at the Kansas University Medical Center (KUMC). Program participants receive developmental services and valuable health care information without leaving the school. The Healthy Steps goals are to educate parents about health care issues and to help them access medical care for their children and themselves. The telehealth goals are to implement the established Health Steps program effectively over the new medium. This article describes the process of delivering Healthy Steps services via telemedicine, specifically, selection and description of the site, selection of the technology, services provided, research evaluation, and lessons learned.

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“…One involved 17 parents whose babies had been discharged on average 8 months previously (Tang, Hirano, Cheng, & Hayes, 2012); the other involved four parents whose babies had been ''recently discharged'' (Lee, Garfield, Massey, Chaysinh, & Hassan, 2011). Besides our own work, we are aware of only two technology studies that have involved parents whose babies were in the NNU at the time of participation: One involved interviews with nine parents (Mahamood, Reiter, & Mellish, 2008) and the other an evaluation with 56 parents (J. E. Gray et al, 2000).…”

Section: Research With Parentsmentioning

confidence: 99%

“…For example, in their development and evaluation of Baby CareLink, a telemedicine application which provided tailored information and support to families of very low birth weight infants, Gray et al found that families varied in the amount of information that they wanted about their baby (Gray et al, 1998;Gray et al, 2000). Some families felt overwhelmed by the information that medical staff gave them about their sick baby; others wanted more information than they were given.…”

Section: Adaptive Ehealthmentioning

confidence: 99%

Providing Adaptive Health Updates Across the Personal Social Network

Moncur

Masthoff

Reiter

et al. 2014

Human–Computer Interaction

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This article presents research conducted to establish how information is shared across the personal social network in the sensitive context of a health crisis. We worked with parents of very sick babies who were cared for in a hospital's Neonatal Unit (NNU). Through a combination of interviews, a focus group, and surveys, we developed a user model of the information that parents wanted to share, and how they adapted this information to individual recipients. We then developed a prototype software tool which created adaptive updates for members of the parents' social network. The updates contained summaries of large volumes of complex medical data about the baby, nonmedical information about the parents, and practical information about the hospital. Updates were automatically adapted to individual members of parents' social networks, based on our user model. The tool was evaluated in a large NNU in the United Kingdom with parents of babies who were currently being cared for in the unit.

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Baby CareLink: Using the Internet and Telemedicine to Improve Care for High-Risk Infants

Cited by 190 publications

References 3 publications

Videoconferencing to Reduce Stress Among Hospitalized Children

Videoconferencing to Reduce Stress Among Hospitalized Children

Reshaping Health Care Delivery for Adolescent Parents: Healthy Steps and Telemedicine

Providing Adaptive Health Updates Across the Personal Social Network

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