Effects of a Telehealth Care Coordination Intervention on Perceptions of Health Care by Caregivers of Children With Medical Complexity: A Randomized Controlled Trial

Looman, Wendy S.; Antolick, Megan M.; Cady, Rhonda; Lunos, Scott; Garwick, Ann E; Finkelstein, Stanley M.

doi:10.1016/j.pedhc.2015.01.007

Cited by 54 publications

(47 citation statements)

References 18 publications

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“…[231][232][233][234]239,248 The majority of studies were conducted in the USA (17 studies 230,231,234,236,[238][239][240][241][242][243][244]246,248,255 ); other main locations were Australia (three studies 227,228,235 ), the Netherlands (three studies 245,247,249 ), Sweden (three studies 233,237,250 ) and the UK (two studies 232,256 ).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…However, as authors may have described similar technologies using different names, there may be some overlap between categories. Videoconferencing or video consultation was the most frequently used tool (14 studies 227,228,233,235,236,238,[240][241][242][243][244]246,248,253 ), followed by e-mails or web messaging systems (13 studies 223,[229][230][231][232]234,[237][238][239]245,247,249,250,254,256 ). Other categories were web chat (two studies 239,255 ) and SMSs (one study 224 ).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Stand-alone interventions comprised 13 studies, 223,233,235,236,239,246,248,249,251,252,[254][255][256] but in 19 studies 224,227,229-234, 237,238,240-245,247,250,253 the digital communication tool was included within a wider intervention such as a web-based therapy or web-based system (portal, telemedicine, telehealth, etc. ), which allowed a two-way communication (e-mails, web messaging, videoconferencing, etc.)…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

The role of digital communication in patient–clinician communication for NHS providers of specialist clinical services for young people [the Long-term conditions Young people Networked Communication (LYNC) study]: a mixed-methods study

Griffiths

Armoiry

Atherton

et al. 2018

Health Serv Deliv Res

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 12/209/51. The contractual start date was in May 2014. The final report began editorial review in August 2016 and was accepted for publication in April 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Departm...

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

The role of digital communication in patient–clinician communication for NHS providers of specialist clinical services for young people [the Long-term conditions Young people Networked Communication (LYNC) study]: a mixed-methods study

Griffiths

Armoiry

Atherton

et al. 2018

Health Serv Deliv Res

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“…While there are no current standards for the educational preparation or core functions of the care coordinator in the health care home (McAllister, et al, 2007; Wise, et al, 2007), improved outcomes for children have been demonstrated in studies of advanced practice registered nurse (APRN) delivered care coordination within the health care home (Cady et al, 2015; Looman, et al, 2015; National Association of Pediatric Nurse Practitioners, 2015). TeleFamilies examined the effectiveness of an APRN in an established health care home setting coordinating the care of CMC using telehealth technology compared to usual care and telephone triage.…”

mentioning

confidence: 99%

The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity

McKissick¹,

Cady²,

Looman³

et al. 2017

Journal of Pediatric Health Care

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Introduction The purpose of this analysis was to evaluate the effects of an advanced practice nurse-delivered telehealth intervention on health care utilization by children with medical complexity (CMC). Because CMC account for a large share of health care utilization costs, finding effective ways to care for them is an important challenge requiring exploration. Method This was a secondary analysis of data from a randomized clinical trial with a control group and two intervention groups. The focus of the analysis was planned and unplanned clinical and therapy visits by CMC over a 30-month data collection period. Non-parametric tests were used to compare visit counts between and within the three groups. Results The number of unplanned visits decreased over time across all groups, with the greatest decrease in the video telehealth intervention group. Planned visits were higher in the video telehealth group across all time periods. Discussion APRN-delivered telehealth care coordination may support a shift from unplanned to planned health care service use among CMC.

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“…Telepractice has been well-established as an effective way to deliver tertiary-level medical and nursing services to CMC (131,141,144,(162)(163)(164)(165)(166)(167)(168)(169)(170). However, there is limited evidence to support telepractice for speech pathology management of complex paediatric patients.…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

Taylor¹

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Effective communication is vital for healthy development and successful educational and vocational outcomes. For children with medical complexity (CMC), the interaction between medical complexity and a speech and language impairment may put them at particular risk for adverse effects. It is important that these children are promptly assessed and diagnosed so that intervention can be started early. Medical complexity is rare in childhood, thus CMC usually access speech pathology services through tertiary facilities where staff have specialist experience and resources, and work as part of a coordinated tertiary team. Unfortunately these facilities are typically located in metropolitan centres, which may compromise service accessibility for CMC living in rural and remote locations.A potential solution to improve service accessibility is remote speech and language screening using telepractice. Telepractice screening allows the speech-language pathologist (SLP) to distinguish those children who need further assessment at the tertiary hospital from those with normal speech and language. This model is increasingly used for the delivery of tertiary medical services, however, there is little research to support the use of telepractice for paediatric speech and language screening, and very few studies have included CMC. Thus, the overall purpose of this research project was to investigate the role of telepractice for remote speech and language screening of CMC. To achieve this aim, two studies were carried out.The first study was an international survey of tertiary SLPs that aimed to describe access difficulties experienced by CMC, and to investigate the rate of telepractice adoption among SLPs who work with CMC. The survey was administered in 2011 (n = 46) and repeated in 2015 (n = 47). This survey identified widespread access difficulties experienced by CMC, highlighting a need for alternative service delivery models such as telepractice. Telepractice adoption among tertiary SLPs more than doubled between 2011 and 2015 (p < 0.05), and in 2015 the rates of telepractice adoption were higher (40%) than previously reported for the general speech pathology profession. Tertiary SLPs were willing to use telepractice with their CMC patients, and considered a wide range of patient groups and service types to be appropriate for telepractice delivery. However, some SLPs were reluctant to use telepractice for direct services such as screening, and a number of barriers to telepractice adoption were identified, including inability poor audio and image quality, lack of experience with telepractice, concerns about behaviour management and use of hands-on techniques, and concerns about the caregiver's inability to assist during telepractice sessions.ii The second study was an exploratory method comparison study that aimed to investigate the feasibility, validity, and acceptability of speech and language screening via telepractice for CMC.This study compared in-person speech and language screening with two telepractice screening ...

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Effects of a Telehealth Care Coordination Intervention on Perceptions of Health Care by Caregivers of Children With Medical Complexity: A Randomized Controlled Trial

Cited by 54 publications

References 18 publications

The role of digital communication in patient–clinician communication for NHS providers of specialist clinical services for young people [the Long-term conditions Young people Networked Communication (LYNC) study]: a mixed-methods study

The role of digital communication in patient–clinician communication for NHS providers of specialist clinical services for young people [the Long-term conditions Young people Networked Communication (LYNC) study]: a mixed-methods study

The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

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