Home-Videos for Neurodevelopmental Follow-Up of High-Risk Infants during COVID-19 Pandemic: A Simple and Inexpensive Tool

Saini, Lokesh; Madaan, Priyanka; Bhagwat, Chandana; Einspieler, Christa

doi:10.1093/tropej/fmaa088

Cited by 9 publications

(7 citation statements)

References 5 publications

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“…7. Neurodevelopmental follow-up: General motor assessment of high-risk infants was conducted effectively by analysing videos and interventions were planned [26]. 8.…”

Section: Triage Of Covid Patients: Teleconsultation Was Usedmentioning

confidence: 99%

The Role of Telemedicine in Child and Adolescent Healthcare in India

2021

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Purpose of ReviewWe highlight the evolution and use of telemedicine in child and adolescent healthcare in India, in pre and post pandemic eras. Recent FindingsThe latest research endorses telemedicine as a successful strategy in resource-limited settings to provide accessible and equitable healthcare. Summary Telemedicine was initiated in India in 2001. The pandemic restrictions resulted in an increase in its use. The national telemedicine and telepsychiatry guidelines facilitated and enabled its widespread use. Telehealth was used by private and public health establishments, in urban, rural, and remote areas. It was used for triaging cases; managing and monitoring COVID patients in home isolation, in non-COVID medical and psychiatric care, and follow-up; continuing medical education; and health promotion strategies like teleyoga. The shortcomings included inability to provide privacy and confidentiality, perform physical examination, and provide emergency care. Most patients and their caregivers expressed satisfaction with telehealth services. Telemedicine is likely to become an integral part of healthcare services in the post pandemic era.

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“…7. Neurodevelopmental follow-up: General motor assessment of high-risk infants was conducted effectively by analysing videos and interventions were planned [26]. 8.…”

Section: Triage Of Covid Patients: Teleconsultation Was Usedmentioning

confidence: 99%

The Role of Telemedicine in Child and Adolescent Healthcare in India

2021

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“…The next step of the study will include the use of high quality videos for neurodevelopmental outcomes assessment and detection of early cerebral palsy markers. [26] Study by Sattar et al discussed the recommendations for proper virtual health consultations for epilepsy patients. The creation of templates and recommendations for the multidisciplinary team to be engaged fully in telemedical intervention to ensure the quality of care even in these settings should be implemented.…”

Section: Disease-specific Telemedicine Research and Considerationsmentioning

confidence: 99%

Pediatric neurology and telehealth before and during SARS-CoV-2 pandemic

Gołębiowska

2021

J Educ Health Sport

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Telehealth has been known in medicine for over 70 years. Until the year 2020 it has been utilized in a limited setting to provide long-distance care for individuals residing in areas lacking health facilities. SARS-CoV-2 pandemic shifted the priorities of healthcare system towards COVID-19 infections, which resulted in the transition of non-emergency consultations to telemedicine in many countries. Since pediatric neurology requires frequent follow-up and multidisciplinary care, the purpose of our work is to determine the spectrum of use of telehealth in pediatric neurology before and during the pandemic. Secondly, we would like to discuss the differences of focus in tele-neurology for children patients between the pre-pandemic and during pandemic timeframes.Within 171 articles of PubMED database, 36 substantial articles on the introduction of telehealth to pediatric neurology were included in the review. 30.5% of the articles have included the implementation of telemedicine before the pandemic, 69.5% of the articles discussed improvements made after the pandemic started. The spectrum of disorders and interventions considered for telehealth included epilepsy, cerebral palsy, rare diseases, teleneuropsychology and teleneurorehabilitation. Among major differences between pre-pandemic and pandemic research, increase in international cooperation and discussion of not only medical, but also scientific and academic impact of the pandemic could be noted.Telehealth offers sustainable alternatives to many interventions which cannot be performed in-person during public health emergency such as SARS-CoV-2 pandemic. Despite high satisfaction of caregivers and healthcare professionals from the virtual visits, solutions are still far from perfection and need improvements to provide more support for the patients with various disorders, cover the concerns of privacy and confidentiality, as well as support patients from low-income and lack of electronic techology backgrounds.

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“…In a study from Italy, parents of children at risk for autism were requested to record play videos and a high return rate was reported (45). The second study, from India, aimed to conduct the General Movements Assessment of 11 high risk infants using parent recorded videos and also reported a high rate of return (46). Our study adds to this literature highlighting that video requests made during a one-time telephone delivered intervention have high return with appropriate content.…”

Section: Discussionmentioning

confidence: 86%

Applicability of the Guide for Monitoring Child Development as a Telehealth Delivered Intervention During the Pandemic

et al. 2022

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BackgroundEarly intervention delivered through telehealth is critically needed during crises, particularly for children in low and middle-income countries (LMICs). We aimed to determine the applicability of the international Guide for Monitoring Child Development (GMCD) intervention delivered through telehealth during the COVID-19 lockdown in Turkey.MethodsUsing a mixed-methods longitudinal design, we recruited children with developmental difficulties aged 0–42 months with an appointment during the first lockdown at Ankara University Developmental Pediatrics Division and seen face-to-face only once before. Developmental pediatricians applied the GMCD intervention during a single telephone call. As a novel intervention component, caregivers were asked to record and send back videos of the child's development when there were doubts about the child's functioning. Caregivers were called 1 year later by blinded independent researchers and a semi-structured interview on applicability was conducted. Applicability of the caregiver recorded video component of the intervention was assessed by a blinded observer using the GMCD Video Observation Tool.ResultsOf 122 children that received the telehealth delivered GMCD intervention, 114 (93.4%) were included in the 1-year outcome study. Most were boys (51.8%); median age was 16.5 (IQR: 10.0–29.0) months, 51.0% had chronic health conditions, and 66.7% had developmental delay. All caregivers that received the intervention were mothers; 75.4% had at least high school education. The intervention was reported as applicable by 80.7% with high levels of satisfaction. On multivariate regression analysis, absence of chronic health related conditions was significantly associated with applicability (OR = 2.87, 95% CI = 1.02–8.09). Of 31 caregivers that were asked for videos, 19 sent back 93 videos that were technically observable. One or more developmental domains were observed in all videos; in 52.6%, caregivers provided early learning opportunities.ConclusionsThe findings of this study imply that the telehealth delivered GMCD intervention for children with developmental difficulties is applicable during the pandemic. The intervention content and frequency needs to be augmented for children with chronic health conditions. Further research is required to examine applicability and effectiveness of the GMCD intervention in other settings, particularly in LMICs.

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Home-Videos for Neurodevelopmental Follow-Up of High-Risk Infants during COVID-19 Pandemic: A Simple and Inexpensive Tool

Cited by 9 publications

References 5 publications

The Role of Telemedicine in Child and Adolescent Healthcare in India

The Role of Telemedicine in Child and Adolescent Healthcare in India

Pediatric neurology and telehealth before and during SARS-CoV-2 pandemic

Applicability of the Guide for Monitoring Child Development as a Telehealth Delivered Intervention During the Pandemic

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