Preliminary Evidence for the Integrated Systems Using Telemedicine

Reese, R. Matthew; Braun, Matthew J.; Hoffmeier, Sarah; Stickle, Lee; Rinner, Louann; Smith, Catherine; Ellerbeck, Kathryn; Jamison, Rene; Wendland, Maura; Jarrett, Lindsey; Hadorn, Megan

doi:10.1089/tmj.2014.0124

Cited by 28 publications

(26 citation statements)

References 13 publications

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“…In case of differences, consensus was reached by discussion or through consulting (SB or JC). The National Heart, Lung, and Blood Institute (NHLBI) Quality Assessment for Observational Cohort and Cross-Sectional Studies tool [56] was used for five studies [9,59,60,61,63]. The items of the tool were evaluated by using "yes", "no", "not applicable", "cannot determine", or "not reported".…”

Section: Quality Assessmentmentioning

confidence: 99%

Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review

et al. 2020

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There is a significant delay between seeking help and a confirmed diagnosis of Autism Spectrum Disorder (ASD). This delay can lead to poor outcomes for both the families and individuals. Telehealth potentially offers a way of improving the diagnostic pathway for ASD. We conducted a scoping review examining which telehealth approaches are used in the diagnosis and assessment of ASD in children and adults, whether they are feasible and acceptable, and how they compare with face-to-face diagnosis and assessment methods. A search for all peer-reviewed articles, combining the terms of autism and telehealth was conducted from 2000 to 2019. A total of 10 studies were identified for inclusion in the review. This review of the literature found there to be two methods of using telehealth: (a) Real-Time method e.g. video conferencing that enables teams in different areas to consult with the families and to assess the child/adult in real time and (b) A Store-and-Forward method as Naturalistic Observation Diagnostic Assessment (NODA) system to upload videos of child's behaviors to a webportal that enables the clinicians to make an assessment remotely. The findings were positive, finding there to be high agreement in terms of the diagnosis between remote methods and face to face methods and with high levels of satisfaction among the families and clinicians. This field is in the very early stages and so only studies with small sample size using surveys and interviews were identified but the findings suggest that there is potential for telehealth methods to improve access to assessment and diagnosis of ASD used in conjunction with existing methods, especially for those with clear autism traits and adults with ASD. Larger randomised controlled trials of this technology are warranted.

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Section: Quality Assessmentmentioning

confidence: 99%

Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review

et al. 2020

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“…48 Specifically, a program in Kansas uses professional teams in the patient’s local community to perform standardized assessments, which are then presented to the family and a university-based medical center team that makes the final diagnostic assessment and provides recommendations via telemedicine. 42 As academic hospital centers rapidly expand their technological resources, telemedicine provides a modern venue for increasing accessibility to specialized services for children with developmental concerns.…”

Section: Additional Opportunities In Technology and Public Policymentioning

confidence: 99%

Whittling Down the Wait Time

Gordon-Lipkin

Foster

Peacock

2016

Pediatric Clinics of North America

121

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“…Diagnostic assessments for autism have been completed via telehealth with adults (Schutte et al 2015). Diagnostic assessments via telehealth for children have also been researched, with parents coached via telehealth to deliver assessment items to their children (Reese et al 2013, Reese et al 2015.…”

Section: Introductionmentioning

confidence: 99%

Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism?

Sutherland

Trembath

Redoblado-Hodge

et al. 2018

Intl J Lang & Comm Disor

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Background Access to timely and appropriate speech–language pathology (SLP) services is a significant challenge for many families. Telehealth has been used successfully to treat a range of communication disorders in children and adults. Research examining the use of telehealth for children with autism has focused largely on diagnosis, parent‐implemented interventions, and behavioural interventions involving interactions between clinicians and parents. There is, however, very limited research into the use of telehealth directly to assess or intervene with children with autism. This paper reports the outcomes of a study of telehealth language assessments with primary school‐aged children with autism. Aims To evaluate the reliability and feasibility of telehealth language assessments for school‐aged children with autism. Methods & Procedures The language skills of 13 children with autism aged 9–12 who attended mainstream schools or support classes were assessed using the Clinical Evaluation of Language Fundamentals—4th Edition. An SLP delivered and scored four subtests of the assessment via telehealth from a remote location. A second SLP at the same location as the child co‐scored the online subtests to provide a measure of reliability and delivered the remaining subtests. The local SLP completed checklists in both conditions to provide observations regarding behaviour. Parent feedback was elicited via survey. Outcomes & Results There was strong interrater reliability between the telehealth and face‐to‐face conditions (correlation coefficients ranged from r = 0.919 to 0.990 across the subtests and Core Language Score) and good agreement between clinicians on all measures. Analysis using the Wilcoxon Signed Rank test indicated no significant differences in children's behaviour between the telehealth and face‐to‐face conditions, although variation between individuals was observed. Parents provided generally positive feedback about the use of telehealth for the assessments. Conclusions & Implications The findings of this study provide preliminary support the use of telehealth assessments of school‐aged children with autism. Comparison of telehealth and face‐to‐face assessment scores showed high agreement and correlation, and while the children showed individual differences in their behaviour during the telehealth sessions, there was no clear difference between the conditions at the group level. The findings suggest that telehealth may present a reliable and feasible approach to the assessment of language for children with autism in some circumstances as a primary or adjunct service model, while acknowledging that individual differences among these children may be important to consider when planning both assessment and intervention via telehealth.

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Preliminary Evidence for the Integrated Systems Using Telemedicine

Cited by 28 publications

References 13 publications

Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review

Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review

Whittling Down the Wait Time

Telehealth and autism: Are telehealth language assessments reliable and feasible for children with autism?

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