Telehealth and Nutrition Support During the COVID-19 Pandemic

Mehta, Pooja; Stahl, Marisa G.; Germone, Monique; Nagle, Sadie; Guigli, Rebecca; Thomas, Jacob; Shull, Mary; Liu, Edwin

doi:10.1016/j.jand.2020.07.013

Cited by 42 publications

(38 citation statements)

References 32 publications

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“…Mehta et al specifically evaluated ways to apply telehealth-based nutrition care during the COVID-19 pandemic, including using telehealth for one-on-one RDN visits with existing outpatients [ 15 ]. They found that RDNs could obtain a thorough history and visualize a patient’s home environment [ 15 ], a finding that aligned with our survey findings. Mehta et al also reported that group telehealth visits could efficiently deliver nutrition care.…”

Section: Discussionmentioning

confidence: 99%

“…Mehta et al also reported that group telehealth visits could efficiently deliver nutrition care. Group visits can include multiple family members of the same patient, a multidisciplinary group of caregivers with a patient, or several patients with one healthcare provider [ 15 ]. Group visits via telehealth allow for collaboration (such as the ability to virtually link patients, family members, primary caregivers, and consulting specialists) that is not otherwise possible.…”

Section: Discussionmentioning

confidence: 99%

“…Notably, telehealth services have also been applied to providing nutrition care for patients [ 7 , 14 , 15 , 16 ]. The Academy of Nutrition and Dietetics has defined this as telenutrition, involving the interactive use by a registered dietitian nutritionist (RDN) of electronic information and telecommunications technologies to implement the Nutrition Care Process with patients or clients at a remote location, within the provisions of the RDN’s state license as applicable [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic

et al. 2021

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Widespread transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has resulted in a global coronavirus disease 2019 (COVID-19) pandemic that is straining medical resources worldwide. In the United States (US), hospitals and clinics are challenged to accommodate surging patient populations and care needs while preventing further infection spread. Under such conditions, meeting with patients via telehealth technology is a practical way to help maintain meaningful contact while mitigating SARS-CoV-2 transmission. The application of telehealth to nutrition care can, in turn, contribute to better outcomes and lower burdens on healthcare resources. To identify trends in telehealth nutrition care before and during the pandemic, we emailed a 20-question, qualitative structured survey to approximately 200 registered dietitian nutritionists (RDNs) from hospitals and clinics that have participated in the Malnutrition Quality Improvement Initiative (MQii). RDN respondents reported increased use of telehealth-based care for nutritionally at-risk patients during the pandemic. They suggested that use of such telehealth nutrition programs supported positive patient outcomes, and some of their sites planned to continue the telehealth-based nutrition visits in post-pandemic care. Nutrition care by telehealth technology has the potential to improve care provided by practicing RDNs, such as by reducing no-show rates and increasing retention as well as improving health outcomes for patients. Therefore, we call on healthcare professionals and legislative leaders to implement policy and funding changes that will support improved access to nutrition care via telehealth.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic

et al. 2021

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“…Telehealth can be an effective way to provide nutrition care for individuals who are unable to or prefer not to receive in-person care. [22][23][24] During the COVID-19 pandemic, a large share of health care shifted rapidly to a telehealth delivery model to minimize transmission of COVID-19. This survey, conducted from mid-April to mid-May 2020, aimed to describe changing RDN roles and practices and identify areas of need related to telehealth.…”

Section: Implications For Practicementioning

confidence: 99%

Telehealth During the COVID-19 Pandemic: A Cross-Sectional Survey of Registered Dietitian Nutritionists

Rozga

Handu

Kelley

et al. 2021

Journal of the Academy of Nutrition and Dietetics

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During the current coronavirus disease 2019 (COVID-19) pandemic, health care practices have shifted to minimize virus transmission, with unprecedented expansion of telehealth. This study describes self-reported changes in registered dietitian nutritionist (RDN) practice related to delivery of nutrition care via telehealth shortly after the onset of the COVID-19 pandemic in the United States. This cross-sectional, anonymous online survey was administered from mid-April to mid-May 2020 to RDNs in the United States providing face-to-face nutrition care prior to the COVID-19 pandemic. This survey included 54 questions about practitioner demographics and experience and current practices providing nutrition care via telehealth, including billing procedures, and was completed by 2016 RDNs with a median (interquartile range) of 15 (6-27) years of experience in dietetics practice. Although 37% of respondents reported that they provided nutrition care via telehealth prior to the COVID-19 pandemic, this proportion was 78% at the time of the survey. Respondents reported spending a median (interquartile range) of 30 (20-45) minutes in direct contact with the individual/group per telehealth session. The most frequently reported barriers to delivering nutrition care via telehealth were lack of client interest (29%) and Internet access (26%) and inability to conduct or evaluate typical nutrition assessment or monitoring/evaluation activities (28%). Frequently reported benefits included promoting compliance with social distancing (66%) and scheduling flexibility (50%). About half of RDNs or their employers sometimes or always bill for telehealth services, and of those, 61% are sometimes or always reimbursed. Based on RDN needs, the Academy of Nutrition and Dietetics continues to advocate and provide resources for providing effective telehealth and receiving reimbursement via appropriate coding and billing. Moving forward, it will be important for RDNs to participate fully in health care delivered by telehealth and telehealth research both during and after the COVID-19 public health emergency.

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“…It has been shown that disparities in access to Internet and video visits may exist disproportionately across the US and races (55). Mehta and coworkers suggest that it makes sense to continue telehealth services after the effects of the pandemic to keep the framework for group classes in place and to work toward finding the best combination of telehealth and in-person visits to meet the needs of the patient (36).…”

Section: A Final Commentmentioning

confidence: 99%

Meeting the Challenge of Providing Nutrition Services During the COVID-19 Pandemic

et al. 2020

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Telehealth and Nutrition Support During the COVID-19 Pandemic

Cited by 42 publications

References 32 publications

Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic

Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic

Telehealth During the COVID-19 Pandemic: A Cross-Sectional Survey of Registered Dietitian Nutritionists

Meeting the Challenge of Providing Nutrition Services During the COVID-19 Pandemic

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