Telehealth Opportunities and Challenges for Managing Pediatric Obesity

Cueto, Victor; Sanders, Lee

doi:10.1016/j.pcl.2020.04.007

Cited by 14 publications

(8 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Plans for DMS going forward reflect wider trends in healthcare, including expanding patient access to care via telemedicine as described in recent studies (Aziz et al, 2020; Cueto & Sanders, 2020; Doraiswamy et al, 2020; Fogel & Raymond, 2020; Fryer et al, 2020; Mahoney, 2020; Paterson et al, 2020; Steindal et al, 2020; Tauben et al, 2020; Wijesooriya et al, 2020). As noted in our interviews, telemedicine can help address institutional priorities to advance health equity by minimizing barriers to care.…”

Section: Discussionmentioning

confidence: 99%

Managing Through a Pandemic: A Daily Management System for COVID-19 Response and Recovery

Hung¹,

Rundall²,

Lee³

et al. 2022

Journal of Healthcare Management

View full text Add to dashboard Cite

Goal: This study explored the use of a Lean daily management system (DMS) for COVID-19 response and recovery in U.S. hospitals and health systems. Originally developed in manufacturing, Lean is an evidence-based approach to quality and process improvement in healthcare. Although Lean has been studied in individual hospital units and outpatient practices, it has not been examined as a whole system response to crisis events. Methods:We conducted qualitative interviews with 46 executive leaders, clinical leaders, and frontline staff in four hospitals and health systems across the United States. We developed a semistructured interview guide to understand DMS implementation in these care delivery organizations. As interviews took place 6-8 months following the onset of the pandemic, a subset of our interview questions centered on DMS use to meet the demands of COVID-19. Based on a deductive approach to qualitative analysis, we identified clusters of themes that described how DMS facilitated rapid system response to the public health emergency.

show abstract

Section: Discussionmentioning

confidence: 99%

Managing Through a Pandemic: A Daily Management System for COVID-19 Response and Recovery

Hung¹,

Rundall²,

Lee³

et al. 2022

Journal of Healthcare Management

View full text Add to dashboard Cite

show abstract

“…Using a computer, tablet, or text messages, educational material can be shared and explained during the visit to encourage the patient and all stakeholders to be more active. Another potential benefit of telehealth nutrition care is that it increases access to medical nutrition therapy (MNT) by removing barriers related to limited finances, travel, time, and physical function, especially during COVID-19 [139].…”

Section: During the Covid-19 Pandemicmentioning

confidence: 99%

“…Further studies could investigate the utility of telemedicine combined with in-person visits to address their limitations. If existing care practices are revised, then access to care for patients and the skills of involved professionals should be considered [139]. Long-term studies will document the effectiveness, accessibility, and feasibility of telemedicine in pediatric obesity care as a successful tool in non-pandemic management as well [137].…”

Section: Future Prospective After the Covid-19 Pandemicmentioning

confidence: 99%

Telehealth: A Useful Tool for the Management of Nutrition and Exercise Programs in Pediatric Obesity in the COVID-19 Era

et al. 2021

View full text Add to dashboard Cite

The COVID-19 pandemic has led to the implementation of policies that mandate various restrictions on daily life, including social distancing, the closure of public services and schools, and movement limitations. Even though these restrictive measures decreased the COVID-19 spread, they may have detrimental effects on various lifestyle components such as physical inactivity, sedentary behavior, and dietary habits, influencing the maintenance of weight and contributing to obesity among children and adolescents. The coexistence of childhood obesity and COVID-19 and changes in the bioecological environment have put children and adolescents at increased risk for developing obesity and exacerbating the severity of this disorder. The use of telehealth technology is a modern approach useful for the delivery of health care services by health care professionals, where distance is a critical factor. Telehealth is effective in promoting increased self-monitoring and behavioral change, and provides the opportunity to perform online nutritional support and exercise training programs to promote a healthy lifestyle and reduce sedentary behaviors in children and adolescents. Telehealth, including tele-exercise and tele-nutrition, has the potential to address many of the key challenges in providing health services, including in patients with obesity during the COVID-19 outbreak. This narrative review aims to describe the role of telehealth as an opportunity in the management of pediatric obesity in the COVID-19 era, and to deliver nutrition and exercise programs for the maintenance of health.

show abstract

“…Technology-based interventions use digital devices, such as computers, tablets, smartphones, and wearable devices, to deliver personalized and real-time health promotion and disease prevention interventions [10][11][12][13]. Given that Hispanic youths and families are disproportionately impacted by SDoH, the use of digital devices as behavior change tools has been suggested as a potential strategy for overcoming some of the negative SDoH that limit participation in traditional, in-person lifestyle interventions [14,15]. For example, web-based interventions are not confined by location and can be delivered across geographic regions directly to participants in their home environment, alleviating the burden of transportation [14].…”

Section: Introductionmentioning

confidence: 99%

Technology-Based Obesity Prevention Interventions Among Hispanic Adolescents in the United States: Scoping Review

Soltero¹,

Lopez²,

Hernandez³

et al. 2022

JMIR Pediatr Parent

View full text Add to dashboard Cite

Background Given that today’s adolescents are digital front-runners, technology-based obesity prevention strategies are age-appropriate for this population. The use of remote and wireless technologies may be suitable for extending the reach and engagement of obesity prevention efforts among high-risk Hispanic youths, as this subgroup is disproportionately affected by barriers that limit participation in traditional, in-person interventions. Objective The purpose of this scoping review was to examine the intervention and sample characteristics of technology-based obesity prevention interventions among Hispanic adolescents. We also examined feasibility criteria to assess the acceptability and appropriateness of technology-based strategies among Hispanic youths. Methods A comprehensive search of Embase and PubMed identified 7 studies that met the inclusion criteria. Data were extracted by 2 independent reviewers. Results Of the 7 included studies, half (n=4, 57%) used a randomized control trial design, with equal implementation in school (n=3, 43%) and clinic (n=4, 57%) settings. Studies commonly targeted improvements in diet (n=4, 57%) and physical activity (n=7, 100%), with only 1 (14%) study focused on sedentary behaviors. Just 2 (29%) studies reported the use of behavioral theories or models. Studies focused primarily on youths in early (n=5, 71%) or middle (n=6, 86%) adolescence, and there was limited information reported on socioeconomic status. Only 3 (43%) study conducted formative work, and few (n=3, 43%) reported on acceptability. Only 1 (14%) study reported that materials were available in Spanish and English, and only 1 (14%) study used culturally tailored content. Additionally, 3 (43%) studies used strategies that considered social determinants of health. Conclusions To increase our understanding of the feasibility and effectiveness of technology-based obesity prevention strategies among Hispanic adolescents, there is a need for more feasibility studies that are theoretically grounded and comprehensively report on feasibility-related outcomes. Future studies should also leverage technology to simultaneously address multiple health behaviors beyond diet and physical activity. The result of this review can be used to guide the development of future technology-based obesity prevention strategies among Hispanic adolescents. Trial Registration CliniclaTrials.gov NCT04953442; https://clinicaltrials.gov/ct2/show/NCT04953442

show abstract

Telehealth Opportunities and Challenges for Managing Pediatric Obesity

Cited by 14 publications

References 25 publications

Managing Through a Pandemic: A Daily Management System for COVID-19 Response and Recovery

Managing Through a Pandemic: A Daily Management System for COVID-19 Response and Recovery

Telehealth: A Useful Tool for the Management of Nutrition and Exercise Programs in Pediatric Obesity in the COVID-19 Era

Technology-Based Obesity Prevention Interventions Among Hispanic Adolescents in the United States: Scoping Review

Contact Info

Product

Resources

About