The Use of Telemedicine in Pediatric Psychology: Research Review and Current Applications

Allen, Jason Van; Davis, Ann M.; Lassen, Stephen R.

doi:10.1016/j.chc.2010.09.003

Cited by 54 publications

(33 citation statements)

References 15 publications

(16 reference statements)

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“…Seven reviews were excluded. Reasons for exclusion of reviews were: no quantitative systematic review process (n=3) 14,33,40 , a narrative review (n=1) 41 and non-focused videoconferencing interventions (n=3), namely an e-therapy systematic review on internet therapy 42 , a safety systematic review of telephone support 43 , and evidence based interventions for children and adolescents. 29 There was very good agreement between reviewers with a Kappa 0.9 [95% CI, 0.6-0.1].…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Chipps¹,

Brysiewicz²,

Mars³

2012

Afr. J. Psych

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Objective: A review of systematic reviews of the effectiveness and feasibility of videoconference-based telepsychiatry services for resource constrained environments was conducted. Specifically with the aim of producing an evidence-based review of the effectiveness and feasibility of videoconference-based telepsychiatry services in resource constrained countries like South Africa. Methods: Eight key questions on telepsychiatry effectiveness and feasibility were identified and inclusion and exclusion criteria were developed. Review of citations from 2000-2011 from CINAHL, Medline, Pubmed, PsycInfo, EBSCOhost, SABINET, Cochrane Database of Systematic Reviews (CCTR), Cochrane Controlled Trial Registry (CCTR), Database of Abstracts of Reviews of Effectiveness (DARE), unpublished abstracts through NEXUS and internet search engines (Google/Google scholar) was conducted. Results: Ten systematic reviews were included for review. Despite the methodological limitations and heterogeneity of the systematic reviews, there appears to be good evidence of effectiveness (reliability and improved outcomes) and feasibility (use, satisfaction, acceptability and cost) for videoconference-based telepsychiatry internationally. The application of this evidence in lower middle income countries is dependent on the integration of telepsychiatry into local health system contexts. Conclusion: Based on the evidence, resource constrained countries such as South Africa should be encouraged to develop telepsychiatry programs along with rigorous evaluation methods.

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Section: Resultsmentioning

confidence: 99%

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Chipps¹,

Brysiewicz²,

Mars³

2012

Afr. J. Psych

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“…Many examples of interventions shown to be effective using synchronous audio-visual communications between patients and providers are similar to BFST-D in that they are structured and rely heavily on psychoeducation and direct skills teaching, modeling, and rehearsal to facilitate change. 45,46 Whether it is these characteristics or others that facilitate effectiveness when delivering behavioral health care through traditional means or using technology remains unclear. Further research is needed to identify the specific intervention characteristics that predict effectiveness through telehealth delivery.…”

Section: Discussionmentioning

confidence: 99%

Videoconferencing for Teens With Diabetes

Duke

Wagner

Ulrich

et al. 2016

J Diabetes Sci Technol

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Background: Adolescence is a developmental period associated with increased difficulty managing diabetes. During adolescence family functioning, including miscarried helping, family conflict, and acceptance of illness, is an important predictor of adherence to treatment recommendations. Multiple barriers exist to receiving behavioral health interventions to address suboptimal adherence. We hypothesized that behavioral family systems therapy–diabetes (BFST-D) delivered via telehealth would yield changes in family functioning that were not significantly different than changes in clinic-based treatment. Furthermore, that BFST-D would significantly improve overall family functioning. Methods: Ninety adolescent participants and their parents were randomized to receive BFST-D via telehealth or traditional (Clinic) treatment conditions. Repeated measures ANOVAs were used to assess changes in mean scores across pre, post, and follow-up assessments. Mediation analyses were conducted using methods outlined by Sobel and were confirmed by bootstrapping. Results: Changes in miscarried helping, family conflict and adjustment to illness were not significantly different across groups. Overall, clinically significant improvements were identified in youth- and parent-reported miscarried helping, family conflict, and acceptance of illness. Reductions in family conflict mediated the relationship between changes in miscarried helping and acceptance of illness. In addition, improvements in family functioning were associated with changes in adherence and glycemic control. Conclusions: Results provide strong support for BFST-D (and similar interventions) delivered via telehealth as yielding outcomes no different than clinic-based treatment. In addition, further support was provided for the effectiveness of BFST-D.

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“…Despite findings indicating that telemental health is a viable form of treatment delivery for adults with a number of disorders, particularly those who may underutilize formal services or not follow up with referrals to appropriate agencies, only recently have research efforts focused on examining the feasibility and efficacy of this treatment approach among children and adolescents. In fact, recent literature demonstrates telemental health to be an effective (e.g., positive outcomes, parent and clinician satisfaction) treatment delivery modality for youth (Ellington & McGuinness, 2011; Myers, Valentine, & Melzer, 2008; Van Allen, Davis, & Lassen, 2011), specifically for those experiencing depression (Germain, Marchand, Bouchard, Guay, & Drouin, 2010), ADHD (Ellington & McGuinness, 2011), and eating disorders (Mitchell et al, 2008). …”

Section: Telemental Health As a Solutionmentioning

confidence: 99%

Guidelines for establishing a telemental health program to provide evidence-based therapy for trauma-exposed children and families.

Jones

Shealy

Reid‐Quiñones

et al. 2014

Psychological Services

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While similar rates of traumatic experiences exist in both rural and urban settings, mental health resources available to those living in rural areas are often scarce. Limited resources pose a problem for children and families living in rural areas, and several barriers to service access and utilization exist including reduced anonymity, few “after-hours” services, decreased availability of evidence-based treatments, few specialty clinics, and expenses associated with travel, taking time off work, and provision of childcare. As a solution, the authors discuss the utility, use, and set-up of a telemental health program through an existing community outreach program. Suggestions for establishing a telemental health clinic are presented along guidelines for the delivery of trauma-focused, cognitive-behavioral therapy (TF-CBT) via telemental health videoconferencing technology. Specific guidelines discussed include (1) establishing and utilizing community partnerships, (2) Memoranda of Understanding (MOU), (3) equipment setup and technological resources, (4) videoconferencing software, (5) physical setup, (6) clinic administration, (7) service reimbursement and start-up costs, (8) therapy delivery modifications, and (9) delivering culturally competent services to rural and remote areas.

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The Use of Telemedicine in Pediatric Psychology: Research Review and Current Applications

Cited by 54 publications

References 15 publications

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Videoconferencing for Teens With Diabetes

Guidelines for establishing a telemental health program to provide evidence-based therapy for trauma-exposed children and families.

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