Using Telemedicine to Reach Adolescents During the COVID-19 Pandemic

Evans, Yolanda; Golub, Sarah A.; Sequeira, Gina M.; Eisenstein, Evelyn; North, Steve

doi:10.1016/j.jadohealth.2020.07.015

Cited by 46 publications

(38 citation statements)

References 13 publications

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“…Currently, there does not seem to be adequate knowledge or tools on how to promote adolescent mental health, despite it being a major public health issue ( Lee, 2020 ). With the advancement of technology and need to adapt services, the adoption of tele-health services may be a useful future strategy given the restrictions to meet people were in force during the lockdown ( Evans et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Czech adolescents’ remote school and health experiences during the spring 2020 COVID-19 lockdown

Cosma

Svacina

et al. 2021

Preventive Medicine Reports

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Highlights One in five adolescents reported economic disruptions during spring 2020 lockdown. Girls and older adolescents reported the worst social and mental well-being. Perceived change in sleep and physical activity varied by gender and behavior. Adolescents reported consuming more fruits and vegetables and less energy drinks. Findings can be used for time trends that include the lockdown period.

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Section: Discussionmentioning

confidence: 99%

Czech adolescents’ remote school and health experiences during the spring 2020 COVID-19 lockdown

Cosma

Svacina

et al. 2021

Preventive Medicine Reports

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“…These questions about issues providing family planning or STI services at any point during the pandemic and in the past month also included response options addressing access and utilization issues particularly salient to adolescent patients: walk-in hours reduced [ 6 ]; weekend/evening hours reduced; [ 6 ] fewer adolescents seeking care; and confidentiality concerns with telehealth [ [9] , [10] , [11] ]. The same questions also provided a response option “clinic closed for in-person appointments.” Another question asked providers to select characteristics that applied to their practice just before the pandemic; “walk-in hours were available” and “weekend/evening hours were available” were two of several response options included.…”

Section: Methodsmentioning

confidence: 99%

“…Even when services are available, reductions in walk-in and evening or weekend hours, which are considered youth-friendly practices [ 6 ], may limit adolescent access, or adolescents may forgo in-person care they deem nonessential to minimize coronavirus exposure [ 7 , 8 ]. Although the rapid expansion of telehealth has partially compensated for disruptions to in-person services [ 9 ], confidentiality concerns associated with this approach may be a particular barrier for adolescent patients [ 4 , [9] , [10] , [11] ]. In the context of stay-at-home orders and increased parental telework, many adolescents may be unable to have telehealth visits with providers privately [ 4 ].…”

mentioning

confidence: 99%

COVID-19 and Sexual and Reproductive Health Care: Findings From Primary Care Providers Who Serve Adolescents

Steiner¹,

Zapata²,

Curtis³

et al. 2021

Journal of Adolescent Health

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Among U.S. primary care physicians who delivered sexual and reproductive health (SRH) services to adolescents before the COVID-19 pandemic, we examine (1) changes in availability of in-person SRH services; (2) changes in accessibility and utilization of SRH services; and (3) use of strategies to support provision of SRH services during the pandemic. Methods: Data were from the DocStyles provider survey administered SeptembereOctober 2020. Descriptive analyses were restricted to family practitioners, internists, and pediatricians whose main work setting was outpatient and whose practice provided family planning or sexually transmitted infection services to one patient aged 15e19 years per week just before the COVID-19 pandemic (n ¼ 791). Results: Among physicians whose practices provided intrauterine device/implant placement/removal or clinic-based sexually transmitted infection testing before the COVID-19 pandemic, 51% and 36% indicated disruption of these services during the pandemic, respectively. Some physicians also reported reductions in walk-in hours (38%), evening/weekend hours (31%), and adolescents seeking care (43%) in the past month. At any point during the pandemic, 61% provided contraception initiation/ continuation and 44% provided sexually transmitted infection services via telehealth. Among these physicians, about one-quarter reported confidentiality concerns with telehealth in the past month. There were small increases or no changes in other strategies to support contraceptive care. Conclusions: Findings suggest disruption of certain SRH services and issues with access because of the pandemic among primary care providers who serve adolescents. There are opportunities to enhance implementation of confidential telehealth services and other service delivery strategies that could help promote adolescent SRH in the United States.

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“…Anecdotally, adolescent patients may be more open to engaging with video technology, although ensuring their privacy during interviewing may be more difficult. Sending questionnaires, such as a depression screen, either through a secure patient portal or e-mail prior to the visit may help facilitate visits, but safety procedures need to be put in place to ensure timely follow-up of concerning responses [ 18 ]. Home medications and supplies can be checked via video.…”

Section: Pediatric Diabetes Mellitusmentioning

confidence: 99%

Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

et al. 2020

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Background: Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. Summary: The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. Key Messages: With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

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Using Telemedicine to Reach Adolescents During the COVID-19 Pandemic

Cited by 46 publications

References 13 publications

Czech adolescents’ remote school and health experiences during the spring 2020 COVID-19 lockdown

Czech adolescents’ remote school and health experiences during the spring 2020 COVID-19 lockdown

COVID-19 and Sexual and Reproductive Health Care: Findings From Primary Care Providers Who Serve Adolescents

Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

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