Evidence map›Paper›PMID 32410810›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2020

The COVID-19 Pandemic and Rapid Implementation of Adolescent and Young Adult Telemedicine: Challenges and Opportunities for Innovation.

Angela Barney, Sara Buckelew, Veronika Mesheriakova, Marissa Raymond-Flesch

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 176 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
176citing papers in PubMed, 7 pooled it
86.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

176 citing papers in PubMed, 7 syntheses or guidelines pooled it, 412 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

116 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Angela BarneyDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California. Electronic address: angela.barney@ucsf.edu.
Sara BuckelewDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California.
Veronika MesheriakovaDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California.
Marissa Raymond-FleschDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California.
University of California, San Francisco · US

Funding

SCH: ChangeGradients: Promoting Health Behavior Change with Clinically Integrated Sample-Efficient Policy Gradient MethodsR01CA247705 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OZER, ELIZABETH M · 2020 to 2023
$1.4M
Emotional Wellbeing and Reproductive Health in a Prospective Study of Multiple Generations of Immigrant Latino YouthK23HD093839 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAYMOND-FLESCH, MARISSA · 2018 to 2022
$860k
NCI NIH HHS R01 CA247705NICHD NIH HHS K23 HD093839
6 · The paper itself

Abstract

purposeThis study describes the rapid implementation of telemedicine within an adolescent and young adult (AYA) medicine clinic in response to the Coronavirus Disease 2019 (COVID-19) pandemic. While there are no practice guidelines specific to AYA telemedicine, observations made during this implementation can highlight challenges encountered and suggest solutions to some of these challenges.

methodsOver the course of several weeks in March, 2020, the Adolescent and Young Adult Medicine Clinic at the University of California San Francisco rapidly replaced most in-person visits with telemedicine visits. This required logistical problem-solving, collaboration of all clinic staff members, and continuous reassessment of clinical practices. This article describes observations made during these processes.

resultsTelemedicine visits increased from zero to 97% of patient encounters in one month. The number of visits per month was comparable with that one year prior. While there were limitations to the clinic's ability to carry out health supervision visits, many general health, mental health, reproductive health, eating disorders, and addiction treatment services were implemented via telemedicine. Providers identified creative solutions for challenges that arose to managing general confidentiality issues as well as specific challenges related to mental health, reproductive health, eating disorders, and addiction care. Opportunities to implement and expand high-quality AYA telemedicine were also identified.

conclusionsThe COVID-19 pandemic is leading to widespread telemedicine implementation. While telemedicine seems to be feasible and acceptable for our clinic patients, unanswered questions remain regarding confidentiality, quality of care, and health disparities. Clinical guidelines are also needed to guide best practices for telemedicine in this patient population.

Indexed as

Adolescent Health ServicesPandemicsAdolescentAdultChildCoronavirus InfectionsCOVID-19Diffusion of InnovationFemaleHumansMalePneumonia, ViralTelemedicineUnited StatesYoung AdultAddiction medicineAdolescentAdolescent health servicesAdolescent medicineFeeding and eating disordersReproductive health servicesTelemedicine

Identifiers

PMID32410810
PMCPMC7221366
OpenAlexW3025446185

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.