Evidence map›Paper›PMID 34779782›Full record

ArticleJMIR pediatrics and parenting2021

Acceptability, Feasibility, and Quality of Telehealth for Adolescent Health Care Delivery During the COVID-19 Pandemic: Cross-sectional Study of Patient and Family Experiences.

Sarah M Wood, Julia Pickel, Alexis W Phillips, Kari Baber, John Chuo, Pegah Maleki, Haley L Faust, Danielle Petsis, Danielle E Apple, Nadia Dowshen and 1 more

Abstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Adolescent Perspectives on the Use of Telemedicine for Confidential Health Care: An Exploratory Mixed-Methods Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sarah M WoodDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0003-2478-4930
Julia PickelDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0001-7484-7042
Alexis W PhillipsDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0003-3973-9323
Kari BaberDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0001-6666-1694
John ChuoDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0002-8981-9906
Pegah MalekiDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0002-3634-2411
Haley L FaustDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0002-5406-9658
Danielle PetsisDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0001-9533-4764
Danielle E AppleDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0003-0278-311X
Nadia DowshenDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0002-8466-1628
Lisa A SchwartzDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0002-7034-9553

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Ronald G Collman · 1999 to 2026
$78.6M
Health Coaching to Improve Comprehensive HIV and Sexually Transmitted Infection Prevention in Adolescent Primary CareK23MH119976 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI WOOD, SARAH MARIAN · 2020 to 2024
$926k
NIAID NIH HHS P30 AI045008NIMH NIH HHS K23 MH119976
6 · The paper itself

Abstract

backgroundData regarding the acceptability, feasibility, and quality of telehealth among adolescents and young adults (AYA) and their parents and caregivers (caregivers) are lacking.

objectiveThe aim of this study was to assess the noninferiority of telehealth versus in-person visits by comparing acceptability with respect to efficiency, effectiveness, equity, patient-centeredness, and confidentiality.

methodsCross-sectional web-based surveys were sent to caregivers and AYA following video visits within an Adolescent Medicine subspecialty clinic in May-July 2020. Proportions of AYA and caregivers who rated telehealth as noninferior were compared using chi-squared tests. Feasibility was assessed via items measuring technical difficulties. Deductive thematic analysis using the Institute of Medicine dimensions of health care quality was used to code open-ended question responses.

resultsSurvey response rates were 20.5% (55/268) for AYA and 21.8% (123/563) for caregivers. The majority of the respondents were White cisgender females. Most AYA and caregivers rated telehealth as noninferior to in-person visits with respect to confidentiality, communication, medication management, and mental health care. A higher proportion of AYA compared to caregivers found telehealth inferior with respect to confidentiality (11/51, 22% vs 3/118, 2.5%, P<.001). One-quarter (14/55) of the AYA patients and 31.7% (39/123) of the caregivers reported technical difficulties. The dominant themes in the qualitative data included advantages of telehealth for efficiency and equity of health care delivery. However, respondents' concerns included reduced safety and effectiveness of care, particularly for patients with eating disorders, owing to lack of hands-on examinations, collection of vital signs, and laboratory testing.

conclusionsTelehealth was highly acceptable among AYA and caregivers. Future optimization should include improving privacy, ameliorating technical difficulties, and standardizing at-home methods of obtaining patient data to assure patient safety.

Indexed as

acceptabilityadolescentCOVID-19cross-sectionalefficiencyequityexperiencefeasibilitypatient experiencesurveyteenagertelehealthtelemedicineyoung adult

Identifiers

PMID34779782
PMCPMC8594732

What OpenQuestion holds

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LicenceCC BY
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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.