Evidence map›Paper›PMID 35275833›Full record

ArticleJMIR formative research2022

The Successes and Challenges of Implementing Telehealth for Diverse Patient Populations Requiring Prenatal Care During COVID-19: Qualitative Study.

Ruth Farrell, Christina Collart, Caitlin Craighead, Madelyn Pierce, Edward Chien, Richard Frankel, Brownsyne Tucker Edmonds, Uma Perni, Marissa Coleridge, Angela C Ranzini and 1 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
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 at 4 institutions in 1 country.

Ruth Farrell *Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0002-8258-8842
Christina CollartObstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0003-3035-5104
Caitlin CraigheadObstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0003-1889-0200
Madelyn PierceObstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0003-1030-8191
Edward ChienObstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0003-3268-0111
Richard FrankelResearch Innovation and Education, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, United States.ORCID https://orcid.org/0000-0003-4132-4506
Brownsyne Tucker EdmondsDepartment of Obstetrics and Gynecology, Indiana University, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0003-0023-4440
Uma PerniObstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0002-4923-8541
Marissa ColeridgeObstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0003-0716-0050
Angela C RanziniDepartment of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, United States.ORCID https://orcid.org/0000-0002-9245-520X
Susannah RoseCenter for Patience Experience, Cleveland Clinic, Cleveland, OH, United States.ORCID https://orcid.org/0000-0001-5895-7460
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USIndiana University – Purdue University Indianapolis · USMetroHealth · US

Funding

Ensuring Patients' Informed Access to Noninvasive Prenatal TestingR01HG010092 · NHGRI · CLEVELAND CLINIC LERNER COM-CWRU · PI Ruth Farrell · 2017 to 2026
$5.9M
NHGRI NIH HHS R01 HG010092
6 · The paper itself

Abstract

backgroundAlthough telehealth appears to have been accepted among some obstetric populations before the COVID-19 pandemic, patients' receptivity and experience with the rapid conversion of this mode of health care delivery are unknown.

objectiveIn this study, we examine patients' prenatal care needs, preferences, and experiences during the COVID-19 pandemic, with the aim of supporting the development of successful models to serve the needs of pregnant patients, obstetric providers, and health care systems during this time.

methodsThis study involved qualitative methods to explore pregnant patients' experiences with prenatal health care delivery at the onset of the COVID-19 pandemic. We conducted in-depth interviews with pregnant patients in the first and second trimester of pregnancy who received prenatal care in Cleveland, Ohio, from May to July 2020. An interview guide was used to probe experiences with health care delivery as it rapidly evolved at the onset of the pandemic.

resultsAlthough advantages of telehealth were noted, there were several concerns noted with the broad implementation of telehealth for prenatal care during the pandemic. This included concerns about monitoring the pregnancy at home; the need for additional reassurance for the pregnancy, given the uncertainties presented by the pandemic; and the ability to have effective patient-provider discussions via a telehealth visit. The need to tailor telehealth to prenatal health care delivery was noted.

conclusionsAlthough previous studies have demonstrated that telehealth is a flexible and convenient alternative for some prenatal appointments, our study suggests that there may be specific needs and concerns among the diverse patient groups using this modality during the pandemic. More research is needed to understand patients' experiences with telehealth during the pandemic and develop approaches that are responsive to the needs and preferences of patients.

Indexed as

challengeCOVID-19developmentdiversityexperienceobstetricpatient experiencepregnancyprenatalprenatal health care deliveryreceptiontelehealthtelemedicinewomen

Identifiers

PMID35275833
PMCPMC8970157
OpenAlexW4220866218

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.