Evidence map›Paper›PMID 41705276›Full record

ReviewInternational journal of telemedicine and applications2026

Effectiveness of Digital and Remote Health Interventions in Pediatric Populations From Underserved or Rural Areas: A Systematic Review of Randomized Controlled Trials.

Víctor Beltrán, Liliann Abarza, Pablo Acuña-Mardones, Iris Espinoza, Alain Chaple Gil, Constanza Morales-Gómez, Vanessa Campos-Bijit, Rafael Contador, Leonardo Díaz, Eduardo Fernández

Abstract readReview
In one paragraph

Review in International journal of telemedicine and applications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

10 authors.

Víctor BeltránClinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, Chile, ufro.cl.ORCID https://orcid.org/0000-0001-6046-821X
Liliann AbarzaClinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, Chile, ufro.cl.ORCID https://orcid.org/0009-0005-6001-293X
Pablo Acuña-MardonesClinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, Chile, ufro.cl.ORCID https://orcid.org/0000-0001-8028-7109
Iris EspinozaDepartment of Pathology and Oral Medicine, Faculty of Dentistry, University of Chile, Santiago, Chile, uchile.cl.ORCID https://orcid.org/0000-0001-8949-8885
Alain Chaple GilFacultad de Ciencias de la Salud, Universidad Autónoma de Chile, Santiago, Chile, uautonoma.cl.ORCID https://orcid.org/0000-0002-8571-4429
Constanza Morales-GómezDepartment of Pathology and Oral Medicine, Faculty of Dentistry, University of Chile, Santiago, Chile, uchile.cl.ORCID https://orcid.org/0009-0001-8374-1140
Vanessa Campos-BijitLaboratory of Nanobiomaterials, Research Institute of Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile, uchile.cl.ORCID https://orcid.org/0000-0003-3193-911X
Rafael ContadorDepartment of Restorative Dentistry, Facultad de Odontologia, Universidad de Chile, Santiago, Chile, uchile.cl.ORCID https://orcid.org/0000-0002-1110-2569
Leonardo DíazDepartment of Stomatology, Faculty of Dentistry, Universidad de Sevilla, Sevilla, Spain, us.es.ORCID https://orcid.org/0000-0002-4261-2000
Eduardo FernándezDepartment of Restorative Dentistry, Facultad de Odontologia, Universidad de Chile, Santiago, Chile, uchile.cl.ORCID https://orcid.org/0000-0002-3594-4648

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children living in underserved and rural areas experience significant barriers to healthcare access due to geographic isolation, health workforce shortages, and systemic inequities. Digital and remote health interventions such as telehealth, telemental health (TMH), and mobile health (mHealth) offer promising strategies to improve pediatric health outcomes in these contexts. However, the extent of their effectiveness remains insufficiently examined through high-quality evidence. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines and structured using the PROPS framework. Five databases (PubMed, Scopus, Web of Science, Embase, and Cochrane Library) were searched for randomized controlled trials (RCTs) published until May 2025. Eligible studies targeted children (0-17 years) in underserved or rural settings and evaluated digital or remote interventions versus standard care. Data were extracted on study design, population, intervention modality, outcomes, and implementation characteristics. Risk of bias was assessed using the Cochrane RoB 2.0 tool. Results: Eleven RCTs were included, covering interventions for obesity, asthma, ADHD, diabetes, oral health, and neonatal care. Telehealth interventions improved behavioral and biometric outcomes (e.g., BMI Conclusions: Digital health interventions are effective and feasible for improving pediatric outcomes in underserved settings. Future research should emphasize long-term impact, cost-effectiveness, and equitable access to ensure sustainable and inclusive digital healthcare delivery.

Indexed as

mHealthpediatric carerural health servicestelehealthunderserved populations

Identifiers

PMID41705276
PMCPMC12908196

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.