Evidence map›Paper›PMID 42539360›Full record

ReviewTelemedicine reports

Bridging the Gaps in School-Based Telehealth: A Scoping Review and Evaluation Framework.

Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, Jamie Conklin, John Jenkins, David McSwain, Saif Khairat

Abstract readReview
In one paragraph

Review in Telemedicine reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sara Al-AjlounyCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-3489-647X
Zhaoqiang ZhouCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0009-0007-1046-3243
Suguna KotteCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jamie ConklinUniversity of North Carolina at Chapel Hill Health Sciences Library, Chapel Hill, North Carolina, USA.
John JenkinsSchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
David McSwainInformation Services Division, University of North Carolina, Chapel Hill, North Carolina, USA.
Saif KhairatCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This scoping review aimed to characterize the implementation of telehealth interventions in U.S. K-12 school settings, map how their performance and outcomes have been evaluated across a standardized evaluation taxonomy, and develop a conceptual framework to address gaps in evaluation practice. Methods: We conducted a scoping review following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines, searching PubMed, CINAHL, Scopus, and Google Scholar for studies published between January 2019 and April 2026. Two reviewers independently screened records and extracted data on study characteristics, intervention types, and evaluation domains. Measures were classified into a standardized taxonomy and synthesized using descriptive mapping and frequency analysis. Framework development was iterative and informed by extracted findings, conceptual review, and integration of existing implementation and evaluation models, alongside policy guidance relevant to school-based telehealth (SBTH). Results: A total of 1,217 records were identified, with 22 studies meeting the inclusion criteria. Studies were heterogeneous across service lines and methodologies. Evaluation most frequently focused on access and utilization, satisfaction or acceptability, and implementation outcomes, while health outcomes, cost, academic outcomes, and sustainability were less consistently assessed. Evaluation approaches were fragmented, with limited use of standardized metrics and minimal integration across domains. These findings informed the development of a structured framework spanning Inputs, Implementation Processes, and Outcomes, capturing the relationships between contextual factors, service delivery, and multidimensional performance indicators. Conclusion: SBTH appears feasible, acceptable, and capable of improving access to care; however, fragmented evaluation practices limit comparability and policy translation. The proposed framework provides a structured approach to guide comprehensive, longitudinal evaluation and support scalable, integrated telehealth implementation in school settings.

Indexed as

digital Healthhealth care accesshealth care deliveryschool-based telehealthtelehealth

Identifiers

PMID42539360
PMCPMC13422720

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.