Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.
| dc.contributor.author | Ming, David Y | |
| dc.contributor.author | Li, Tingxuan | |
| dc.contributor.author | Ross, Melissa H | |
| dc.contributor.author | Frush, Jennifer | |
| dc.contributor.author | He, Jingyi | |
| dc.contributor.author | Goldstein, Benjamin A | |
| dc.contributor.author | Jarrett, Valerie | |
| dc.contributor.author | Krohl, Natalie | |
| dc.contributor.author | Docherty, Sharron L | |
| dc.contributor.author | Turley, Christine B | |
| dc.contributor.author | Bosworth, Hayden B | |
| dc.date.accessioned | 2024-01-02T20:01:36Z | |
| dc.date.available | 2024-01-02T20:01:36Z | |
| dc.date.issued | 2022-03 | |
| dc.description.abstract | ObjectivesTo evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM).MethodThis non-randomized pilot study assigned CMC (n=28) to weekly TMVV for four weeks post-hospitalization; control CMC (n=20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed.Results64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR=2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 -7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge.DiscussionPost-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions. | |
| dc.identifier | S0891-5245(21)00239-X | |
| dc.identifier.issn | 0891-5245 | |
| dc.identifier.issn | 1532-656X | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Elsevier BV | |
| dc.relation.ispartof | Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners | |
| dc.relation.isversionof | 10.1016/j.pedhc.2021.10.001 | |
| dc.rights.uri | ||
| dc.subject | Humans | |
| dc.subject | Aftercare | |
| dc.subject | Hospitalization | |
| dc.subject | Patient Discharge | |
| dc.subject | Feasibility Studies | |
| dc.subject | Pilot Projects | |
| dc.subject | Telemedicine | |
| dc.subject | Child | |
| dc.title | Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Ming, David Y|0000-0003-2836-6656 | |
| duke.contributor.orcid | Goldstein, Benjamin A|0000-0001-5261-3632 | |
| duke.contributor.orcid | Bosworth, Hayden B|0000-0001-6188-9825 | |
| pubs.begin-page | e22 | |
| pubs.end-page | e35 | |
| pubs.issue | 2 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | School of Nursing | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Biostatistics & Bioinformatics | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Pediatrics | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Pediatrics, Hospital Medicine | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Duke Innovation & Entrepreneurship | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
| pubs.organisational-group | Pediatrics, Children's Health Discovery Institute | |
| pubs.organisational-group | Duke - Margolis Center For Health Policy | |
| pubs.organisational-group | Biostatistics & Bioinformatics, Division of Translational Biomedical | |
| pubs.publication-status | Published | |
| pubs.volume | 36 |
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