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1.
Australasian Journal of Dermatology ; 63(SUPPL 1):52, 2022.
Article in English | EMBASE | ID: covidwho-1883172

ABSTRACT

Aims: The landscape of health service delivery has changed significantly in the wake of the COVID-19 pandemic. The Australian Institute of Health and Welfare reports that health practitioners have delivered an increasing number of consultations via telehealth. To understand how this shift has manifested in dermatology, we present an audit of the Royal Melbourne Hospital dermatology telehealth service, comparing data collected between 2020 and 2021, and discuss factors affecting sustainability of clinics, the challenges faced, and lessons learnt. Methods: We performed a retrospective audit of all telehealth consultations (both telephone and video-conference) at the Royal Melbourne Hospital Department of Dermatology between February to September in 2020 and 2021. Data was manually extracted from electronic medical records. We collected data for the total number of visits, rural vs metropolitan status, rural health region if applicable, and Pharmaceutical Benefits Scheme billing data for each month. Results: 1,056 telehealth consults were conducted in the 2021 period, comprising 28% of the 3,795 total Dermatology consults performed. 31% of these telehealth visits (330 consults) were with rural patients, representing a 42% increase from 2020 (233 consults). Review consults for patients on biologic therapy were particularly amenable to telehealth delivery within this rural cohort, experiencing a 141% growth from 49 consultations in 2020 to 118 in 2021. The most common reason for telehealth appointment was for inflammatory conditions (50% of all consults), followed by biologics reviews (37%), immunobullous conditions (6%), vascular anomalies and infective conditions (3% each), and benign and malignant skin lesions (2%). Conclusions: Telehealth consultations have proved essential in the delivery of many dermatological services throughout the COVID-19 pandemic. Rural populations demonstrate an increasing benefit from telehealth services. Inflammatory and biologics reviews are visit indications which may be particularly amenable to telehealth delivery.

2.
Cognitive Behaviour Therapist ; 15:18, 2022.
Article in English | English Web of Science | ID: covidwho-1882699

ABSTRACT

Despite its impressive evidence base, there is a widening access gap to receiving cognitive behavioural therapy (CBT). Video conferencing therapy (VCT) offers an effective solution for logistical barriers to treatment, which has been salient throughout the Coronavirus pandemic. However, research concerning the delivery of CBT via VCT for children and young people (CYP) is in its infancy, and clinical outcome data are limited. The aim of this service evaluation was to explore the effectiveness of a VCT CBT intervention for CYP referred from Child and Adolescent Mental Health Services (CAMHS) in the UK. A total of 989 records of CYP who had completed CBT via VCT in 2020 with Healios, a digital mental health company commissioned by the National Health Service (NHS), were examined to determine changes in anxiety, depression and progress towards personalised goals. Routine outcome measures (ROMs) were completed at baseline and endpoint, as well as session by session. Feedback was collected from CYP and their families at the end of treatment. There was a significant reduction in symptoms of anxiety and depression and significant progress towards goals, with pre- to post-effect sizes (Cohen's d) demonstrating medium to large effects (d=.45 to d=-1.39). Reliable improvement ranged from 31 to 80%, clinical improvement ranged from 33 to 50%, and 25% clinically and reliably improved on at least one measure;92% reported that they would recommend Healios. This service evaluation demonstrates that Healios' CBT delivered via VCT is effective for CYP receiving it as part of routine mental health care.

3.
Cognitive Behaviour Therapist ; 15:22, 2022.
Article in English | English Web of Science | ID: covidwho-1882698

ABSTRACT

Videoconferencing therapy (VT) has been an emerging medium of psychological therapy, and during the COVID-19 pandemic there has been substantial growth in its usage as a result of home working. However, there is a paucity of research into client and clinician perceptions of VT. This study sought to assess client and staff experiences of VT. This mixed methods study produced both quantitative and qualitative data. Seven clients who had previously received VT and 11 psychotherapists who had previously delivered VT were recruited from two NHS sites. Clients and psychotherapists took part in qualitative interviews which were analysed using thematic analysis. Quantitative surveys were developed based on themes generated from the interviews and were completed by 172 clients and 117 psychotherapists. These were analysed using simple percentages. VT often exceeded client and psychotherapist expectations and overall experiences of VT were generally positive, although there were mixed findings regarding the therapeutic alliance. Several barriers to VT were cited, such as IT issues, and challenges identified in conducting behavioural experiments, and potential exclusion of certain populations were also cited. The medium of VT was received well by both clients and clinicians, with advantages around convenience seemingly outweighing losses in quality of therapeutic relationship. Future research should focus on overcoming barriers to accessing VT in populations prone to digital exclusion. NHS services not currently employing VT may wish to reconsider their stance, expanding choice of therapy delivery and improving accessibility.

4.
Yakugaku Zasshi ; 142(6): 661-674, 2022.
Article in Japanese | MEDLINE | ID: covidwho-1875054

ABSTRACT

With the coronavirus disease 2019 pandemic, businesses are rapidly expanding their online practices, and the online medical care system has been established and is growing. The field of pharmacy education is also looking for ways to conduct practical online training. Hence, we developed an online role-play-based medical interview training method for fourth-year pharmacy students. The purpose of this study was to describe in detail this method and to clarify the effect of online on medical interviewing practice. The training sessions were conducted using video teleconferencing software. Two settings were used for the role-play scenarios: the pharmacy and hospital. To evaluate the effectiveness of the sessions, a questionnaire was sent to the students, and the results were analyzed using text mining. The most important requirement for successfully conducting the interviews was a stable voice connection, and we reduced audio interruptions and delays by connecting the host personal computer to a wired local area network. We also solved the problem of howling when multiple terminals were installed in the same room by muting all devices in the room. Results of the analysis of the questionnaires suggested that students were more tense online. We also found that students perceived a difference between online and face-to-face interviews in terms of eye contact and the presentation of documents. In this way, we succeeded in conducting smooth online role-playing sessions while taking countermeasures against infection. In the future, it will be necessary to devise nonverbal communication methods and digital methods of presenting the training material.


Subject(s)
COVID-19 , Education, Pharmacy , Pharmacies , Students, Pharmacy , COVID-19/epidemiology , COVID-19/prevention & control , Education, Pharmacy/methods , Humans , Patient Care
5.
2022 CHI Conference on Human Factors in Computing Systems, CHI 2022 ; 2022.
Article in English | Scopus | ID: covidwho-1874723

ABSTRACT

The COVID-19 pandemic has forced workers around the world to switch their working paradigms from on-site to video-mediated communication. Despite the advantages of videoconferencing, diverse circumstances have prevented people from focusing on their work. One of the most typical problems they face is that various surrounding factors distract them during their meetings. This study focuses on conditions in which remote workers are distracted by factors that disturb, interrupt, or restrict them during their meetings. We aim to explore the various problem situations and user needs. To understand users' pain points and needs, focus group interviews and participatory design workshops were conducted to learn about participants' troubled working experiences over the past two years and the solutions they expected. Our study provides a unified framework of distracting factors by which to understand causes of poor user experience and reveals valuable implications to improve videoconferencing experiences. © 2022 ACM.

6.
2022 CHI Conference on Human Factors in Computing Systems, CHI 2022 ; 2022.
Article in English | Scopus | ID: covidwho-1874715

ABSTRACT

People with language impairments, such as aphasia, use a range of total communication strategies. These go beyond spoken language to include non-verbal utterances, props and gestures. The uptake of videoconferencing platforms necessitated by the Covid-19 pandemic means that people with aphasia now use these communication strategies online. However, no data exists on the impact of videoconferencing on communication for this population. Working with an aphasia charity that moved its conversation support sessions online, we investigated the experience of communication via a videoconferencing platform. We report a study which investigated this through: 1) observations of online conversation support sessions;2) interviews with speech and language therapists and volunteers;and 3) interviews with people with aphasia. Our findings reveal the unique and creative ways that the charity and its members with aphasia adapted their communication to videoconferencing. We unpack specific, novel challenges relating to total communication via videoconferencing and the related impacts on social and privacy issues. © 2022 ACM.

7.
2022 CHI Conference on Human Factors in Computing Systems, CHI 2022 ; 2022.
Article in English | Scopus | ID: covidwho-1874714

ABSTRACT

This paper reports on Zoom Obscura - an artist-based design research project, responding to the ubiquity of video-conferencing as a technical and cultural phenomenon throughout the Covid-19 pandemic. As enterprise software, such as Zoom, rapidly came to mediate even the most personal and intimate interactions, we supported and collaborated with seven independent artists to explore technical and creative interventions in video-conferencing. Our call for participation sought critical interventions that would help users counter, and regain agency in regard to the various ways in which personal data is captured, transmitted and processed in video-conferencing tools. In this design study, we analyse post-hoc how each of the seven projects employed aspects of counterfunctional design to achieve these aims. Each project reveals different avenues and strategies for counterfunctionality in video-conferencing software, as well as opportunities to design critically towards interactions and experiences that challenge existing norms and expectations around these platforms. © 2022 Owner/Author.

8.
2022 CHI Conference on Human Factors in Computing Systems, CHI 2022 ; 2022.
Article in English | Scopus | ID: covidwho-1874707

ABSTRACT

Deaf and Hard-of-Hearing (DHH) users face accessibility challenges during in-person and remote meetings. While emerging use of applications incorporating automatic speech recognition (ASR) is promising, more user-interface and user-experience research is needed. While co-design methods could elucidate designs for such applications, COVID-19 has interrupted in-person research. This study describes a novel methodology for conducting online co-design workshops with 18 DHH and hearing participant pairs to investigate ASR-supported mobile and videoconferencing technologies along two design dimensions: Correcting errors in ASR output and implementing notification systems for influencing speaker behaviors. Our methodological findings include an analysis of communication modalities and strategies participants used, use of an online collaborative whiteboarding tool, and how participants reconciled differences in ideas. Finally, we present guidelines for researchers interested in online DHH co-design methodologies, enabling greater geographically diversity among study participants even beyond the current pandemic. © 2022 ACM.

9.
Journal of Applied Research in Higher Education ; 14(3):1079-1098, 2022.
Article in English | ProQuest Central | ID: covidwho-1874110

ABSTRACT

Purpose>The present paper is an attempt to study Education 4.0 supported by Industry 4.0 tools and techniques. The main purpose of the study is to examine the acceptance and use of one of the internet of things (IoT)-based learning management systems, i.e. videoconferencing application (Google Meet, Microsoft Teams, Zoom, GoToMeeting, WebEx), by academicians of higher education using the unified theory of acceptance and use of technology (UTAUT) model.Design/methodology/approach>The study comprises 218 responses of academicians associated with higher education in the Sultanate of Oman. Descriptive and factor analysis of the collected data are employed using SPSS-26. Further, using Amos-21, the fit and validity indices of the measurement model are computed. Various relationships of the UTAUT structural model along with moderation effects of gender and nationality are tested.Findings>The results suggest that performance expectancy, effort expectancy and social influence significantly predict behavioral intention. In turn, behavioral intention and facilitating conditions also significantly predict the use behavior of academicians for videoconferencing in higher education. Finally, gender moderates two out of four UTAUT relations, but nationality does not moderate any of these relations.Originality/value>A lot of prior studies investigate several models to use technology-enabled pedagogy from educators' or students' perspectives. There are very limited studies that examine IoT-based learning tools within the UTAUT environment. Additionally, no study is available that considers UTAUT relations for the use of videoconferencing in higher education. Also, in the present study, one more moderator, i.e. nationality, is tested.

10.
Eur Radiol ; 2022 Jun 02.
Article in English | MEDLINE | ID: covidwho-1872410

ABSTRACT

BACKGROUND: We explored perceptions and preferences regarding the conversion of in-person to virtual conferences as necessitated by travel and in-person meeting restrictions. METHODS: A 16-question online survey to assess preferences regarding virtual conferences during the COVID-19 pandemic and future perspectives on this subject was disseminated internationally online between June and August 2020. FINDINGS: A total of 508 responses were received from 73 countries. The largest number of responses came from Italy and the USA. The majority of respondents had already attended a virtual conference (80%) and would like to attend future virtual meetings (97%). The ideal duration of such an event was 2-3 days (42%). The preferred time format was a 2-4-h session (43%). Most respondents also noted that they would like a significant fee reduction and the possibility to attend a conference partly in-person and partly online. Respondents indicated educational sessions as the most valuable sections of virtual meetings. The reported positive factor of the virtual meeting format is the ability to re-watch lectures on demand. On the other hand, the absence of networking and human contact was recognized as a significant loss. In the future, people expressed a preference to attend conferences in person for networking purposes, but only in safer conditions. CONCLUSIONS: Respondents appreciated the opportunity to attend the main radiological congresses online and found it a good opportunity to stay updated without having to travel. However, in general, they would prefer these conferences to be structured differently. The lack of networking opportunities was the main reason for preferring an in-person meeting. KEY POINTS: • Respondents appreciated the opportunity to attend the main radiological meetings online, considering it a good opportunity to stay updated without having to travel. • In the future, it is likely for congresses to offer attendance options both in person and online, making them more accessible to a larger audience. • Respondents indicated that networking represents the most valuable advantage of in-person conferences compared to online ones.

11.
6th International Conference on Computational Intelligence in Data Mining, ICCIDM 2021 ; 281:137-148, 2022.
Article in English | Scopus | ID: covidwho-1872352

ABSTRACT

Covid-19 pandemic led to remote working and hence resulting in more video conferences among all sectors. Even important international conferences between different nations are being conducted on online video conferencing platforms. Hence, a methodology capable of performing real-time end-to-end speech translation has become a necessity. In this paper, we have proposed a complete pipeline methodology, wherein the real-time video conferencing will become interactive, and it can be used in the educational section for generating videos of instructors from just their images and textual notes. We are using automatic voice translation (AVT), text-to-stream machine translation (MT), and text-to-voice generator for voice cloning and translation in real time. For video generation, we use general adversarial networks (GANs), encoder-decoder, and various other previously implemented generative models. The proposed methodology has been implemented and tested with some raw data and is quite effective for the specified application. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

12.
Behav Sci (Basel) ; 12(6)2022 May 30.
Article in English | MEDLINE | ID: covidwho-1869475

ABSTRACT

To mitigate the unexpected closure of educational institutions during the COVID-19 pandemic, e-learning has become a practical alternative to conventional face-to-face instruction. Videoconferencing, a synchronous computer-mediated communication (SCMC) approach, has been adopted as a venue to continue student learning activities. However, in the field of second-language (L2) education, videoconferencing had already been integrated into learning tasks, enabling L2 learners to have more opportunities to access authentic linguistic input and participate in interactions with more proficient users or native speakers of the target languages. Research has reported the pedagogical benefits of learners' L2 achievement that are provided by videoconferencing, whereas some studies have reached a different conclusion. To further ascertain the effectiveness of videoconferencing in L2 learning, meta-analysis can be used to provide statistical evidence of the significance of study results, which serves as a useful reference for the application of videoconferencing to current e-learning practices. Thus, systematic meta-analysis was used in this study to synthesize the findings from experimental and quasi-experimental research into the effectiveness of videoconferencing for L2 learning. Videoconferencing approaches led to positive, medium overall effects in control/experimental group comparisons (g = 0.35, p < 0.5) on the L2 language development of listening and speaking abilities. However, this conclusion is based on five studies and, thus, needs to be treated cautiously. The implications of the findings and suggestions for future studies are discussed.

13.
Evidence-Based Practice in Child and Adolescent Mental Health ; 2022.
Article in English | EMBASE | ID: covidwho-1868225

ABSTRACT

Selective mutism (SM) is a relatively rare, but highly interfering, child anxiety disorder characterized by a consistent failure to speak in certain situations, despite demonstrating fluent speech in other contexts. Exposure-based cognitive behavioral therapy and Parent-Child Interaction Therapy adapted for SM can be effective, but the broad availability and accessibility of such specialty care options remains limited. Stay-at-home guidelines to mitigate the spread of COVID-19 further limited the accessibility of office-based specialty care for SM. Building on separate lines of research supporting intensive treatments and telehealth service delivery models, this paper is the first to describe the development, preliminary feasibility, acceptability, and efficacy of a Remote Intensive Group Behavioral Treatment (IGBT) for families of young children with SM (N=9). Treatment leveraged videoconferencing technology to deliver caregiver training sessions, lead-in sessions, 5 consecutive daily IGBT sessions, and an individualized caregiver coaching session. Remote IGBT was found to be both feasible and acceptable. All families (100%) completed diagnostic assessments and caregiver-report questionnaires at four major study timepoints (i.e., intake, pre-treatment, post-treatment, 4-month follow-up) and participated in all treatment components. Caregivers reported high treatment satisfaction at post-treatment and 4-month follow-up and low levels of burden associated with treatment participation at post-treatment. Approximately half of participating children were classified as treatment responders by independent evaluators at post-treatment and 4-month follow-up. Although these pilot results should be interpreted with caution, the present work underscores the potential utility of using videoconferencing to remotely deliver IGBT to families in their natural environments.

14.
Cyberpsychol Behav Soc Netw ; 2022 May 31.
Article in English | MEDLINE | ID: covidwho-1868235

ABSTRACT

Overuse of videoconferencing for work may contribute to what has been called "Zoom fatigue": feeling anxious, socially isolated, or emotionally exhausted due to lack of social connection. Given implications for employee well-being, this study investigated Zoom fatigue at work and its potential link to mental health symptoms. A national survey of mental health symptoms was conducted in the United States during the COVID-19 pandemic in August 2020. Adults (n = 902) endorsing a shift at work to videoconferencing completed an online survey; survey criteria included an age minimum of 22 years and reported annual gross income of <$75,000. Statistical raking was employed to weight the sample using U.S. census data on geographic region, age, gender, race, and ethnicity. A three-item Zoom Fatigue Scale measuring perceived stress, isolation, and depression associated with videoconferencing at work showed good internal consistency (α = 0.85). Higher scores on this scale were related to being married, nonwhite race, post-high school education, severe mental illness, greater loneliness, lower social support, lacking money for food, and more weekly videoconference calls. Depressive symptoms demonstrated a significant association with Zoom fatigue, even when adjusting for demographic, psychosocial, and clinical covariates. The study findings indicated that employers and employees should consider a complex array of individual-level and environment-level factors when assessing how videoconferencing at work may engender stress, social isolation, and emotional exhaustion. This impact could adversely impact mental health, work productivity, and quality of life, even after the COVID-19 pandemic.

15.
Eur J Health Econ ; 2021 Nov 11.
Article in English | MEDLINE | ID: covidwho-1864413

ABSTRACT

While a considerable number of employees across the globe are being forced to work from home due to the COVID-19 crisis, it is a guessing game as to how they are experiencing this current surge in telework. Therefore, we examined employee perceptions of telework on various life and career aspects, distinguishing between typical and extended telework during the COVID-19 crisis. To this end, we conducted a state-of-the-art web survey among Flemish employees. Notwithstanding this exceptional time of sudden, obligatory and high-intensity telework, our respondents mainly attribute positive characteristics to telework, such as increased efficiency and a lower risk of burnout. The results also suggest that the overwhelming majority of the surveyed employees believe that telework (85%) and digital conferencing (81%) are here to stay. In contrast, some fear that telework diminishes their promotion opportunities and weakens ties with their colleagues and employer.

16.
Convergence ; 2022.
Article in English | Scopus | ID: covidwho-1861998

ABSTRACT

The COVID-19 pandemic has made videoconferencing tools an essential part of our lives as these tools are what allowed us to keep in touch in a time of social distancing. Having said that, however, many people have found virtual interactions to be surprisingly exhausting. This has given rise to the concept of Zoom fatigue. The purpose of this article is to explore the dynamics that give rise to this peculiar phenomenon. The article first discusses the concept of Zoom fatigue and critiques the brain-centrism of current explanations. It then proposes a more embodied approach to interaction, discusses the mediating role of technology in videoconferencing, and proceeds to presents a list of five videoconferencing dynamics that may induce Zoom fatigue: Awkward turn-taking, inhibited spontaneity, restricted motility, lack of eye contact and increased self-awareness. Finally, it is argued that these dynamics should make us temper our collective expectations about the hybrid future. © The Author(s) 2022.

17.
Ieee-Acm Transactions on Networking ; : 16, 2022.
Article in English | Web of Science | ID: covidwho-1861142

ABSTRACT

Since the outbreak of the COVID-19 pandemic, videoconferencing has become the default mode of communication in our daily lives at homes, workplaces and schools, and it is likely to remain an important part of our lives in the post-pandemic world. Despite its significance, there has not been any systematic study characterizing the user-perceived performance of existing videoconferencing systems other than anecdotal reports. In this paper, we present a detailed measurement study that compares three major videoconferencing systems: Zoom, Webex and Google Meet. Our study is based on 62 hours' worth of more than 1.1K videoconferencing sessions, which were created with a mix of emulated videoconferencing clients deployed in the cloud, as well as real mobile devices running from a residential network over two separate periods with nine months apart. We find that the existing videoconferencing systems vary in terms of geographic scope and resource provisioning strategies, which in turns determine streaming lag experienced by users. We also observe that streaming rate can change under different conditions (e.g., available bandwidth, number of users in a session, mobile device status), which affects user-perceived streaming quality. Beyond these findings, our measurement methodology enables reproducible benchmark analysis for any types of comparative or longitudinal study on available videoconferencing systems.

18.
Obesity Science and Practice ; 2022.
Article in English | EMBASE | ID: covidwho-1858885

ABSTRACT

Objective: Behavioral weight management trials are traditionally conducted in-person. The COVID-19 shutdown halted in-person operations, forcing investigators to develop new methods for remote treatment and assessment delivery without additional funding for website development or remote equipment. This study examined the feasibility and acceptability of remote procedures from an ongoing weight management trial impacted by COVID-19. Methods: Using a quasi-experimental longitudinal design, in-person (pre-COVID) and remote (COVID) treatment and assessment procedures were used. Attendance at in-person versus remote (videoconference) treatment sessions was compared. Acceptability of treatment modalities (in-person vs. remote) was examined via self-report. Validity and reliability were assessed on bathroom scales. Attendance at remote (videoconference + mailed, scales) versus in-person assessment sessions was compared. Finally, exploratory analyses were conducted to determine whether participant characteristics moderated the effects. Results: Remote treatment attendance was significantly better than in-person. Overall, there was no significant difference in modality preference. However, Hispanic (vs. non-Hispanic) individuals had greater preference for remote options and attended more remote treatment sessions. Bathroom scales demonstrated excellent validity and reliability. Adherence to remote and in-person assessment sessions was similar. Conclusions: COVID-19 has provided an opportunity to rethink how we conduct research. Results herein establish an evidence-base to support a paradigm shift to remote clinical trial procedures. Such a shift may enhance diversity in clinical trials.

19.
Journal of Psychoeducational Assessment ; 40(3):360-380, 2022.
Article in English | CINAHL | ID: covidwho-1854646

ABSTRACT

Tele-assessments may enable specialist evaluation of students in schools and their progress following intervention. The aim of this project was to evaluate the feasibility of using videoconferencing technology to assess students with reading difficulties in the school setting and obtain the perspectives of teachers supporting the students during the assessment. Teachers (n = 57) of 71 primary school age students participated in the study. Teachers provided feedback on the tele-assessment by completing questionnaires about students' behaviours and the quality of the technology and assessment process. Randomly selected teachers (n = 24) were invited to participate in a semi-structured interview to provide qualitative feedback. Tele-assessments were completed in 93.4% of the sample. Support teachers reported satisfaction with the audio and visual quality as well as the assessment process. The majority of students completed the tele-assessment with good compliance, engagement and attention. Feedback from support teachers also reflected the strengths of tele-assessments, such as better access to service, cost saving and convenience. Barriers to tele-assessments included technical difficulties, assessment limitations and equipment issues at schools. Tele-assessment is a feasible method of objectively measuring outcomes of students following an intervention. Tele-assessment at school is largely accepted by teachers who supported students in this study. Feedback obtained from this research may be used to offer guidance on undertaking tele-assessments with students in the school setting.

20.
Cardiology in the Young ; 32(SUPPL 1):S190-S191, 2022.
Article in English | EMBASE | ID: covidwho-1852344

ABSTRACT

Introduction: COVID-19 triggered an unprecedented crisis affecting our society at every level. Research in paediatric and congenital cardiology is currently in full development and may have been disrupted. The aim of this study is to determine the impact of COVID-19 in paediatric and congenital cardiology clinical research and to analyse decision-making and adaptation processes, from a panel of on-going academic and industry-sponsored research at the time of the pandemic. Methods: This observational study was carried out in April (2020), from a CHD clinical research network involving five tertiary care paediatric and congenital cardiology centres. Investigators and clinical research assistants from each participating research centre filled in an online survey questionnaire, and each principal investigator underwent a one-hour web-based videoconference interview. Results: A total of 34 study questionnaires were collected, reporting that 18 studies were totally suspended. Upon investigator's decision, after discussion on ethical issues and with facilitating support from health authorities, 16 studies were resumed. The rate of study suspension in interventional research (53%) was similar to noninterventional research (56%). Logistical problems were predominantly reported in both continued and suspended trials. Research protocols were adapted, largely thanks to telemedicine, which in some cases even improved the course of the study. Conclusions: The impact of the Covid-19 pandemic on clinical research in paediatric and congenital cardiology has been limited by a rapid adaptation of all research structures and an extensive use of telemedicine at all stages of the studies.

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