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Use of Telehealth in Fellowship-Affiliated Developmental Behavioral Pediatric Practices During the COVID-19 Pandemic.
Wallis, Kate E; Mulé, Christina; Mittal, Shruti; Cerda, Natalie; Shaffer, Rebecca; Scott, Angela; Langkamp, Diane; Augustyn, Marilyn; Perrin, Ellen; Soares, Neelkamal; Blum, Nathan J.
  • Wallis KE; Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
  • Mulé C; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Mittal S; PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
  • Cerda N; Department of Pediatrics, University of Rochester Medical Center, Rochester, NY.
  • Shaffer R; Department of Pediatrics, Tufts University School of Medicine, Boston, MA.
  • Scott A; Developmental and Behavioral Pediatrics of the Carolinas, Atrium Health, Charlotte, NC.
  • Langkamp D; Developmental Medicine Center, Boston Children's Hospital, Boston, MA.
  • Augustyn M; Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati Medical School, Cincinnati, OH.
  • Perrin E; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR.
  • Soares N; NeuroDevelopmental Science Center, Akron Children's Hospital, Akron, OH.
  • Blum NJ; Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH.
J Dev Behav Pediatr ; 42(4): 314-321, 2021 05 01.
Article in English | MEDLINE | ID: covidwho-990835
ABSTRACT

OBJECTIVE:

This study aims to describe the use of telehealth in developmental behavioral pediatric (DBP) fellowship-affiliated practices during the coronavirus disease 2019 (COVID-19) global pandemic.

METHODS:

An electronic survey was disseminated to all DBP fellowship-associated practice locations to determine the use of telehealth in DBP care provision, before and since the beginning of the COVID-19 pandemic. We analyzed responses using descriptive statistics.

RESULTS:

A total of 35 of 42 eligible practice sites responded (83% response rate). Most sites (51.4%) reported using telehealth less than once per month before the COVID-19 pandemic. Since the onset of COVID-19, 100% of programs reported conducting video-based telehealth visits multiple days per week. Most sites reported conducting evaluations and follow-up visits for attention-deficit/hyperactivity disorder, autism spectrum disorder, behavioral concerns, developmental delay, genetic disorders, and learning disability. Most sites were able to continue medication management by telehealth (>88%), offer interpreter services for families with limited English proficiency participating in telehealth visits (>90%), and incorporate trainees and interdisciplinary team members in telehealth visits (>90%). Greater variability was observed in sites' ability to collect telehealth practice evaluation measures.

CONCLUSION:

Most sites are providing evaluations and ongoing care for DBP conditions through telehealth. The rapid adoption of telehealth can have ramifications for the way that DBP care is delivered in the future; therefore, it is imperative to understand current practice patterns and variations to determine the best use of telehealth.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pediatrics / Telemedicine / Fellowships and Scholarships / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Child / Humans Language: English Journal: J Dev Behav Pediatr Year: 2021 Document Type: Article Affiliation country: DBP.0000000000000897

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pediatrics / Telemedicine / Fellowships and Scholarships / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Child / Humans Language: English Journal: J Dev Behav Pediatr Year: 2021 Document Type: Article Affiliation country: DBP.0000000000000897