Inagural paediatric telehealth colloquium
UC Davis Children's Hospital, Department of Paediatrics Sacramento, CA 95817, USA. Journal of Telemedicine and Telecare
(Impact Factor: 1.54).
02/2007; 13(3):159-61. DOI: 10.1258/135763307780677596
Available from: Ann M Davis
- "The most well validated treatment for pediatric obesity, family based behavioral groups, have never been tested via TeleMedicine, either in terms of treatment outcome or in terms of regarding feasibility of delivering these interventions via TeleMedicine or acceptability by the families. Given that the inaugural paediatric telehealth colloquium was held in October 2006 (Parsapour et al. 2007), it is likely that the amount of pediatric TeleMedicine research is going to increase in the coming years. "
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ABSTRACT: To assess the feasibility of conducting empirically supported family-based paediatric obesity group treatment via TeleMedicine. Seventeen families were randomly assigned to one of two conditions (physician visit, TeleMedicine). Measures included feasibility, satisfaction and intervention outcome measures such as BMI percentile, and nutrition and activity behaviours. Measures were completed at baseline, post-treatment and at 1-year follow-up. Analyses indicate that both feasibility and satisfaction data regarding the TeleMedicine intervention were positive. Intervention outcome indicates no change in BMI percentile or nutrition and activity behaviours for either treatment group. A behavioural family-based weight loss intervention delivered via TeleMedicine was well received by both parents and providers. Due to the small sample size, null findings regarding intervention outcome should be interpreted with caution. Future research should focus on methods to increase the impact of this intervention on key outcome variables.
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ABSTRACT: Developmental-behavioral pediatrics (DBP) is recognized as one of the fields with the greatest shortages of pediatric subspecialists. Families who access care often must travel great distances to tertiary academic medical centers or endure long waiting lists. While the shortages are likely to persist due to limited provider availability and an increasing number of children with developmental and behavioral disorders being identified, our field must look to innovative ways to reduce the barriers to access. One such way is telehealth, the use of videoconferencing to deliver DBP services to underserved populations. We aim to describe the practical uses of telehealth for the delivery of diagnostic and management clinical services in a variety of settings and for the additional educational and research benefits of the modality. We will highlight the obstacles to setting up a successful DBP telehealth practice and direct readers to resources to address these in their communities. Most of all, we will demonstrate the benefit to families and children, practitioners, and health care systems of supplementing traditional in-person DBP services with telehealth modalities to enhance outreach and engagement with communities.
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