Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.

Journal Article (Journal Article)

OBJECTIVES: To 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). METHOD: This 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. RESULTS: 64 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. DISCUSSION: Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.

Full Text

Duke Authors

Cited Authors

  • Ming, DY; Li, T; Ross, MH; Frush, J; He, J; Goldstein, BA; Jarrett, V; Krohl, N; Docherty, SL; Turley, CB; Bosworth, HB

Published Date

  • March 2022

Published In

Volume / Issue

  • 36 / 2

Start / End Page

  • e22 - e35

PubMed ID

  • 34879986

Electronic International Standard Serial Number (EISSN)

  • 1532-656X

Digital Object Identifier (DOI)

  • 10.1016/j.pedhc.2021.10.001

Language

  • eng

Conference Location

  • United States