Telehealth services for cardiac neurodevelopmental care during the COVID-19 pandemic: a site survey from the Cardiac Neurodevelopmental Outcome Collaborative
| Autor: | Nadine A. Kasparian, Anjali Sadhwani, Renee Sananes, Elizabeth Blumenfeld, Jennifer L. Butcher, Adam R. Cassidy, Stephany M. Cox, Joslyn Kenowitz, Thomas A. Miller, Jacqueline H. Sanz, Kelly R. Wolfe, Dawn Ilardi |
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| Rok vydání: | 2023 |
| Předmět: |
Pediatric Research Initiative
Adolescent telehealth 8.1 Organisation and delivery of services Cardiorespiratory Medicine and Haematology Cardiovascular Clinical Research Humans Child Pandemics disparities Pediatric neurodevelopment pandemic Infant COVID-19 Heart General Medicine Health Services Telemedicine Cross-Sectional Studies CHD Heart Disease Good Health and Well Being Cardiovascular System & Hematology Pediatrics Perinatology and Child Health Cardiology and Cardiovascular Medicine Health and social care services research |
| Zdroj: | Cardiology in the young, vol 33, iss 2 |
| ISSN: | 1047-9511 |
| Popis: | Objective:COVID-19 has markedly impacted the provision of neurodevelopmental care. In response, the Cardiac Neurodevelopmental Outcome Collaborative established a Task Force to assess the telehealth practices of cardiac neurodevelopmental programmes during COVID-19, including adaptation of services, test protocols and interventions, and perceived obstacles, disparities, successes, and training needs.Study Design:A 47-item online survey was sent to 42 Cardiac Neurodevelopmental Outcome Collaborative member sites across North America within a 3-week timeframe (22 July to 11 August 2020) to collect cross-sectional data on practices.Results:Of the 30 participating sites (71.4% response rate), all were providing at least some clinical services at the time of the survey and 24 sites (80%) reported using telehealth. All but one of these sites were offering new telehealth services in response to COVID-19, with the most striking change being the capacity to offer new intervention services for children and their caregivers. Only a third of sites were able to carry out standardised, performance-based, neurodevelopmental testing with children and adolescents using telehealth, and none had completed comparable testing with infants and toddlers. Barriers associated with language, child ability, and access to technology were identified as contributing to disparities in telehealth access.Conclusions:Telehealth has enabled continuation of at least some cardiac neurodevelopmental services during COVID-19, despite the challenges experienced by providers, children, families, and health systems. The Cardiac Neurodevelopmental Outcome Collaborative provides a unique platform for sharing challenges and successes across sites, as we continue to shape an evidence-based, efficient, and consistent approach to the care of individuals with CHD. |
| Databáze: | OpenAIRE |
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