Perceptions of caregivers and adolescents of the use of telemedicine for the child sexual abuse examination
| Autor: | Joanne N. Wood, Whitney Orji, Shimrit Keddem, Catherine Cullen, Natalie Stavas, Philip V. Scribano, Judy A. Shea |
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| Rok vydání: | 2018 |
| Předmět: |
Child abuse
Adult Male Telemedicine medicine.medical_specialty Health Knowledge Attitudes Practice Adolescent media_common.quotation_subject Population Subspecialty Child Advocacy Article Interviews as Topic 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Developmental and Educational Psychology medicine Humans 030212 general & internal medicine education Child Qualitative Research media_common education.field_of_study Child Abuse Sexual Middle Aged Psychiatry and Mental health Feeling Sexual abuse Caregivers Child sexual abuse Family medicine Pediatrics Perinatology and Child Health Technology acceptance model Female Psychology |
| Zdroj: | Child Abuse Negl |
| ISSN: | 1873-7757 |
| Popis: | Background Childhood sexual abuse is a common cause of morbidity and mortality. All victims should receive a timely comprehensive medical exam. Currently there is a critical shortage of child abuse pediatricians who can complete the comprehensive child sexual abuse examination. Telemedicine has emerged as an innovative way to provide subspecialty care to this population. Despite the growing popularity of telemedicine, no literature exists describing patient and caregiver perceptions of telemedicine for this sensitive exam. Objective To explore caregiver and adolescent perspectives of the use of telemedicine for the child sexual abuse examination and discover factors that drive satisfaction with the technology. Participants and Setting Caregivers and adolescents who presented for a child sexual abuse medical evaluation at our county’s child advocacy center. Methods We completed semi structured interviews of 17 caregivers and 10 adolescents. Guided by the Technology Acceptance Model interviews assessed perceptions about: general feelings with the exam, prior use of technology, feelings about telemedicine, and role of the medical team. Interviews were audio-recorded, transcribed, coded and analyzed using content analysis with constant comparative coding. Recruitment ended when thematic saturation was reached. Results There was an overwhelming positive response to telemedicine. Participants reported having a good experience with telemedicine regardless of severity of sexual abuse or prior experience with technology. Behaviors that helped patients and caregivers feel comfortable included a clear explanation from the medical team and professionalism demonstrated by those using the telemedicine system. Conclusion Telemedicine was widely accepted by adolescents and caregivers when used for the child sexual abuse examination. |
| Databáze: | OpenAIRE |
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