Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond

Abstract. The COVID-19 pandemic has acutely challenged health systems and catalyzed the need for widescale virtual care and digital solutions across all areas of health, including pediatric chronic pain. The objective of this rapid systematic review was to identify recommendations, guidelines, and/o...

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Main Authors: Kathryn A. Birnie, Tieghan Killackey, Jennifer Stinson, Melanie Noel, Diane L. Lorenzetti, Justina Marianayagam, Isabel Jordan, Evie Jordan, Alexandra Neville, Maria Pavlova, Fiona Campbell, Chitra Lalloo
Format: Article
Language:English
Published: Wolters Kluwer 2021-07-01
Series:PAIN Reports
Online Access:http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000935
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author Kathryn A. Birnie
Tieghan Killackey
Jennifer Stinson
Melanie Noel
Diane L. Lorenzetti
Justina Marianayagam
Isabel Jordan
Evie Jordan
Alexandra Neville
Maria Pavlova
Fiona Campbell
Chitra Lalloo
author_facet Kathryn A. Birnie
Tieghan Killackey
Jennifer Stinson
Melanie Noel
Diane L. Lorenzetti
Justina Marianayagam
Isabel Jordan
Evie Jordan
Alexandra Neville
Maria Pavlova
Fiona Campbell
Chitra Lalloo
author_sort Kathryn A. Birnie
collection DOAJ
description Abstract. The COVID-19 pandemic has acutely challenged health systems and catalyzed the need for widescale virtual care and digital solutions across all areas of health, including pediatric chronic pain. The objective of this rapid systematic review was to identify recommendations, guidelines, and/or best practices for using virtual care to support youth with chronic pain and their families (CRD42020184498). MEDLINE, CINAHL, Embase, APA PsychINFO, and Web of Science were searched the week of May 25, 2020, for English language peer-reviewed articles published since 2010 that (1) discussed children and adolescents aged <18 years reporting any type of chronic pain (ie, pain lasting >3 months); (2) focused on any type of virtual care (eg, telephone, telehealth, telemedicine, mHealth, eHealth, online, or digital); and (3) reported on guidelines, best practices, considerations, or recommendations for virtual care. Abstract and full text screening and data extraction were performed in duplicate. Meta-ethnography was used to synthesize concepts across articles. Of 4161 unique records screened, 16 were included addressing diverse virtual care and pediatric chronic pain conditions. Four key themes were identified: (1) opportunities to better leverage virtual care, (2) direct effective implementation of virtual care, (3) selection of virtual care platforms, and (4) gaps in need of further consideration when using virtual care to support youth with chronic pain and their families. No existing guidelines for virtual care for pediatric chronic pain were identified; however, best practices for virtual care were identified and should be used by health professionals, decision makers, and policymakers in implementing virtual care.
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spelling doaj.art-0f6dbc06a74c43a8a3bf0b61e90ca31f2022-12-21T22:05:05ZengWolters KluwerPAIN Reports2471-25312021-07-0162e93510.1097/PR9.0000000000000935202107000-00003Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyondKathryn A. Birnie0Tieghan Killackey1Jennifer Stinson2Melanie Noel3Diane L. Lorenzetti4Justina Marianayagam5Isabel JordanEvie JordanAlexandra Neville6Maria Pavlova7Fiona Campbell8Chitra Lalloo9a Department of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, AB, Canadac Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canadac Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canadae Department of Anesthesia & Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canadaf Department of Psychology, University of Calgary, Calgary, AB, Canadag Health Sciences Library & Department of Community Health Sciences, University of Calgary, Calgary, AB Canadae Department of Anesthesia & Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canadae Department of Anesthesia & Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canadah Northern Ontario School of Medicine, Thunder Bay, ON, Canadac Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, CanadaAbstract. The COVID-19 pandemic has acutely challenged health systems and catalyzed the need for widescale virtual care and digital solutions across all areas of health, including pediatric chronic pain. The objective of this rapid systematic review was to identify recommendations, guidelines, and/or best practices for using virtual care to support youth with chronic pain and their families (CRD42020184498). MEDLINE, CINAHL, Embase, APA PsychINFO, and Web of Science were searched the week of May 25, 2020, for English language peer-reviewed articles published since 2010 that (1) discussed children and adolescents aged <18 years reporting any type of chronic pain (ie, pain lasting >3 months); (2) focused on any type of virtual care (eg, telephone, telehealth, telemedicine, mHealth, eHealth, online, or digital); and (3) reported on guidelines, best practices, considerations, or recommendations for virtual care. Abstract and full text screening and data extraction were performed in duplicate. Meta-ethnography was used to synthesize concepts across articles. Of 4161 unique records screened, 16 were included addressing diverse virtual care and pediatric chronic pain conditions. Four key themes were identified: (1) opportunities to better leverage virtual care, (2) direct effective implementation of virtual care, (3) selection of virtual care platforms, and (4) gaps in need of further consideration when using virtual care to support youth with chronic pain and their families. No existing guidelines for virtual care for pediatric chronic pain were identified; however, best practices for virtual care were identified and should be used by health professionals, decision makers, and policymakers in implementing virtual care.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000935
spellingShingle Kathryn A. Birnie
Tieghan Killackey
Jennifer Stinson
Melanie Noel
Diane L. Lorenzetti
Justina Marianayagam
Isabel Jordan
Evie Jordan
Alexandra Neville
Maria Pavlova
Fiona Campbell
Chitra Lalloo
Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond
PAIN Reports
title Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond
title_full Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond
title_fullStr Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond
title_full_unstemmed Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond
title_short Best practices for virtual care to support youth with chronic pain and their families: a rapid systematic review to inform health care and policy during COVID-19 and beyond
title_sort best practices for virtual care to support youth with chronic pain and their families a rapid systematic review to inform health care and policy during covid 19 and beyond
url http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000935
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