Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19
Telehealth has emerged as a promising healthcare delivery modality due to its ability to ameliorate traditional access-level barriers to treatment. In response to the onset of the novel coronavirus (COVID-19) pandemic, multidisciplinary pain clinics either rapidly built telehealth infrastructure fro...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/9/764 |
| _version_ | 1797519822789017600 |
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| author | Patricia A. Richardson Delana M. Parker Krystal Chavez Kathryn A. Birnie Elliot J. Krane Laura E. Simons Natoshia R. Cunningham Rashmi P. Bhandari |
| author_facet | Patricia A. Richardson Delana M. Parker Krystal Chavez Kathryn A. Birnie Elliot J. Krane Laura E. Simons Natoshia R. Cunningham Rashmi P. Bhandari |
| author_sort | Patricia A. Richardson |
| collection | DOAJ |
| description | Telehealth has emerged as a promising healthcare delivery modality due to its ability to ameliorate traditional access-level barriers to treatment. In response to the onset of the novel coronavirus (COVID-19) pandemic, multidisciplinary pain clinics either rapidly built telehealth infrastructure from the ground up or ramped up existing services. As the use of telehealth increases, it is critical to develop data collection frameworks that guide implementation. This applied review provides a theoretically-based approach to capitalize on existing data sources and collect novel data to inform virtually delivered care in the context of pediatric pain care. Reviewed multisource data are (1) healthcare administrative data; (2) electronic chart review; (3) clinical health registries; and (4) stakeholder feedback. Preliminary telehealth data from an interdisciplinary pediatric chronic pain management clinic (PPMC) serving youth ages 8–17 years are presented to illustrate how relevant implementation outcomes can be extracted from multisource data. Multiple implementation outcomes were assessed, including telehealth adoption rates, patient clinical symptoms, and mixed-method patient-report telehealth satisfaction. This manuscript provides an applied roadmap to leverage existing data sources and incorporate stakeholder feedback to guide the implementation of telehealth in pediatric chronic pain settings through and beyond COVID-19. Strengths and limitations of the modeled data collection approach are discussed within the broader context of implementation science. |
| first_indexed | 2024-03-10T07:48:14Z |
| format | Article |
| id | doaj.art-4938aff2adac4d9a9a3f124c8fbbd928 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T07:48:14Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-4938aff2adac4d9a9a3f124c8fbbd9282023-11-22T12:29:40ZengMDPI AGChildren2227-90672021-08-018976410.3390/children8090764Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19Patricia A. Richardson0Delana M. Parker1Krystal Chavez2Kathryn A. Birnie3Elliot J. Krane4Laura E. Simons5Natoshia R. Cunningham6Rashmi P. Bhandari7Departments of Pediatric Psychology and Pediatric Pain and Palliative Medicine, Helen DeVos Children’s Hospital, Grand Rapids, MI 49503, USADepartment of Psychiatry, Dell Medical School and Dell Children’s Medical Center, University of Texas at Austin, Austin, TX 78712, USADepartment of Digital Health, Stanford Children’s Health, Palo Alto, CA 94304, USADepartment of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine and Stanford Children’s Health, Stanford, CA 94305, USADepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine and Stanford Children’s Health, Stanford, CA 94305, USADepartment of Family Medicine, Michigan State University College of Human Medicine, East Lansing, MI 48824, USADepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine and Stanford Children’s Health, Stanford, CA 94305, USATelehealth has emerged as a promising healthcare delivery modality due to its ability to ameliorate traditional access-level barriers to treatment. In response to the onset of the novel coronavirus (COVID-19) pandemic, multidisciplinary pain clinics either rapidly built telehealth infrastructure from the ground up or ramped up existing services. As the use of telehealth increases, it is critical to develop data collection frameworks that guide implementation. This applied review provides a theoretically-based approach to capitalize on existing data sources and collect novel data to inform virtually delivered care in the context of pediatric pain care. Reviewed multisource data are (1) healthcare administrative data; (2) electronic chart review; (3) clinical health registries; and (4) stakeholder feedback. Preliminary telehealth data from an interdisciplinary pediatric chronic pain management clinic (PPMC) serving youth ages 8–17 years are presented to illustrate how relevant implementation outcomes can be extracted from multisource data. Multiple implementation outcomes were assessed, including telehealth adoption rates, patient clinical symptoms, and mixed-method patient-report telehealth satisfaction. This manuscript provides an applied roadmap to leverage existing data sources and incorporate stakeholder feedback to guide the implementation of telehealth in pediatric chronic pain settings through and beyond COVID-19. Strengths and limitations of the modeled data collection approach are discussed within the broader context of implementation science.https://www.mdpi.com/2227-9067/8/9/764telehealthpediatric painspecialty careimplementation scienceCOVID-19 |
| spellingShingle | Patricia A. Richardson Delana M. Parker Krystal Chavez Kathryn A. Birnie Elliot J. Krane Laura E. Simons Natoshia R. Cunningham Rashmi P. Bhandari Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19 Children telehealth pediatric pain specialty care implementation science COVID-19 |
| title | Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19 |
| title_full | Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19 |
| title_fullStr | Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19 |
| title_full_unstemmed | Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19 |
| title_short | Evaluating Telehealth Implementation in the Context of Pediatric Chronic Pain Treatment during COVID-19 |
| title_sort | evaluating telehealth implementation in the context of pediatric chronic pain treatment during covid 19 |
| topic | telehealth pediatric pain specialty care implementation science COVID-19 |
| url | https://www.mdpi.com/2227-9067/8/9/764 |
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