Home⇛The PCMC Journal⇛vol. 19 no. 2 (2023)

Caregiver satisfaction with the use of telemedicine in the neurodevelopmental evaluation of children at the Philippine Children’s Medical Center

Aurora Aurea M Reyes | Anna Dominique M Margas | Kathryn B Braganza

Discipline: medicine by specialism

 

Abstract:

OBJECTIVES: This study aims to assess caregiver satisfaction with the use of telemedicine in the evaluation of children referred for neurodevelopmental evaluation at the Philippine Children’s Medical Center (PCMC) Neurodevelopmental Pediatrics Clinic. MATERIALS AND METHODS: : A survey was conducted on caregivers of pediatric patients aged 3 months to 18 years and 11 months old for neurodevelopmental evaluation. A questionnaire to determine the demographic and clinical data and Parent/Caregiver-Reported Satisfaction Form were administered via email, Facebook messenger or phone call. RESULTS: Seventy-three caregivers completed the questionnaire. Most (95.9%) were mothers, 47.9% were college graduates with one parent working and 43% have an income of 10,000-20,000. Almost half (47.9%) of the children they care for were ages 3-months to 2-year 11 -months, predominantly males, with 35.6% diagnosed with autism spectrum disorder, and 69.9% were new patients. Caregivers were very highly satisfied with telemedicine in all domains (technical functioning, comfort and perceived privacy, access to care and overall satisfaction) as it obtained a mean of 4.51 and median of 5.00. There was no significant difference in the responses based on the age of the child and type of visit. CONCLUSION: Caregivers showed very high level of satisfaction with the use of telemedicine in the neurodevelopmental evaluation of children at PCMC and holds a significant promise for its use both within the context of the pandemic and beyond. RECOMMENDATIONS: Further studies on caregivers’ satisfaction with the use of telemedicine over a sustained period and comparing telemedicine and in-person assessment are recommended.



References:

  1. COVID-19 situation reports. World Health Organization Western Pacific Philippines; 2021 [updated 2022 September 22; cited 2021 August 24] Available from: https://www.who.int/philippines/emergencies/covid-19-response-in-the-philippines/situation-reports
  2. Monaghesh, E., Hajizadeh, A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health 20, 1193 [Internet]. 2020 August 01  [cited 2021 Aug 14] Available from https://doi.org/10.1186/s12889-020-09301-4
  3. Fleischhacker, C. Patient Satisfaction with Telehealth Services Compared to an In-office Visits: A Systemic Literature Review. Cornerstone: A Collection of Scholarly Creative Works for Minnesota State University, Mankato [Internet]. 2020  [cited 2021 Aug 14] Available from: http://cornerstone.lib.mnsu.edu/etds/982/
  4. Chandler, A, Beavers, J, Hall R, et al. Telemedicine in Pediatrics: Possibilities and Pitfalls. Pediatrics in Review An Official Journal of the American Academy of Pediatrics. [Internet]. 2020  [cited 2021 Aug 16] Available from: https://pubmed.ncbi.nlm.nih.gov/32611805/
  5. George SM, Hamilton A, Baker R. Pre-experience perceptions about telemedicine among African Americans and Latinos in South Central Los Angeles. Telemed J E Health [Internet]. 2009 [cited 2021 Aug 14] Available from https://pubmed.ncbi.nlm.nih.gov/19566397/
  6. Kruse CS, Krowski N, Rodriguez B, et al.Telehealth and patient satisfaction:
    a systematic review and narrative analysis. BMJ Open [Internet]. 2017 [cited 2021 September 14] Available from doi:10.1136/ bmjopen-2017-016242 
  7. Vidal-Alaball, J., Mateo, G., Domingo, J, et al. Validation of a Short Questionnaire to Assess Healthcare Professionals’ Perceptions of Asynchronous Telemedicine Services: The Catalan Version of the Health Optimum Telemedicine Acceptance Questionnaire. International of Environmental Research and Public Health. [Internet] 2020 March 25 [cited 2021 September 14] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178015/
  8. Langkamp, D, McManus, M, Blakemore, S. Telemedicine for children with developmental disabilities: A more effective clinical process than office-based care. Telemedicine journal and e-health: the official journal of the American Telemedicine Association. [Internet] 2015 [cited 2020 Aug]. Available from: https://pubmed.ncbi.nlm.nih.gov/25545598/
  9. Machalicek W, O’Reilly, M, Chan, J, et al. Using videoconferencing to conduct functional analysis of challenging behavior and develop classroom behavioral support plans for students with autism. Educ Training Dev Disabil [Internet].  2009 [cited 2020 Aug 22]. Available from https://www.jstor.org/stable/24233495
  10. Xesfingi, S., Vozikis, A. Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BMC Health Serv Res 16. [Internet].  2016 [cited 2020 Aug 22]. Available from: https://doi.org/10.1186/s12913-016-13274
  11. World Health Organization. Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth. Geneva: WHO Press, 2010. [cited May 21, 2020]. Available from: https://apps.who.int/iris/handle/10665/44497
  12. Morgan, D, Kosteniuk, J., Stewart, N et al. The Telehealth Satisfaction Scale: Reliability, Validity, and Satisfaction with Telehealth in a Rural Memory Clinic Population. Telemed J E Health. [Internet]. 2014 October 1 [cited 2020 Aug 22]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457516/
  13. Finnegan R, Flynn A, Flanagan O. Exploring parental experiences of virtual paediatric neurodevelopmental consultations. Ir J Med Sci. [Internet]. 2022 April [cited 2022 Aug 22]. Available from: doi: 10.1007/s11845-021-02583-6. Epub 2021 Mar 23. PMID: 33755915; PMCID: PMC7985583.
  14. Vahdat S, Hamzehgardeshi L, Hessam S, Hamzehgardeshi Z. Patient involvement in health care decision making: a review. Iran Red Crescent Med J. 2014 Jan;16(1):e12454. doi: 10.5812/ircmj.12454. Epub 2014 Jan 5. PMID: 24719703; PMCID: PMC3964421.
  15. Fayers P, Machin D. Quality of Life, the Assessment, Analysis and Interpretation of Patient-Reported Outcomes. 2nd Edition, Wiley, Chichester. Chapter 3: Pre-testing the Questionnaire. [Internet]. 2020 [cited 2022 Aug 22]. Available from https://www.wiley.com/en-us/Quality+of+Life:+The+Assessment,+Analysis+and+Reporting+of+Patient+reported+Outcomes,+3rd+Edition-p-9781444337952
  16. Andrews, E, Berghofer, K, Long, J, Prescott, A, Caboral-Stevens, M. Satisfaction with the use of telehealth during COVID-19: An integrative review. International Journal of Nursing Studies Advances Volume 2 [Internet]. 2020 October 16 [cited 2022 Aug 22]. Available from https://doi.org/10.1016/j.ijnsa.2020.100008
  17. Vargas, A, Bautista, M, Reyes, A. Feasibility and Acceptability of telemedicine among caregivers of children for assessment at the Philippine Children’s Medical Center Neurodevelopmental Pediatrics Clinic. Philippine Children’s Medical Center
  18. Pasco, Paul. (2016) Physician User Perspectives in the Practice of Telemedicine in the Philippines. Journal of the International Society for Telemedicine and E-Health [Internet]. 2016 December 16 [cited 2020 August 28] Available from: https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/172/pdf
  19. Hilgart J, Hayward, J, Coles, B et al. Telegenetics: a systemic review of telemedicine in genetics services. Genet Med [Internet]. 2012 September 14 [cited 2020 August 28] Available from: https://pubmed.ncbi.nlm.nih.gov/22498847/
  20. Orlando J, Beard M, Kumar S. Systematic review of patient and caregivers' satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients' health. PLoS One. [Internet]. 2019 Aug 30 [cited 2020 August 28] Available from http: 10.1371/journal.pone.0221848. PMID: 31469865; PMCID: PMC6716655.
  21. Myers K., Valentine K., Melzer, S. Children and Adolescent Telepsychiatry: Utilization and Satisfaction. Child and Adolescent Telepsychiatry. Telehealth J E Health [Internet]. 2008 March 14 [cited 2020 August 28] Available from https://pubmed.ncbi.nlm.nih.gov/18361702/
  22. Myers K., Valentine K., Melzer, S. Feasibility, Acceptability, and Sustainability of telepsychiatry for children and adolescents: Psychiatry Services [Internet]. 2007 November 1 [cited 2020 August 28] Available from: https://ps.psychiatryonline.org/doi/10.1176/ps.2007.58.11.1493
  23. Reisinger, D.L., Hines, E., Raches, C. et al. Provider and Caregiver Satisfaction with Telehealth Evaluation of Autism Spectrum Disorder in Young Children During the COVID-19 Pandemic. J Autism Dev Disorder [Internet]. 2022 [cited 2022 July 14] Available from: https://doi.org/10.1007/s10803-02-05576-1.
  24. Masi A, Mendoza Diaz A, Tully L. et al: Impact of the COVID-19 pandemic on the well-being of children with neurodevelopmental disabilities and their parents J Paediatr Child Health (Australia); c2021 [updated 2021 May; cited 2022 June 13]. Available from https://pubmed.ncbi.nlm.nih.gov/33426739

Tools


Copyright © 2024  KITE Digital Educational Solutions |  Exclusively distributed by CE-Logic