A systematic review of the use of telehealth to facilitate a diagnosis for children with developmental concerns.
A systematic review of the use of telehealth to facilitate a diagnosis for children with developmental concerns.
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DOI：
10.1016/j.ridd.2022.104269
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发表时间：
2022-08
影响因子：
3.1
通讯作者：
Tager-Flusberg, Helen
中科院分区：
文献类型：
--
作者：
La Valle, Chelsea;Johnston, Emily;Tager-Flusberg, Helen
远程保健可以缩小发展关切与诊断之间的差距。提供者需要对远程保健方法进行评价，以便就使用远程诊断评估作出决定。本系统性综述研究了远程保健在促进对有发育问题的儿童进行诊断方面的作用，并评估了1）研究特征和诊断评价类型; 2）远程保健技术与面对面诊断方法的比较; 3）远程保健技术的可行性和可接受性;以及4）方法质量。使用“远程医疗”和“发育问题”和“诊断”检索PsycINFO、CINAHL、Web of Science、PubMed、Embase和科克伦2000年1月至2021年7月发表的同行评审研究。数据提取包括研究特征、诊断评估、技术、诊断准确性、可行性和可接受性。使用NHLBI工具评估方法学质量。9项研究符合入选标准。患有疑似FAS、社交情绪问题、疑似遗传疾病和听力筛查失败的儿童接受了远程诊断。评估包括畸形、进食、神经、发育、听力和精神。七项研究使用实时视频会议，两项使用存储转发方法。高诊断协议之间发生面对面和远程方法。利益攸关方报告说，满意度和可行性很高。许多研究被评为中等质量。调查结果强调了当地供应商和远程专家之间的伙伴关系模式。严格的研究设计，更大的样本覆盖更广泛的发展领域，需要提供一个更强大的经验基础的供应商。
Telehealth can reduce the gap between developmental concern and diagnosis. Evaluation of telehealth methods is needed for providers to make decisions about using tele-diagnostic assessments. This systematic review examined telehealth in facilitating a diagnosis for children with developmental concerns and assessed 1) study characteristics and type of diagnostic evaluation; 2) comparison of telehealth technologies to in-person diagnostic methods; 3) feasibility and acceptability of telehealth technologies; and 4) methodological quality. Peer-reviewed studies from PsycINFO, CINAHL, Web of Science, PubMed, Embase, and Cochrane published January 2000-July 2021 were searched using “telehealth” AND “developmental concern” AND “diagnosis”. Data extraction included study characteristics, diagnostic evaluation, technology, diagnostic accuracy, feasibility, and acceptability. Methodological quality was assessed using NHLBI tools. Nine studies met inclusion. Children with suspected FAS, social-emotional concerns, suspected genetic conditions, and failed hearing screenings received a telediagnosis. Evaluations included dysmorphology, feeding, neurological, developmental, audiological, and psychiatric. Seven studies used videoconferencing in real-time and two used Store-and-Forward methods. High diagnostic agreement occurred between face-to-face and remote methods. Stakeholders reported high satisfaction and feasibility. Many of the studies were rated as fair quality. Findings underscore partnership models between local providers and remote specialists. Rigorous study designs with larger samples covering a wider range of developmental domains are needed to provide a stronger empirical base for providers.
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影响因子：
5.2
作者：
Douzgou, S.;Clayton-Smith, J.;Strong, K.
通讯作者：
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