Telemedicine and Pediatric Obesity Treatment: Review of the literature and lessons learned.
Telemedicine and Pediatric Obesity Treatment: Review of the literature and lessons learned.
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DOI：
10.1111/j.1758-8111.2012.00050.x
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发表时间：
2012
期刊：
影响因子：
3.3
通讯作者：
Skelton JA
中科院分区：
文献类型：
--
作者：
Cohen GM;Irby MB;Boles K;Jordan C;Skelton JA
儿童肥胖在农村地区更为普遍，但农村家庭可能无法获得儿童肥胖治疗方案。使用新技术，特别是远程医疗，在精神病学等其他行为领域已被证明是有效的。本文综述了远程医疗在儿童肥胖治疗中的应用，并介绍了一个三级保健儿童肥胖远程医疗项目。我们采用以下标准对1990-2011年的文献进行了系统回顾：儿童年龄组、超重或肥胖护理或治疗以及远程医疗技术的使用。在2873篇摘要中，有4篇研究符合所有纳入标准；都是在2008年之后发表的。有限的证据表明，远程医疗是一种很有前途的儿科体重管理方法，特别是对于获得治疗机会有限的农村家庭。我们还提供了一家通过远程医疗为农村家庭提供服务的儿童肥胖治疗诊所的重要经验教训。很少有研究检查远程医疗在儿童肥胖治疗中的使用，但现有数据支持这种方法治疗农村患者。有几个独特的关键因素影响儿童肥胖远程医疗治疗计划的成功交付。本综述确定了扩大治疗的潜在途径，并强调了进一步研究的必要性。
Pediatric obesity is more prevalent in rural areas, yet rural families may not have access to pediatric obesity treatment programs. Use of new technologies, particularly telemedicine, has proven effective in other behavioral fields, such as psychiatry. This paper reviews the literature on the use of telemedicine in pediatric obesity treatment, and describes one tertiary-care pediatric obesity telemedicine program. We performed a systematic review of the literature from 1990–2011 using the following criteria: pediatric age group, overweight or obesity care or treatment, and use of telemedicine technology. Of 2873 abstracts identified, four studies met all inclusion criteria; all were published after 2008. The limited evidence suggests that telemedicine to be a promising approach to pediatric weight management, particularly for rural families with limited access to treatments. We also provide important lessons learned from one pediatric obesity treatment clinic offering services to rural families via telemedicine. Few studies have examined the use of telemedicine for pediatric obesity treatment, but the available data favor this method for treating rural patients. There are several unique key factors influencing successful delivery of a pediatric obesity telemedicine treatment program. This review identifies a potential avenue for expanded treatment, and highlights the need for further investigation.
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DOI：
10.1089/153056203772744725
发表时间：
2003-12-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Nelson, EL;Citarelli, M;Shaw, P
通讯作者：
Shaw, P
DOI：
10.1016/j.chc.2010.09.003
发表时间：
2011-01-01
影响因子：
2.4
作者：
Van Allen, Jason;Davis, Ann McGrath;Lassen, Stephen
通讯作者：
Lassen, Stephen
影响因子：
3.4
作者：
Davis, Ann McGrath;James, Rochelle L.;Malone, Brett
通讯作者：
Malone, Brett
影响因子：
2.3
作者：
Merwin, Elizabeth;Snyder, Audrey;Katz, Elizabeth
通讯作者：
Katz, Elizabeth
影响因子：
4.9
作者：
Must, A;Strauss, RS
通讯作者：
Strauss, RS