Denis Agniel, Jonathan Cantor, Olivia K Golan, Hao Yu, Barbara Andraka-Christou, Kosali I Simon, Bradley D Stein, Erin A Taylor
BACKGROUND: The COVID-19 pandemic led several states to adopt policies permitting the delivery of substance use disorder treatment (SUDT) by telehealth. We assess the impact of state-level telehealth policies in 2020 that specifically permitted audio or audiovisual forms of telehealth offerings among SUDT facilities. PROCEDURE: Cross-sectional analysis of secondary data from between 2019 and 2022. Pre-pandemic, federal law permitted states to allow audiovisual telehealth modes for SUDT to a limited extent...
September 7, 2023: Drug and Alcohol Dependence
Sarah Schaffer, Abigail Strang, Ambika Shenoy, Dawn Selhorst, Aaron Chidekel
BACKGROUND: Lung function in individuals with cystic fibrosis (CF) is closely monitored as an objective marker of clinical status. The COVID-19 pandemic shifted our ability to assess individuals from in-person to remote monitoring using telehealth. As part of efforts to monitor individuals remotely during this time, this study describes the process of education and implementation of home spirometry in an adolescent CF population at Nemours Children's Hospital in Wilmington, Delaware, USA...
June 30, 2023: Respiratory medicine and research
Yahya Shaikh, Michael Christopher Gibbons
Since the start of the COVID-19 pandemic, there has been a rapid transition to telehealth across the United States, primarily involving virtual clinic visits. Additionally, the proliferation of consumer technologies related to health reveals that for many people health and care in the contemporary world extends beyond the boundaries of a clinical interaction and includes sensors and devices that facilitate health in personal environments. The ideal connected environment is networked and intelligent, personalized to promote health and prevent disease...
September 21, 2023: Journal of Medical Internet Research
Salama S Freed, Kelley A Jones, Rebecca G Whitaker, Katherine Norman, Marissa Carvalho, Abhigya Giri, Ashley Lake, Yolande Pokam Tchuisseu, Samantha Repka, Karina Vasudeva, Nadia Bey, Janet Prvu Bettger
BACKGROUND: The shift from in-person to virtual visits, known as telehealth (TH), during the COVID-19 pandemic was a significant change for North Carolina (NC) Medicaid beneficiaries seeking treatment for musculoskeletal (MSK) conditions, as remote care for these conditions was previously unavailable. We used this policy change to investigate factors associated with TH uptake and whether TH availability mitigated disparities in access to care or affected emergency department (ED) visits among these beneficiaries...
September 19, 2023: Medical Care
Jeffrey A Cigrang, Timea B Tozser
The authors express themselves through a poem about their experiences with telehealth co-therapy. They explain their patient's resiliency, body language, and behavior. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
September 2023: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Penelope A Hasking, Kealagh Robinson, Peter McEvoy, Glenn Melvin, Ronny Bruffaerts, Mark E Boyes, Randy P Auerbach, Delia Hendrie, Matthew K Nock, David A Preece, Clare Rees, Ronald C Kessler
BACKGROUND: Suicidal behaviors are prevalent among college students; however, students remain reluctant to seek support. We developed a predictive algorithm to identify students at risk of suicidal behavior and used telehealth to reduce subsequent risk. METHODS: Data come from s everal waves of a prospective cohort study (2016-2022) of college students ( n = 5454). All first-year students were invited to participate as volunteers. (Response rates range: 16.00-19...
September 21, 2023: Psychological Medicine
Daniel P Hatfield, Aviva Must, Winston Kennedy, Amanda E Staiano, James Slavet, Rachael A Sabelli, Carol Curtin, Linda G Bandini, Phillip Nauta, Christopher Stuetzle, April B Bowling
BACKGROUND: Health disparities faced by autistic youth are exacerbated by inadequate physical activity (PA) and sleep, whereas healthy PA and sleep may improve mood and function. Adaptive Game Squad (AGS) is an evidence-based telehealth coaching and exergaming intervention to improve PA and sleep for adolescents with diverse neurodevelopmental and psychiatric conditions. This study aimed to adapt AGS for autistic youth ages 10-15 years; beta-test the modified intervention for feasibility, accessibility, and engagement; and further refine the intervention for a larger planned demonstration pilot...
2023: Frontiers in Pediatrics
Mollie A Monnig, Samantha E Clark, Hayley Treloar Padovano, Alexander W Sokolovsky, Kimberly Goodyear, Jasjit S Ahluwalia, Peter M Monti
BACKGROUND AND AIMS: Medications for opioid use disorder (MOUD) are highly effective in improving treatment outcomes and reducing overdose. Concerns about interrupted access to critical MOUD services led to expansion of telemedicine services during the COVID-19 pandemic in the US. The current study tested the hypothesis that telemedicine usage and healthcare coverage would be significantly associated with access to MOUD in the early phase of the COVID-19 pandemic. DESIGN: A cross-sectional online survey was administered to a non-probability sample from June 18-July 19, 2020 using the Amazon Mechanical Turk platform...
December 2023: Addictive Behaviors Reports
Karen M Goldstein, Dhara B Patel, Katherine A Van Loon, Abigail Shapiro, Sharron Rushton, Allison A Lewinski, Tiera J Lanford, Sarah Cantrell, Leah L Zullig, Sarah M Wilson, Megan Shepherd-Banigan, Susan Alton Dailey, Catherine Sims, Cheryl Robinson, Neetu Chawla, Hayden B Bosworth, Alison Hamilton, Jennifer Naylor, Jennifer M Gierisch
INTRODUCTION: Women experience numerous barriers to patient-centered health care (e.g., lack of continuity). Such barriers are amplified for women from marginalized communities. Virtual care may improve equitable access. We are conducting a partner-engaged, qualitative evidence synthesis (QES) of patients' and providers' experiences with virtual health care delivery for women. METHODS: We use a best-fit framework approach informed by the Non-adoption, Abandonment, Scale-up, Spread, and Sustainability framework and Public Health Critical Race Praxis...
2023: Health Equity
Melissa Savaglio, Renee O'Donnell, Helen Skouteris
BACKGROUND: The COVID-19 pandemic had a significant impact on community mental health globally and widened pre-existing health and social inequities. Tasmania, Australia has one of the highest rates of mental ill health and socioeconomic disadvantage in the country. Whilst Tasmania experienced a delayed and reduced physical presence of COVID-19 compared to other states and territories, mental health impacts remain. It is necessary to understand such impacts to inform policy, practice, and recommendations to enhance the mental health service sector and prevent future mental health burden...
September 21, 2023: Australian Journal of Primary Health
Arun Maharaj, John L Jefferies, Daniel A Mulrooney, Gregory T Armstrong, Tara M Brinkman, Sean T O'Neil, Sarah Terrell, Robyn E Partin, Deo Kumar Srivastava, Melissa M Hudson, Zhaoming Wang, Kirsten K Ness
BACKGROUND: Exercise intolerance among childhood cancer survivors substantially increases risk for early mortality, reduced cognitive function, poor quality of life, emotional distress, and sub-optimal participation in social roles. Fortunately, exercise intolerance is modifiable, even among individuals with impaired cardiopulmonary and neuromuscular health. This study aims to evaluate the impact of tailored exercise intervention remotely supervised by fitness professionals in survivors with exercise intolerance...
September 18, 2023: Contemporary Clinical Trials
Kate Wolitzky-Taylor, Larissa J Mooney, Michael Otto, Allison Metts, E Marie Parsons, Maria Hanano, Reuben Ram
The risks of concomitant benzodiazepine (BZ) and opioid use are significant. Despite the urgent need to reduce BZ use among patients taking opioids, no treatment intervention research to our knowledge has addressed treatment for this concurrent, high-risk use. The current study will evaluate the efficacy of augmenting BZ taper procedures with CBT for anxiety disorders that has been adapted specifically for patients with concomitant BZ and opioid use (either use as prescribed or misuse), a high-risk patient population...
September 18, 2023: Contemporary Clinical Trials
Scott Russell, Simon Whitehart, Jane Mason, Peter Window
AIM: To determine whether the method of telehealth delivery (audioconferencing or videoconferencing) affects the physiotherapy management of adults with inherited bleeding disorders. METHODS: A cross-sectional observational study was utilised involving 40 physiotherapy consultations (23 initial consultations and 17 follow-up consultations) of adults (>18) with a diagnosed bleeding disorder. Each consultation involved an initial audioconferencing component followed immediately by a separate videoconferencing component...
September 20, 2023: Haemophilia: the Official Journal of the World Federation of Hemophilia
Saira Haque, Sydney DeStefano, Alison Banger, Regina Rutledge, Melissa Romaire
BACKGROUND: Frontier areas are sparsely populated counties in states where 65% of the counties have 6 or fewer residents per square mile. Residents access primary care at critical access hospitals (CAHs) located in these rural communities but must travel great distances for specialty care. Telehealth could address access challenges; however, there are barriers to broader use, including reimbursement and the need for practical implementation support. The Centers for Medicare & Medicaid Services implemented the Frontier Community Health Integration Project (FCHIP) Demonstration to assess the impact of telehealth payment change and technical assistance to adopt and sustainably use telehealth for CAHs treating Medicare fee-for-service patients in frontier regions...
September 20, 2023: JMIR Formative Research
Sarah Bannon, Julie Brewer, Nina Ahmad, Talea Cornelius, Jonathan Jackson, Robert A Parker, Kristen Dams-O'Connor, Bradford C Dickerson, Christine Ritchie, Ana-Maria Vranceanu
BACKGROUND: By 2030, approximately 75 million adults will be living with Alzheimer disease and related dementias (ADRDs). ADRDs produce cognitive, emotional, and behavioral changes for persons living with dementia that undermine independence and produce considerable stressors for persons living with dementia and their spousal care-partners-together called a "dyad." Clinically elevated emotional distress (ie, depression and anxiety symptoms) is common for both dyad members after ADRD diagnosis, which can become chronic and negatively impact relationship functioning, health, quality of life, and collaborative management of progressive symptoms...
September 20, 2023: JMIR Research Protocols
Giuseppina Miele, Roberta Lanzillo, Luigi Lavorgna
No abstract text is available yet for this article.
September 20, 2023: Neurological Sciences
Joseph Adu, Matthea Roemer, Georgina Page, Elymas Dekonor, George Akanlu, Chris Fofie, Mary Dornukwor Teye, Patricia Opoku Afriyie, Adjeiwa Akosua Affram, Fidelia Ohemeng, Philip Teg-Nefaah Tabong, Duah Dwomoh
Abortion in Ghana is legally permissible under certain conditions. Updated in June 2021, the National Comprehensive Abortion Care Services Standards and Protocols included telemedicine as a recognised option for early medical abortion (EMA). Subsequently, Marie Stopes Ghana launched this pilot project to understand the feasibility and acceptability of providing EMA services through telemedicine. The pilot evaluation drew on two research protocols - a process evaluation and a qualitative study. The process evaluation focused on existing routine data sources and additional pilot-specific monitoring, while the qualitative protocol included in-depth interviews with a range of key stakeholders, including telemedicine and in-person patients, healthcare managers, and service providers...
December 2023: Sexual and reproductive health matters
Kalina Fabin-Czepiel, Karolina Pieczyńska-Chapuła, Grażyna Deja
Obesity is a worldwide problem, and the fact that it increasingly affects children and adolescents is worrying. The COVID-19 pandemic and the restrictions introduced affected the physical activity of children and adolescents, and changed their lifestyle and the amount of time spent in front of screens, which are significant factors correlated with weight gain. Due to the scale of the problem of obesity and overweight, much attention is currently paid to seeking effective forms of therapy in these different, difficult circumstances...
2023: Pediatric Endocrinology, Diabetes, and Metabolism
Alicia Callisto, Dylan Hansen, Jenny Walker, Gene Siew Ngian, Diane Apostolopoulos, David Liew, Vibhasha Chand, Catherine L Hill, Kim Griggs, Alicia Calderone, Mandana Nikpour, Joanne Sahhar, Wendy Stevens, Susanna Proudman
OBJECTIVE: Regular clinical assessment for complications of systemic sclerosis (SSc) such as pulmonary arterial hypertension (PAH), is essential for early institution of therapy and improved outcomes. The objective of this study was to determine the impact of COVID-19 pandemic-related restrictions on healthcare access of SSc patients, including screening for PAH. METHODS: South Australian and Victorian patients enrolled in the Australian Scleroderma Cohort Study were surveyed about their perceptions of the impact of the pandemic on mental well-being, access to medications, investigations and management of SSc...
September 20, 2023: Arthritis Care & Research
Yixue Shao, Lizheng Shi, Elizabeth Nauman, Eboni Price-Haywood, Charles Stoecker
AIM: To evaluate the impact of telehealth use during the COVID-19 pandemic on glycaemic control and other clinical outcomes among patients with type 2 diabetes. METHODS: We used electronic health records from the Research Action for Health Network (REACHnet) database for patients with type 2 diabetes who had telehealth visits and those who only received in-person care during the pandemic. A quasi-experimental method of difference-in-difference with propensity-score weighting was implemented to mitigate selection bias and to control for observed factors related to telehealth use...
September 19, 2023: Diabetes, Obesity & Metabolism
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