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...

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Bibliographic Details
Published in:Children (Basel) 2021-08, Vol.8 (9), p.764
Main Authors: Richardson, Patricia A., Parker, Delana M., Chavez, Krystal, Birnie, Kathryn A., Krane, Elliot J., Simons, Laura E., Cunningham, Natoshia R., Bhandari, Rashmi P.
Format: Article
Language:English
Subjects:
Choirs
Chronic pain
Collaboration
Coronaviruses
Cost control
COVID-19
Data collection
Electronic health records
Feedback
implementation science
Medical research
Pain
Pandemics
Patients
pediatric pain
Pediatrics
Review
specialty care
Stakeholders
telehealth
Telemedicine
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Summary: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.
ISSN:2227-9067
2227-9067
DOI:10.3390/children8090764