Developing the system architecture for conducting synchronous paediatric feeding assessments via telepractice

Area of Science:

• Biomedical Engineering
• Clinical Medicine
• Human-Computer Interaction

Background:

• Telepractice systems for adult dysphagia assessment are established, but pediatric feeding assessments present unique challenges.
• Existing telepractice solutions require adaptation for the specific needs of pediatric feeding evaluations.
• Developing a specialized telepractice system is crucial for effective remote pediatric care.

Purpose of the Study:

• To design and develop a system architecture for conducting pediatric feeding assessments via telepractice in patient homes.
• To address the key differences between adult and pediatric swallowing assessments in a telepractice setting.
• To create a user-acceptable and effective telepractice solution for pediatric feeding evaluations.

Main Methods:

• A four-phase, human-centered iterative design approach was employed.
• Involved telepractice researchers, pediatric feeding clinicians, clinical simulations, and live trials with children.
• Incorporated continuous user feedback from clinicians and parents throughout the development process.

Main Results:

• A hybrid approach using synchronous and asynchronous methods facilitated all assessment components.
• Optimal technology (phones, tablets) and camera positions were identified through clinician and parent feedback.
• End-user feedback led to incorporating asynchronous data collection for improved time efficiency and positive reception of the final design.

Conclusions:

• Modifications to standard videoconferencing are essential for a clinically viable pediatric feeding telepractice assessment.
• End-user feedback was critical in refining the system architecture for successful home-based telepractice.
• The developed telepractice system is a promising solution for remote pediatric feeding assessments.