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Published on: December 19, 2019
Requirements for tele-health in children with obstetric brachial plexus palsy during Covid-19-like situations
K Delioğlu1, C Ozal1, K Seyhan Bıyık1
1Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.
Insights
Families of children with obstetric brachial plexus palsy need remote services during pandemics. Tele-consultation eased parental worries, especially for those with children under three, highlighting its value in managing lockdown situations.
Area of Science:
- Pediatrics
- Rehabilitation Medicine
- Public Health
Background:
- The COVID-19 pandemic necessitated rapid adoption of remote healthcare services.
- Understanding family needs and service requirements during public health crises is crucial for pediatric care.
- Obstetric brachial plexus palsy (OBPP) requires ongoing management, potentially disrupted by lockdowns.
Purpose of the Study:
- To investigate concerns and service needs of families with OBPP patients during COVID-19 lockdown.
- To assess the impact of tele-consultation on parental coping and worries.
- To evaluate the age-specific usefulness of tele-consultation in managing lockdown challenges.
Main Methods:
- A questionnaire was emailed to parents of 67 OBPP patients (0-10 years) post-lockdown.
- Data were collected from families who received tele-consultation (n=42) and those who did not (n=25).
- Responses were analyzed across four age groups to identify variations in concerns and service utility.
Main Results:
- Parental concerns regarding OBPP varied significantly by child's age group (p=0.001).
- All families expressed a need for remote services during pandemic-like situations.
- Tele-consultation alleviated parental worries across all age groups (p=0.160), with greatest usefulness reported for families with children under three (p=0.002).
Conclusions:
- Remote services, particularly tele-consultation, are essential for families managing pediatric conditions like OBPP during lockdowns.
- Tele-consultation effectively reduces parental anxiety and supports coping mechanisms.
- Service delivery models should consider age-specific needs, prioritizing younger children (under 3) for enhanced tele-consultation support during crises.
Abstract:
The purpose of the study was to investigate families' concerns and service requirements during the Covid-19 lockdown. In case of tele-consultation, we also aimed to assess the effects of this service on coping and the family's worries. At end of lockdown, we contacted the parents of 67 obstetric brachial plexus palsy patients (0-10 years age) by e-mail. During lockdown, 42 of the families had had a tele-consultation with our team, while 25 reported that not receiving any service. A questionnaire consisting of 6 questions was sent to the families, and data were analyzed according to 4 age-groups. Parents' concerns varied according to the children's age group (p = 0.001). All families replied that their children should receive remote services during Covid-19-like situations (p = 0.173). Parents of the 42 children who had tele-consultations reported that this had alleviated their worries, independently of age-group (p = 0.160). The usefulness of tele-consultation to manage the lockdown situation differed according to age-group (p = 0.002). The parents of under-3-year-olds experienced more worry during lockdown, but all respondents reported needing remote services. Although the tele-consultation alleviated the worries of almost all families, it was most useful in managing lockdown in families with under-3-year-olds.
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