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Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity
Insights
Post-hospitalization telemedicine video visits (TMVV) are feasible and acceptable for children with medical complexity (CMC) during home transitions. This approach supports families and may reduce hospital readmissions.
Area of Science:
- Pediatric Healthcare
- Health Services Research
- Telemedicine
Background:
- Hospital-to-home transitions for children with medical complexity (CMC) present unique challenges.
- Effective post-discharge support is crucial for managing CMC and preventing hospital readmissions.
Purpose of the Study:
- To assess the feasibility and acceptability of telemedicine video visits (TMVV) for CMC during post-hospitalization transitions.
- To explore the impact of TMVV on hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM).
Main Methods:
- A non-randomized pilot study involving 28 CMC in the TMVV group and 20 in the usual care control group.
- Feasibility measured by TMVV completion rates and connection times; acceptability assessed via parent surveys.
- Pre/post-discharge changes in CSE, FSM, and hospital utilization were compared between groups.
Main Results:
- High acceptability of TMVV reported by parents (mean 6.42 on a 1-7 scale).
- Feasibility demonstrated by a median connection time of 1 minute and completion rates of 82% for at least one visit and 54% for four visits.
- No significant differences in CSE or FSM between groups; hospital utilization decreased in both groups post-discharge.
Conclusions:
- Post-hospitalization TMVV are a feasible and acceptable intervention for CMC during home transitions.
- TMVV show promise as a supportive tool for families managing children with medical complexity.
Objectives:
To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM).
Method:
This non-randomized pilot study assigned CMC (n=28) to weekly TMVV for four weeks post-hospitalization; control CMC (n=20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed.
Results:
64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR=2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 -7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge.
Discussion:
Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.
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