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The Management of Pediatric Asthma Using Telehealth: An Integrative Review

Katherine E Chike-Harris1, Sarah Miller1, Michelle Nichols1

  • 1College of Nursing, University of South Carolina, Charleston, South Carolina, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|August 25, 2023
PubMed

Insights

Telemedicine shows promise for pediatric asthma management, but stakeholder acceptance varies. More research is needed on synchronous telehealth perceptions to ensure equitable access and improve child health outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Digital Health

Background:

  • Childhood asthma is a prevalent chronic condition in the US, impacting 1 in 12 children.
  • Telemedicine interventions have demonstrated potential for improving pediatric asthma management outcomes.
  • Understanding stakeholder perspectives is crucial for successful telemedicine adoption in pediatric asthma care.

Purpose of the Study:

  • To identify facilitators and barriers to pediatric asthma management via telemedicine.
  • To synthesize stakeholder views on telemedicine use for childhood asthma.
  • To explore the impact of telemedicine on health equity in pediatric asthma.

Main Methods:

  • An integrative literature review was conducted using PubMed, Scopus, and CINAHL.
  • Articles focused on stakeholder perceptions of telemedicine for pediatric asthma management.
  • The socioecological model guided data extraction across five levels.

Main Results:

  • 25 articles were included, primarily focusing on mobile health (m-Health) applications.
  • Limited studies captured caregiver, child, or provider views on synchronous telemedicine.
  • Identified facilitators and barriers exist for telemedicine in pediatric asthma management.

Conclusions:

  • Further qualitative research is essential to understand perceptions of synchronous telehealth among caregivers, patients, and providers.
  • Telemedicine implementation may inadvertently exacerbate existing healthcare disparities.
  • Addressing identified barriers is key to optimizing telemedicine for pediatric asthma care.

Keywords:
Telehealth/Telemedicinebarriersfacilitatorspediatric asthma

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