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Assessing the Impact of Home Monitoring Technology on a Multidisciplinary Feeding Program
Kathleen Carr1, Mary Poyner-Reed, Ryan Davidson
1Kathleen Carr is an advanced practice nurse III at Boston Children's Hospital, where Mary Poyner-Reed is nurse scientist director, Ryan Davidson is a pediatric psychologist and associate program director of the Growth and Nutrition Program, Anna Rouse is a clinical social worker, and Sarah Fleet is director of the Growth and Nutrition Program. This project was supported by the Boston Children's Innovation and Digital Health Accelerator, which provided no-cost TytoCare remote monitoring technology to the caregivers of the enrolled patients. Contact author: Kathleen Carr, kathleen.carr@childrens.harvard.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Insights
Remote monitoring technology for pediatric feeding disorders did not significantly change caregiver satisfaction or stress, but telehealth visits remained highly convenient. User-friendly platforms are needed for effective data sharing during virtual care.
Area of Science:
- Pediatric Healthcare
- Telehealth Technology
- Quality Improvement in Medicine
Background:
- Children with pediatric feeding disorders need regular monitoring, including physical exams and anthropometric data collection.
- A quality improvement project evaluated TytoCare remote monitoring technology for caregivers of children with feeding disorders.
- The study aimed to assess if this technology improved caregiver satisfaction and reduced stress.
Purpose of the Study:
- To determine if implementing new remote monitoring technology enhances the telehealth experience for caregivers and providers.
- To evaluate the impact of TytoCare on patient-provider interactions in pediatric feeding disorder management.
Main Methods:
- Caregivers used TytoCare devices for virtual visits with their child's medical team.
- Caregiver satisfaction and stress levels were measured using online surveys at baseline, 3, and 6 months.
- The study focused on quality improvement within a pediatric Growth and Nutrition Program.
Main Results:
- 85% of caregivers reported satisfaction with virtual appointments both before and after technology implementation, with no significant change in stress levels.
- While caregivers showed interest in the technology, challenges arose from using separate platforms for data collection and transmission.
- Caregivers found telehealth appointments more convenient than in-person visits and desired continued virtual care options.
Conclusions:
- High baseline satisfaction may explain the limited change observed after technology implementation.
- User-friendly tools are crucial for accurate clinical data collection and seamless data transmission to providers during telehealth visits.
- Future efforts should focus on optimizing the usability of remote monitoring platforms to maximize benefits for pediatric feeding disorder care.
Background:
Children with pediatric feeding disorders require frequent monitoring via physical exams and the collection and assessment of anthropometric data. This quality improvement (QI) project initiated in the Growth and Nutrition Program at Boston Children's Hospital assessed whether implementation of TytoCare remote monitoring technology improved satisfaction and reduced stress among caregivers of children with feeding disorders.
Purpose:
The purpose of this QI project was to determine whether implementation of the new remote monitoring technology improved caregivers' and providers' telehealth experience.
Methods:
Caregivers received TytoCare home monitoring technology for use in virtual visits with their child's medical team. Caregiver satisfaction and stress were assessed in an online survey given at baseline and at three and six months after implementation.
Results:
Most caregivers (85%) were satisfied with their virtual appointments both before and after implementation of the remote monitoring technology, and there was no change in caregiver stress. Although there was significant interest in using the technology, there were challenges in its utilization, such as requiring both caregivers and providers to use a separate platform to collect, transmit, and view the data. All caregivers indicated that telehealth appointments were more convenient than in-person visits and wanted to continue having virtual visits.
Conclusions:
Limited change in caregiver satisfaction and in the perceived quality of virtual visits may be related to an already high satisfaction level at baseline. It's important to provide caregivers with tools for accurate clinical data collection, though they need to be user-friendly so the data are easily transmittable to providers during telehealth visits.
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