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Children
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Telehealth and Home-Centered Approaches for Children and Adolescents
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Telehealth and Home-Centered Approaches for Children and Adolescents

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Nursing".

Deadline for manuscript submissions: closed (15 January 2025) | Viewed by 3203

Special Issue Editors

Dr. Isabel Rodríguez-Costa

E-Mail Website
Guest Editor
Nurse and Physiotherapy Department, Faculty of Medicine and Health Sciences, University of Alcalá, 28807 Alcalá de Henares, Spain
Interests: physiotherapy; children; telehealth; home-centered approaches
Special Issues, Collections and Topics in MDPI journals
Dr. Vanesa Abuin

E-Mail Website
Guest Editor
Faculty of Physical Activity and Sports, European University, 28670 Villaviciosa de Odón, Spain
Interests: physiotherapy; children; telehealth; home-centered approaches
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Telehealth and home-centered approaches are transforming pediatric healthcare by enhancing care access and quality, particularly in underserved regions. The evolution of telehealth has gained significant momentum and was especially highlighted during the COVID-19 pandemic, which emphasized the need for remote healthcare solutions. Over time, telehealth and home-centered approaches have aimed to bridge the gap in healthcare disparities and improve outcomes for children and adolescents worldwide.

Telehealth and home-centered approaches have a long history of increasing healthcare accessibility for pediatric populations. The concept of telehealth dates back to the early 20th century, but it has seen remarkable growth and increased sophistication in recent decades due to advancements in technology and telecommunications. The COVID-19 pandemic accelerated its adoption, demonstrating its critical role in maintaining continuity of care when traditional in-person visits were not feasible. Telehealth and home-centered approaches encompass a range of services, including remote consultations, telemonitoring, and digital therapeutics, and have proven to be an effective tool in managing chronic conditions, providing mental health support, and delivering urgent care.

The integration of telehealth and home-centered approaches into pediatric care has shown promising results in improving access to specialists, reducing travel time and costs for families, and ensuring timely medical interventions. Telehealth has also played a crucial role in addressing the mental health needs of children and adolescents, offering a convenient and less stigmatizing option for accessing psychological support. Given the increasing prevalence of chronic diseases and mental health issues among young people, the role of telehealth and home-centered approaches in pediatric healthcare is more significant than ever.

Aim and Scope of the Special Issue: This Special Issue will explore the multifaceted applications of telehealth and home-centered approaches in pediatric care, from technological advancements to policy implications and clinical outcomes. We seek to gather comprehensive research that assesses the effectiveness, challenges, and potential of telehealth and home-centered approaches for children and adolescents.

Cutting-Edge Research: We invite contributions presenting innovative research, case studies, systematic reviews and meta-analyses. We are particularly interested in studies that highlight technological innovations, clinical effectiveness, patient and family satisfaction, and the broader impacts of telehealth and home-centered approaches on healthcare delivery systems.

What Kind of Papers We Are Soliciting: For this Special Issue, we are seeking articles that address various aspects of pediatric telehealth and home-centered approaches, including, but not limited to, the following:

  • Technological innovations in telehealth for children and adolescents;
  • Impact of telehealth and home-centered approaches on healthcare accessibility and equity;
  • Clinical outcomes and patient satisfaction in pediatric telehealth;
  • Policy and regulatory challenges in the implementation of telehealth;
  • Telehealth applications in mental health services for children and adolescents.

We welcome submissions from researchers around the globe on this timely and impactful topic. Both reviews and original research articles will be considered.

Dr. Isabel Rodríguez-Costa
Dr. Vanesa Abuin
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric telehealth
  • home-centered approach
  • healthcare accessibility
  • telemedicine innovations

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Published Papers (3 papers)

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Research

16 pages, 2039 KiB  
Article
How to Evaluate a Regional Telemedical Care Network Focusing on Critically Ill Children? Results from the Consensus-Based Development of an Evaluation Design
by Josephine Mathiebe, Gabriele Müller, Jochen Schmitt, Sebastian Brenner, Stefan Winkler, Anne Schawohl, Franziska Waurig and Madlen Scheibe
Children 2025, 12(3), 313; https://doi.org/10.3390/children12030313 - 28 Feb 2025
Viewed by 443
Abstract
Background: The medical care of critically ill children requires special expertise in pediatric emergency and intensive care medicine. In Germany, this expertise is mainly available in specialized centers at maximum-care hospitals due to the small number of cases of critically ill children. Telemedical [...] Read more.
Background: The medical care of critically ill children requires special expertise in pediatric emergency and intensive care medicine. In Germany, this expertise is mainly available in specialized centers at maximum-care hospitals due to the small number of cases of critically ill children. Telemedical care networks, such as the Pediatric-Tele-Intensive-Care Network Saxony, offer a solution for networking these centers with regional hospitals providing basic or standard care. However, the evaluation of these networks represents a major challenge, especially because it involves a heterogeneous target group of patients with various diseases. This article reports on the evaluation design development process for such a network, under equal participation of all relevant stakeholders, and presents the resulting evaluation design. Methods: The methods used were a literature review, two workshops, and a survey of all relevant stakeholders (representatives of 17 partner clinics, 4 external experts in pediatric intensive care, and 2 patient representatives). Results: The evaluation design contained proposals for a care objective, outcomes, and the corresponding databases (project database, clinic database, and survey database) to investigate these. Conclusions: Our study can offer other researchers and stakeholders a methodological approach and template for their evaluation design. It is the first published, consented evaluation design for a telemedical care network in pediatric intensive care. When developing and realizing an evaluation design for (tele)medical interventions, including the perspectives of relevant stakeholders, from the outset, it is essential to achieve a high level of commitment to the implementation of the evaluation. Full article
(This article belongs to the Special Issue Telehealth and Home-Centered Approaches for Children and Adolescents)
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15 pages, 272 KiB  
Article
Perceived Experiences of Families of Children with Unilateral Cerebral Palsy in the Implementation of a Task-Specific Intervention in the Home Environment with an Upper Limb Splint: A Qualitative Study
by Patricia Roldán-Pérez, Vanesa Abuín-Porras, Isabel Rodríguez-Costa, María Ortiz-Lucas, Pablo Bellosta-López and Almudena Buesa-Estéllez
Children 2024, 11(10), 1242; https://doi.org/10.3390/children11101242 - 15 Oct 2024
Viewed by 1015
Abstract
Introduction: Specific home tasks and the use of splints seem to positively affect altered structures and functions, as well as the activities and participation, of children with unilateral cerebral palsy (UCP). However, how did families experience the implementation of these therapies? Objective: To [...] Read more.
Introduction: Specific home tasks and the use of splints seem to positively affect altered structures and functions, as well as the activities and participation, of children with unilateral cerebral palsy (UCP). However, how did families experience the implementation of these therapies? Objective: To describe the experiences as they were perceived by the families of children with UCP before, during, and after a specific task intervention in the home environment, either with or without upper limb splinting. Methods: A qualitative, descriptive, phenomenological study was conducted in a natural environment. Fourteen families caring for children with UCP who participated in a previous randomized controlled trial were included. Data from unstructured and semi-structured interviews were analyzed through a thematic analysis. Results: Fourteen families (17 parents, age 37–47 years) caring for children with UCP (14 children, ages 6–10 years, 64% female) were interviewed. The following three themes emerged: “The project itself”, in which families explained that they enrolled because of their trust in therapists; “Results obtained”, where the main improvement was the integration of the assisting hand in the body schema; and “Lights and shadows”, where families showed what they learned as positive points and some negative aspects related to the assessments and splints. Conclusions: The perceptions of the parents after the specific task intervention in the home environment showed a greater integration of the most affected side. Nevertheless, although the support of a splint on the hand can have beneficial results in terms of performance, other drawbacks leading to the disuse of the splint were highlighted. Full article
(This article belongs to the Special Issue Telehealth and Home-Centered Approaches for Children and Adolescents)
18 pages, 1713 KiB  
Article
Teaching Parents via Online Asynchronous Training to Use Speech-Generating Devices with Their Autistic Children: A Pilot Study
by Lauren Fischbacher, Robin L. Dodds and Ingrid Shiyin Tien
Children 2024, 11(10), 1194; https://doi.org/10.3390/children11101194 - 29 Sep 2024
Cited by 1 | Viewed by 1248
Abstract
Background/Objectives: Telepractice interventions have been found to alleviate barriers families face when seeking communication interventions. This study is a multiple-baseline single-subject design that measures parent communication opportunities and parent responsiveness to determine if parent training through online modules created for parents of children [...] Read more.
Background/Objectives: Telepractice interventions have been found to alleviate barriers families face when seeking communication interventions. This study is a multiple-baseline single-subject design that measures parent communication opportunities and parent responsiveness to determine if parent training through online modules created for parents of children with communication support needs can be effective for training parents of autistic children with communication support needs. Methods: This study replicates work by utilizing online training used as well as the same variables and definitions. This study expands the original study by providing the children with speech-generating devices (SGDs). SGDs are an assistive technology tool to increase language production and give access to language to minimally verbal autistic people. A central difference between this study and study is that the only training parents received was the online modules and written instructions to set up the SGD. Results: Overall, the POWR modules appear to positively impact the communication opportunities provided by the parent during play and activities, increase child communication, and improve parent proficiency in implementing the POWR strategy. Conclusions: There is a need for a larger single-case study or a randomized control trial to replicate these findings. Additional instruction may be needed for parents of children with autism around responsive interactions. This study adds to innovative ways of providing family-centered training and access to AAC for those with barriers to service. Full article
(This article belongs to the Special Issue Telehealth and Home-Centered Approaches for Children and Adolescents)
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