Acceleration of mobile health for monitoring post-transplant in the COVID-19 era: Applications for pediatric settings.

Publisher: Munksgaard Country of Publication: Denmark NLM ID: 9802574 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-3046 (Electronic) Linking ISSN: 13973142 NLM ISO Abbreviation: Pediatr Transplant Subsets: MEDLINE

Original Publication: Copenhagen ; Malden, MA : Munksgaard, c1997-

Health Services Accessibility* ; Organ Transplantation*; COVID-19/*prevention & control ; Pediatrics/*methods ; Postoperative Care/*methods ; Telemedicine/*methods; Adult ; Attitude to Health ; Canada ; Child ; Europe ; Health Care Costs/statistics & numerical data ; Humans ; Pediatrics/economics ; Pediatrics/trends ; Postoperative Care/economics ; Postoperative Care/trends ; Telemedicine/economics ; Telemedicine/trends ; United States

Background: Since the start of the COVID-19 pandemic and consequent lockdowns, the use of telehealth interventions has rapidly increased both in the general population and among transplant recipients. Among pediatric transplant recipients, this most frequently takes the form of interventions on mobile devices, or mHealth, such as remote visits via video chat or phone, phone-based monitoring, and mobile apps. Telehealth interventions may offer the opportunity to provide care that minimizes many of the barriers of in-person care.
Methods: The present review followed the PRISMA guidelines. Sources up until October 2020 were initially identified through searches of PsycInfo ^® and PubMed ^® .
Results: We identified ten papers that reported findings from adult interventions and five studies based in pediatrics. Eight of the adult publications stemmed from the same two trials; within the pediatric subset, this was the case for two papers. Studies that have looked at mHealth interventions have found high acceptability rates over the short run, but there is a general lack of data on long-term use.
Conclusions: The literature surrounding pediatric trials specifically is sparse with all findings referencing interventions that are in early stages of development, ranging from field tests to small feasibility trials. The lack of research highlights the need for a multi-center RCT that utilizes robust measures of medication adherence and other outcome variables, with longer-term follow-up before telehealth interventions should be fully embraced.
(© 2021 Wiley Periodicals LLC.)

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U34 DK112661 United States DK NIDDK NIH HHS

Keywords: mobile health; monitoring; pediatric transplantation; telehealth

Date Created: 20211018 Date Completed: 20220121 Latest Revision: 20221005

20231215

PMC8646582

10.1111/petr.14152

34661316