Setty Mala, Mougey Edward B, Berg Elizabeth, Rosen John M, Lee Jennifer, Li B U K, Venkatesh Rajitha, Franciosi James P
From the Department of Pediatrics, UCSF Benioff Children's Hospital, Oakland, CA.
Center for Pharmacogenomics and Translational Research, Nemours Children's Health System, Jacksonville, FL.
JPGN Rep. 2022 Apr 8;3(2):e182. doi: 10.1097/PG9.0000000000000182. eCollection 2022 May.
With the coronavirus disease 2019 public health emergency (PHE), telehealth (TH) became essential for continued delivery of care. Members of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) formed the Telehealth for Pediatric Gastrointestinal Care Now (TPGCN) working group and rapidly organized a telemedicine webinar to provide education and guidance. We aim to describe the webinar development and prospectively assess the effectiveness of this webinar-based educational intervention.
NASPGHAN members who registered for the TPGCN webinar received pre- and post-webinar surveys. Outcome measures included a modified Telehealth Acceptance Model (TAM) survey and a Student Evaluation of Educational Quality (SEEQ) standardized instrument.
Seven hundred seventy-six NASPGHAN members participated in the webinar, 147 (33%) completed the pre-webinar survey; of these, 25 of 147 (17%) completed a post-webinar survey. Before the PHE, 50.3% of the pre-webinar survey participants had no TH knowledge. Webinar participants trended to have increased acceptance of TH for follow-up visits (pre-webinar, 68% versus post-webinar, 81%; = 0.15) and chronic disease care (pre-webinar, 57% vs post-webinar, 81%; = 0.01). The overall acceptance of TH as shown by TAM pre-webinar was 1.74 ± 0.8, which improved to 1.62 ± 0.8 post-webinar (lower scores indicate greater acceptance; < 0.001). SEEQ results indicate that webinar material was understandable (post-webinar, 95%). Participants found breakout sessions informative and enjoyable (post-webinar, 91%).
The TPGCN TH webinar was an effective educational intervention that fostered increased TH usage for follow-up and chronic care visits, improved TAM scores, and was well received by participants as seen by high SEEQ scores. Sustained and expanded pediatric gastrointestinal TH usage beyond the coronavirus disease 2019 PHE is expected.
随着2019年冠状病毒病公共卫生紧急事件（PHE）的出现，远程医疗（TH）对于持续提供医疗服务变得至关重要。北美小儿胃肠病学、肝病学和营养学会（NASPGHAN）的成员成立了“现在为小儿胃肠病护理提供远程医疗”（TPGCN）工作组，并迅速组织了一次远程医疗网络研讨会，以提供教育和指导。我们旨在描述该网络研讨会的开展情况，并前瞻性评估这种基于网络研讨会的教育干预措施的效果。
注册参加TPGCN网络研讨会的NASPGHAN成员在会前和会后接受了调查。结果指标包括改良的远程医疗接受模型（TAM）调查和教育质量学生评估（SEEQ）标准化工具。
776名NASPGHAN成员参加了该网络研讨会，147名（33%）完成了会前调查；其中，147名中的25名（17%）完成了会后调查。在PHE之前，会前调查参与者中有50.3%没有远程医疗知识。网络研讨会参与者对随访就诊的远程医疗接受度有上升趋势（会前为68%，会后为81%；P = 0.15），对慢性病护理的接受度也有上升趋势（会前为57%，会后为81%；P = 0.01）。TAM会前显示的远程医疗总体接受度为1.74±0.8，会后提高到1.62±0.8（分数越低表示接受度越高；P < 0.001）。SEEQ结果表明网络研讨会材料易于理解（会后为95%）。参与者认为分组讨论信息丰富且有趣（会后为91%）。
TPGCN远程医疗网络研讨会是一种有效的教育干预措施，促进了随访和慢性病护理就诊中远程医疗使用的增加，改善了TAM评分，并且从高SEEQ分数可以看出受到了参与者的好评。预计在2019年冠状病毒病公共卫生紧急事件之后，小儿胃肠病远程医疗的使用将持续并扩大。
