The Telehealth Tradeoff

远程医疗 医学 焦虑 倦怠 大流行 物理疗法 临床心理学 远程医疗 2019年冠状病毒病(COVID-19) 精神科 医疗保健 疾病 经济增长 病理 经济 传染病(医学专业)
作者
Samantha P. Bento,Catherine Stewart,Caitlin Conroy,Allison Smith,Leah Reece,Kelsey Jervis,Yasmin Cole-Lewis,Deirdre E. Logan,Edin T. Randall
出处
期刊:The Clinical Journal of Pain [Ovid Technologies (Wolters Kluwer)]
卷期号:39 (7): 307-318 被引量:1
标识
DOI:10.1097/ajp.0000000000001120
摘要

The COVID-19 pandemic required intensive interdisciplinary pain treatment (IIPT) programs to shift to virtual models of care. This study used a multimethod approach to examine outcomes of a pediatric hybrid IIPT program (50% in-person treatment and 50% synchronous video-based telehealth) and assessed staff experiences while treating within this model.Patients (M=14.73, SD=2.04; 79% female) reported pain intensity, functional disability, and psychological factors (anxiety, depressive symptoms, fear of pain, pain catastrophizing, social functioning) at admission, discharge, and short-term follow-up. Differences in treatment outcomes at discharge and short-term follow-up between patients who participated in the hybrid IIPT model (n=42) during the pandemic and those who participated in the traditional in-person model before the pandemic (n=42) were examined. Quantitative assessments of staff burnout and perceived effort and qualitative assessments exploring staff perspectives about the challenges and advantages of the hybrid IIPT model were gathered.Youth in both groups made significant improvements across the majority of treatment outcomes; however, the hybrid group reported higher levels of pain at discharge and anxiety at follow-up. The majority of IIPT staff reported moderate to high levels of overall burnout, and almost half reported high levels of emotional exhaustion. Staff highlighted various challenges and benefits associated with treating within the hybrid model.When considering telehealth as a treatment tool for youth with complex chronic pain, it is crucial to leverage its benefits while addressing its challenges for patients and providers.
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