Telehealth implementation for children with attention deficit hyperactivity disorder: a scoping review
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The objective of this research was to examine current telehealth practices in managingchildren with attention deficit hyperactivity disorder (ADHD) and to map existing implementationsusing the American Medical Association’s Virtual Care Value Framework. A scoping review was conducted following the Arksey and O’Malley framework. Thedatabases, CINAHL, PsycINFO, and PubMed, were searched with specific keywords relatedto telehealth and ADHD. The screening process followed the Preferred ReportingItems for Systematic reviews and Meta-Analyses guidelines. Inclusion criteria were restrictedto articles published in English between January 2000 and July 2024, focusing onchildren with ADHD, their parents, caregivers, family members, teachers, healthcareprofessionals, and articles implementing telehealth interventions. As a result, out of 389initially identified articles, 22 met the inclusion criteria. The studies were predominantlyconducted in the United States. The most common telehealth methods included videoconferencingand telephone-based communications. Key areas of focus in these studiesincluded clinical outcomes, access to care, patient and family experience, caregiver experience,clinician experience, and financial and operational impact. However, none of thestudies addressed health equity. In conclusion, telehealth has shown effectiveness in improvingADHD assessment, treatment adherence, and parental education, leading topositive patient outcomes and experiences. However, the financial impact of telehealthremains uncertain. Further research is needed, particularly outside the United States, toexplore emerging telehealth technologies and areas overlooked by the Virtual Care ValueFramework, such as health equity.
Abstract
The objective of this research was to examine current telehealth practices in managingchildren with attention deficit hyperactivity disorder (ADHD) and to map existing implementationsusing the American Medical Association’s Virtual Care Value Framework. A scoping review was conducted following the Arksey and O’Malley framework. Thedatabases, CINAHL, PsycINFO, and PubMed, were searched with specific keywords relatedto telehealth and ADHD. The screening process followed the Preferred ReportingItems for Systematic reviews and Meta-Analyses guidelines. Inclusion criteria were restrictedto articles published in English between January 2000 and July 2024, focusing onchildren with ADHD, their parents, caregivers, family members, teachers, healthcareprofessionals, and articles implementing telehealth interventions. As a result, out of 389initially identified articles, 22 met the inclusion criteria. The studies were predominantlyconducted in the United States. The most common telehealth methods included videoconferencingand telephone-based communications. Key areas of focus in these studiesincluded clinical outcomes, access to care, patient and family experience, caregiver experience,clinician experience, and financial and operational impact. However, none of thestudies addressed health equity. In conclusion, telehealth has shown effectiveness in improvingADHD assessment, treatment adherence, and parental education, leading topositive patient outcomes and experiences. However, the financial impact of telehealthremains uncertain. Further research is needed, particularly outside the United States, toexplore emerging telehealth technologies and areas overlooked by the Virtual Care ValueFramework, such as health equity.
참고문헌 (62)
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