Evaluating the Feasibility of Utilizing Telehealth With Youth in Foster Care

Tracy W. Halasz, Elizabeth Wallis, James R. Roberts, Tina Gustin
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Abstract

Children in foster care are a highly vulnerable population. Consistent care, medication adherence, and clinic engagement are difficult with this population. This study evaluated the use of a telehealth initiative for youth in foster care utilizing a retrospective chart review to compare medication adherence and clinic engagement between 2 groups: those who had a 2-week follow-up telehealth visit and those who did not have a telehealth visit. Although participation in telehealth visit was promising, no differences in medication adherence and clinic engagement were identified between the 2 groups. Of interest, despite multiple barriers to care, families were actively engaged in the telehealth visits and expressed satisfaction with usage. Group home placements were also identified as having better engagement with telehealth visits compared with foster home placements. Further research is needed to explore the use of telehealth with youth in foster care to improve medication adherence and clinic engagement as well as broader health outcomes for this vulnerable population.
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青少年寄养中远程医疗的可行性评估
寄养儿童是一个非常脆弱的群体。对于这一人群来说,持续的护理、药物依从性和临床参与是很困难的。本研究利用回顾性图表回顾的方法,评估了寄养青少年远程医疗计划的使用情况,比较了两组之间的药物依从性和诊所参与情况:两组进行了为期两周的远程医疗随访和未进行远程医疗随访。虽然参与远程医疗访问是有希望的,但在药物依从性和临床参与两组之间没有差异。有趣的是,尽管护理存在多重障碍,但家庭积极参与远程保健访问,并对使用情况表示满意。与寄养家庭相比,集体家庭安置也被确定为更好地参与远程医疗访问。需要进一步的研究来探索在寄养青年中使用远程保健,以改善这一弱势群体的药物依从性和诊所参与以及更广泛的健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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