Skip to main content
Top
Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Research article

What drives attitude towards telemedicine among families of pediatric patients? A survey

Authors: Luisa Russo, Ilaria Campagna, Beatrice Ferretti, Eleonora Agricola, Elisabetta Pandolfi, Emanuela Carloni, Angelo D’Ambrosio, Francesco Gesualdo, Alberto E. Tozzi

Published in: BMC Pediatrics | Issue 1/2017

Login to get access

Abstract

Background

Telemedicine has been recognized as a way to improve accessibility, quality, and efficiency of care. In view of the introduction of new telemedicine services, we conducted a survey through a self-administered questionnaire among families of children attending the Bambino Gesù Children’s Hospital IRCCS, a tertiary care children’s hospital located in Rome, Italy.

Methods

We investigated sociodemographic data, clinical information, technological profile, attitude towards telemedicine, perceived advantages of telemedicine, fears regarding telemedicine, willingness to use a smartphone app providing telemedicine services and willingness to use a televisit service. Through logistic regression, we explored the effect of sociodemographic and clinical variables and technological profile on willingness of using a telemedicine app and a televisit service.

Results

We enrolled a total of 751 families. Most patients had a high technological profile, 81% had at least one account on a social network. Whatsapp was the most popular messaging service (76%). Seventy-two percent of patients would use an app for telemedicine services and 65% would perform a televisit. Owning a tablet was associated with both outcome variables - respectively: OR 2.216, 95% CI 1.358–3.616 (app) and OR 2.117, 95% CI 1.415–3.168 (televisit). Kind of hospitalization, diagnosis of a chronic disease, disease severity and distance from the health care center were not associated with the outcome variables.

Conclusion

Families of pediatric patients with different clinical problems are keen to embark in telemedicine programs, independently from severity of disease or chronicity, and of distance from the hospital.
Appendix
Available only for authorised users
Literature
1.
go back to reference Committee On Pediatric Workforce. The Use of Telemedicine to Address Access and Physician Workforce Shortages. Pediatrics. 2015;136(1):202–9.CrossRef Committee On Pediatric Workforce. The Use of Telemedicine to Address Access and Physician Workforce Shortages. Pediatrics. 2015;136(1):202–9.CrossRef
2.
go back to reference Backman W, Bendel D, Rakhit R. The telecardiology revolution: improving the management of cardiac disease in primary care. J R Soc Med. 2010;103(11):442–6.CrossRefPubMedPubMedCentral Backman W, Bendel D, Rakhit R. The telecardiology revolution: improving the management of cardiac disease in primary care. J R Soc Med. 2010;103(11):442–6.CrossRefPubMedPubMedCentral
3.
go back to reference Hsieh JC, Li AH, Yang CC. Mobile, cloud, and big data computing: contributions, challenges, and new directions in telecardiology. Int J Environ Res Public Health. 2013;10(11):6131–53.CrossRefPubMedPubMedCentral Hsieh JC, Li AH, Yang CC. Mobile, cloud, and big data computing: contributions, challenges, and new directions in telecardiology. Int J Environ Res Public Health. 2013;10(11):6131–53.CrossRefPubMedPubMedCentral
4.
go back to reference Purcell R, McInnes S, Halcomb EJ. Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews. BMC Fam Pract. 2014;15:43-2296-15-43.CrossRef Purcell R, McInnes S, Halcomb EJ. Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews. BMC Fam Pract. 2014;15:43-2296-15-43.CrossRef
5.
go back to reference Wechsler LR, Tsao JW, Levine SR, Swain-Eng RJ, Adams RJ, Demaerschalk BM, Hess DC, Moro E, Schwamm LH, Steffensen S, Stern BJ, Zuckerman SJ, Bhattacharya P, Davis LE, Yurkiewicz IR, Alphonso AL, American Academy of Neurology Telemedicine Work Group. Teleneurology applications: Report of the Telemedicine Work Group of the American Academy of Neurology. Neurology. 2013;80(7):670–6.CrossRefPubMedPubMedCentral Wechsler LR, Tsao JW, Levine SR, Swain-Eng RJ, Adams RJ, Demaerschalk BM, Hess DC, Moro E, Schwamm LH, Steffensen S, Stern BJ, Zuckerman SJ, Bhattacharya P, Davis LE, Yurkiewicz IR, Alphonso AL, American Academy of Neurology Telemedicine Work Group. Teleneurology applications: Report of the Telemedicine Work Group of the American Academy of Neurology. Neurology. 2013;80(7):670–6.CrossRefPubMedPubMedCentral
6.
go back to reference Hubert GJ, Muller-Barna P, Audebert HJ. Recent advances in TeleStroke: a systematic review on applications in prehospital management and Stroke Unit treatment or TeleStroke networking in developing countries. Int J Stroke. 2014;9(8):968–73.CrossRefPubMed Hubert GJ, Muller-Barna P, Audebert HJ. Recent advances in TeleStroke: a systematic review on applications in prehospital management and Stroke Unit treatment or TeleStroke networking in developing countries. Int J Stroke. 2014;9(8):968–73.CrossRefPubMed
7.
go back to reference Latifi R, Weinstein RS, Porter JM, Ziemba M, Judkins D, Ridings D, Nassi R, Valenzuela T, Holcomb M, Leyva F. Telemedicine and telepresence for trauma and emergency care management. Scand J Surg. 2007;96(4):281–9.CrossRefPubMed Latifi R, Weinstein RS, Porter JM, Ziemba M, Judkins D, Ridings D, Nassi R, Valenzuela T, Holcomb M, Leyva F. Telemedicine and telepresence for trauma and emergency care management. Scand J Surg. 2007;96(4):281–9.CrossRefPubMed
8.
go back to reference Gardiner S, Hartzell TL. Telemedicine and plastic surgery: a review of its applications, limitations and legal pitfalls. J Plast Reconstr Aesthet Surg. 2012;65(3):e47–53.CrossRefPubMed Gardiner S, Hartzell TL. Telemedicine and plastic surgery: a review of its applications, limitations and legal pitfalls. J Plast Reconstr Aesthet Surg. 2012;65(3):e47–53.CrossRefPubMed
9.
go back to reference Ponsky TA, Schwachter M, Parry J, Rothenberg S, Augestad KM. Telementoring: the surgical tool of the future. Eur J Pediatr Surg. 2014;24(4):287–94.CrossRefPubMed Ponsky TA, Schwachter M, Parry J, Rothenberg S, Augestad KM. Telementoring: the surgical tool of the future. Eur J Pediatr Surg. 2014;24(4):287–94.CrossRefPubMed
10.
go back to reference Warshaw EM, Hillman YJ, Greer NL, Hagel EM, MacDonald R, Rutks IR, Wilt TJ. Teledermatology for diagnosis and management of skin conditions: a systematic review. J Am Acad Dermatol. 2011;64(4):759–72.CrossRefPubMed Warshaw EM, Hillman YJ, Greer NL, Hagel EM, MacDonald R, Rutks IR, Wilt TJ. Teledermatology for diagnosis and management of skin conditions: a systematic review. J Am Acad Dermatol. 2011;64(4):759–72.CrossRefPubMed
11.
go back to reference Landow SM, Mateus A, Korgavkar K, Nightingale D, Weinstock MA. Teledermatology: key factors associated with reducing face-to-face dermatology visits. J Am Acad Dermatol. 2014;71(3):570–6.CrossRefPubMed Landow SM, Mateus A, Korgavkar K, Nightingale D, Weinstock MA. Teledermatology: key factors associated with reducing face-to-face dermatology visits. J Am Acad Dermatol. 2014;71(3):570–6.CrossRefPubMed
12.
go back to reference Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice. J Am Acad Dermatol. 2015;72(4):563–74. quiz 575-6.CrossRefPubMed Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice. J Am Acad Dermatol. 2015;72(4):563–74. quiz 575-6.CrossRefPubMed
13.
go back to reference Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part II: Emerging technologies in teledermatology, limitations and future directions. J Am Acad Dermatol. 2015;72(4):577–86. quiz 587-8.CrossRefPubMed Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part II: Emerging technologies in teledermatology, limitations and future directions. J Am Acad Dermatol. 2015;72(4):577–86. quiz 587-8.CrossRefPubMed
16.
go back to reference Fierson WM, Capone Jr A, American Academy of Pediatrics Section on Ophthalmology, American Academy of Ophthalmology, American Association of Certified Orthoptists. Telemedicine for evaluation of retinopathy of prematurity. Pediatrics. 2015;135(1):e238–54.CrossRefPubMed Fierson WM, Capone Jr A, American Academy of Pediatrics Section on Ophthalmology, American Academy of Ophthalmology, American Association of Certified Orthoptists. Telemedicine for evaluation of retinopathy of prematurity. Pediatrics. 2015;135(1):e238–54.CrossRefPubMed
17.
go back to reference Shi L, Wu H, Dong J, Jiang K, Lu X, Shi J. Telemedicine for detecting diabetic retinopathy: a systematic review and meta-analysis. Br J Ophthalmol. 2015;99(6):823–31.CrossRefPubMedPubMedCentral Shi L, Wu H, Dong J, Jiang K, Lu X, Shi J. Telemedicine for detecting diabetic retinopathy: a systematic review and meta-analysis. Br J Ophthalmol. 2015;99(6):823–31.CrossRefPubMedPubMedCentral
18.
go back to reference Barneveld Binkhuysen FH, Ranschaert ER. Teleradiology: evolution and concepts. Eur J Radiol. 2011;78(2):205–9.CrossRefPubMed Barneveld Binkhuysen FH, Ranschaert ER. Teleradiology: evolution and concepts. Eur J Radiol. 2011;78(2):205–9.CrossRefPubMed
19.
go back to reference Zennaro F, Grosso D, Fascetta R, Marini M, Odoni L, Di Carlo V, Dibello D, Vittoria F, Lazzerini M. Teleradiology for remote consultation using iPad improves the use of health system human resources for paediatric fractures: prospective controlled study in a tertiary care hospital in Italy. BMC Health Serv Res. 2014;14:327-6963-14-327.CrossRef Zennaro F, Grosso D, Fascetta R, Marini M, Odoni L, Di Carlo V, Dibello D, Vittoria F, Lazzerini M. Teleradiology for remote consultation using iPad improves the use of health system human resources for paediatric fractures: prospective controlled study in a tertiary care hospital in Italy. BMC Health Serv Res. 2014;14:327-6963-14-327.CrossRef
20.
go back to reference Burke Jr BL, Hall RW, Section on Telehealth Care. Telemedicine: Pediatric Applications. Pediatrics. 2015;136(1):e293–308.CrossRefPubMed Burke Jr BL, Hall RW, Section on Telehealth Care. Telemedicine: Pediatric Applications. Pediatrics. 2015;136(1):e293–308.CrossRefPubMed
21.
go back to reference National Institute of Statistics (ISTAT). Cittadini e nuove tecnologie. Anno. 2014. http://www.istat.it/it/archivio/143073. Accessed 30 Nov 2016. National Institute of Statistics (ISTAT). Cittadini e nuove tecnologie. Anno. 2014. http://​www.​istat.​it/​it/​archivio/​143073.​ Accessed 30 Nov 2016.
22.
go back to reference Timmreck TC. Dictionary of health services management. Owings Mills: National Health Pub; 1987. Timmreck TC. Dictionary of health services management. Owings Mills: National Health Pub; 1987.
23.
go back to reference Tim B. Change by Design. How Design Thinking Transforms Organizations and Inspires Innovation. New York: HarperCollins; 2009. Tim B. Change by Design. How Design Thinking Transforms Organizations and Inspires Innovation. New York: HarperCollins; 2009.
24.
go back to reference Girault A, Ferrua M, Lalloue B, Sicotte C, Fourcade A, Yatim F, Hebert G, Di Palma M, Minvielle E. Internet-based technologies to improve cancer care coordination: current use and attitudes among cancer patients. Eur J Cancer. 2015;51(4):551–7.CrossRefPubMed Girault A, Ferrua M, Lalloue B, Sicotte C, Fourcade A, Yatim F, Hebert G, Di Palma M, Minvielle E. Internet-based technologies to improve cancer care coordination: current use and attitudes among cancer patients. Eur J Cancer. 2015;51(4):551–7.CrossRefPubMed
25.
go back to reference Hofstede J, de Bie J, van Wijngaarden B, Heijmans M. Knowledge, use and attitude toward eHealth among patients with chronic lung diseases. Int J Med Inform. 2014;83(12):967–74.CrossRefPubMed Hofstede J, de Bie J, van Wijngaarden B, Heijmans M. Knowledge, use and attitude toward eHealth among patients with chronic lung diseases. Int J Med Inform. 2014;83(12):967–74.CrossRefPubMed
26.
go back to reference Edwards L, Thomas C, Gregory A, Yardley L, O'Cathain A, Montgomery AA, Salisbury C. Are people with chronic diseases interested in using telehealth? A cross-sectional postal survey. J Med Internet Res. 2014;16(5):e123.CrossRefPubMedPubMedCentral Edwards L, Thomas C, Gregory A, Yardley L, O'Cathain A, Montgomery AA, Salisbury C. Are people with chronic diseases interested in using telehealth? A cross-sectional postal survey. J Med Internet Res. 2014;16(5):e123.CrossRefPubMedPubMedCentral
27.
go back to reference Grealish A, Hunter A, Glaze R, Potter L. Telemedicine in a child and adolescent mental health service: participants' acceptance and utilization. J Telemed Telecare. 2005;11 Suppl 1:53–5.CrossRefPubMed Grealish A, Hunter A, Glaze R, Potter L. Telemedicine in a child and adolescent mental health service: participants' acceptance and utilization. J Telemed Telecare. 2005;11 Suppl 1:53–5.CrossRefPubMed
28.
go back to reference Davis AM, James RL, Boles RE, Goetz JR, Belmont J, Malone B. The use of TeleMedicine in the treatment of paediatric obesity: feasibility and acceptability. Matern Child Nutr. 2011;7(1):71–9.CrossRefPubMedPubMedCentral Davis AM, James RL, Boles RE, Goetz JR, Belmont J, Malone B. The use of TeleMedicine in the treatment of paediatric obesity: feasibility and acceptability. Matern Child Nutr. 2011;7(1):71–9.CrossRefPubMedPubMedCentral
29.
go back to reference Jury SC, Walker AM, Kornberg AJ. The introduction of web-based video-consultation in a paediatric acute care setting. J Telemed Telecare. 2013;19(7):383–7.CrossRefPubMed Jury SC, Walker AM, Kornberg AJ. The introduction of web-based video-consultation in a paediatric acute care setting. J Telemed Telecare. 2013;19(7):383–7.CrossRefPubMed
30.
go back to reference Dudas RA, Pumilia JN, Crocetti M. Pediatric caregiver attitudes and technologic readiness toward electronic follow-up communication in an urban community emergency department. Telemed J E Health. 2013;19(6):493–6.CrossRefPubMed Dudas RA, Pumilia JN, Crocetti M. Pediatric caregiver attitudes and technologic readiness toward electronic follow-up communication in an urban community emergency department. Telemed J E Health. 2013;19(6):493–6.CrossRefPubMed
31.
go back to reference Hopper B, Buckman M, Edwards M. Evaluation of satisfaction of parents with the use of videoconferencing for a pediatric genetic consultation. Twin Res Hum Genet. 2011;14(4):343–6.CrossRefPubMed Hopper B, Buckman M, Edwards M. Evaluation of satisfaction of parents with the use of videoconferencing for a pediatric genetic consultation. Twin Res Hum Genet. 2011;14(4):343–6.CrossRefPubMed
32.
go back to reference Lee JY, Du YE, Coki O, Flynn JT, Starren J, Chiang MF. Parental perceptions toward digital imaging and telemedicine for retinopathy of prematurity management. Graefes Arch Clin Exp Ophthalmol. 2010;248(1):141–7.CrossRefPubMed Lee JY, Du YE, Coki O, Flynn JT, Starren J, Chiang MF. Parental perceptions toward digital imaging and telemedicine for retinopathy of prematurity management. Graefes Arch Clin Exp Ophthalmol. 2010;248(1):141–7.CrossRefPubMed
33.
go back to reference Kotb A, Cameron C, Hsieh S, Wells G. Comparative effectiveness of different forms of telemedicine for individuals with heart failure (HF): a systematic review and network meta-analysis. PLoS One. 2015;10(2):e0118681.CrossRefPubMedPubMedCentral Kotb A, Cameron C, Hsieh S, Wells G. Comparative effectiveness of different forms of telemedicine for individuals with heart failure (HF): a systematic review and network meta-analysis. PLoS One. 2015;10(2):e0118681.CrossRefPubMedPubMedCentral
34.
go back to reference Speiser JJ, Hughes I, Mehta V, Wojcik EM, Hutchens KA. Mobile teledermatopathology: using a tablet PC as a novel and cost-efficient method to remotely diagnose dermatopathology cases. Am J Dermatopathol. 2014;36(1):54–7.CrossRefPubMed Speiser JJ, Hughes I, Mehta V, Wojcik EM, Hutchens KA. Mobile teledermatopathology: using a tablet PC as a novel and cost-efficient method to remotely diagnose dermatopathology cases. Am J Dermatopathol. 2014;36(1):54–7.CrossRefPubMed
35.
go back to reference Baumgart DC, Wende I, Grittner U. Tablet computer-based multimedia enhanced medical training improves performance in gastroenterology and endoscopy board style exam compared with traditional medical education. Gut. 2015;65(3):535-6. Baumgart DC, Wende I, Grittner U. Tablet computer-based multimedia enhanced medical training improves performance in gastroenterology and endoscopy board style exam compared with traditional medical education. Gut. 2015;65(3):535-6.
36.
go back to reference Caffery LJ, Armfield NR, Smith AC. Radiological interpretation of images displayed on tablet computers: a systematic review. Br J Radiol. 2015;88(1050):20150191.CrossRefPubMedPubMedCentral Caffery LJ, Armfield NR, Smith AC. Radiological interpretation of images displayed on tablet computers: a systematic review. Br J Radiol. 2015;88(1050):20150191.CrossRefPubMedPubMedCentral
37.
go back to reference Mobasheri MH, Johnston M, Syed UM, King D, Darzi A. The uses of smartphones and tablet devices in surgery: A systematic review of the literature. Surgery. 2015;158(5):1352-71. Mobasheri MH, Johnston M, Syed UM, King D, Darzi A. The uses of smartphones and tablet devices in surgery: A systematic review of the literature. Surgery. 2015;158(5):1352-71.
38.
go back to reference van Het Reve E, Silveira P, Daniel F, Casati F, de Bruin ED. Tablet-based strength-balance training to motivate and improve adherence to exercise in independently living older people: part 2 of a phase II preclinical exploratory trial. J Med Internet Res. 2014;16(6):e159.CrossRef van Het Reve E, Silveira P, Daniel F, Casati F, de Bruin ED. Tablet-based strength-balance training to motivate and improve adherence to exercise in independently living older people: part 2 of a phase II preclinical exploratory trial. J Med Internet Res. 2014;16(6):e159.CrossRef
39.
go back to reference Vogel PA, Solem S, Hagen K, Moen EM, Launes G, Haland AT, Hansen B, Himle JA. A pilot randomized controlled trial of videoconference-assisted treatment for obsessive-compulsive disorder. Behav Res Ther. 2014;63C:162–8.CrossRef Vogel PA, Solem S, Hagen K, Moen EM, Launes G, Haland AT, Hansen B, Himle JA. A pilot randomized controlled trial of videoconference-assisted treatment for obsessive-compulsive disorder. Behav Res Ther. 2014;63C:162–8.CrossRef
40.
go back to reference Kim H, Spaulding R, Werkowitch M, Yadrich D, Piamjariyakul U, Gilroy R, Smith CE. Costs of multidisciplinary parenteral nutrition care provided at a distance via mobile tablets. JPEN J Parenter Enteral Nutr. 2014;38(2 Suppl):50S–7S.CrossRefPubMedPubMedCentral Kim H, Spaulding R, Werkowitch M, Yadrich D, Piamjariyakul U, Gilroy R, Smith CE. Costs of multidisciplinary parenteral nutrition care provided at a distance via mobile tablets. JPEN J Parenter Enteral Nutr. 2014;38(2 Suppl):50S–7S.CrossRefPubMedPubMedCentral
Metadata
Title
What drives attitude towards telemedicine among families of pediatric patients? A survey
Authors
Luisa Russo
Ilaria Campagna
Beatrice Ferretti
Eleonora Agricola
Elisabetta Pandolfi
Emanuela Carloni
Angelo D’Ambrosio
Francesco Gesualdo
Alberto E. Tozzi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-016-0756-x

Other articles of this Issue 1/2017

BMC Pediatrics 1/2017 Go to the issue