A Quality Improvement Initiative to Improve Attention-Deficit/Hyperactivity Disorder Follow-Up Rates Using School-Based Telemedicine

School‐Based Tele‐Behavioral Health: A Scoping Review of the Literature

“…36,37 Designs with 1 study identified in our results included prospective study 38 and a quality improvement project. 39 While no parameters were placed on publication date, 16 of the 18 studies were published after 2000, with 33% of studies published since 2020. All studies provided psychiatry or psychotherapy services in schools by video or teleconferencing technology, though 1 study also offered assessments by phone.…”

“…Eight studies provide qualitative or quantitative outcomes of a tele-behavioral health intervention in schools utilizing a case series, survey, focus group, quality improvement, or feasibility study design (Table 1). [31][32][33][34][35][36][37]39 Four studies included assessment of the clinical effectiveness of school-based telebehavioral health. Barretto et al 34 reported on 2 cases of brief functional analysis delivered by telehealth and described a quantitative and qualitative reduction in targeted behaviors in both cases.…”

“…Two studies assessed the feasibility of delivery of tele‐behavioral health within schools 36,37 . Designs with 1 study identified in our results included prospective study 38 and a quality improvement project 39 . While no parameters were placed on publication date, 16 of the 18 studies were published after 2000, with 33% of studies published since 2020.…”

“…One study assessed the effect of the ability to perform school‐based telemedicine visits on follow‐up appointment attendance for children with ADHD. Milne Wenderlich et al 39 assessed the effectiveness of a quality improvement study to increase ADHD follow‐up appointments in their pediatric clinic through incorporation of school‐based telemedicine visits. Following their intervention, the proportion of visits meeting their 30‐day follow‐up goal increased from 18.8% to 32.7%, and subsequent visits conducted via telemedicine were more likely to occur within 30 days than visits conducted in person (61.7% vs 32.3%).…”

A Pediatric Telemedicine Research Agenda: Another Important Task for Pediatric Chairs

“…A study of a recent quality improvement project demonstrated improved follow-up for attention-deficit/hyperactivity disorder when school-based telemedicine was used. 26 Similarly, nonrandomized studies in children and young adults with type 1 diabetes have demonstrated high patient satisfaction, 27 , 28 increased frequency of clinician contact, and improved hemoglobin A1c levels with the use of telemedicine. 29 An emerging literature also suggests clinical benefits from teledermatology.…”