Building Developmental-Behavioral Pediatrics in Low-Middle Income Countries Through International Collaboration

Soares, Neelkamal; Gajre, Mona; Manglani, Mamta

doi:10.1097/dbp.0000000000000306

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…9,10 The scarcity of literature on telehealth from other regions is likely reflective of the overall scarcity of DBP resources despite the high prevalence of childhood disabilities in LMICs, 11 although the DBP subspecialty is now gaining recognition in many LMICs. 12 During the pandemic, telehealth was used in DBP in HICs such as the US and Singapore, 10,12 but little is known about the extent to which telehealth has been used to provide DBP services globally during this time.…”

Section: Global Trends In Telehealth Among Clinicians In Developmenta...mentioning

confidence: 99%

mentioning

confidence: 99%

“…During the pandemic, telehealth was used in DBP in HICs such as the US and Singapore, 10,12 but little is known about the extent to which telehealth has been used to provide DBP services globally during this time. Our study sought to understand the extent of telehealth use by global clinicians who serve the needs of children with developmental and behavioral challenges, and barriers (if any) in adopting telehealth during the COVID-19 pandemic.…”

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confidence: 99%

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Global Trends in Telehealth Among Clinicians in Developmental-Behavioral Pediatric Practice: A COVID-19 Snapshot

Srinivasan¹,

Wallis

Soares

2021

J Dev Behav Pediatr

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Objective: This study aims to describe the extent of telehealth use by global developmental-behavioral pediatrics (DBP) clinicians and barriers (if any) in adopting telehealth during the coronavirus disease 2019 (COVID-19) pandemic. Methods: A survey was disseminated to DBP clinicians through contact with international professional organizations to determine the use of telehealth in DBP care, before and since the beginning of the COVID-19 pandemic. Descriptive statistics and χ2 tests were used for analysis. Results: A total of 271 respondents from 38 countries completed the survey. The number of respondents offering telehealth increased from 36% to 88% after the pandemic, with the greatest shift to telehealth among high-income countries (HICs). Among respondents using telehealth, 75.1% were conducting interactive video visits, with HICs using more telehealth modalities embedded in electronic health records. Most patients (98.7%) were at home for the telehealth encounter. Almost half (46.5%) could not include an interpreter in telehealth visits. Barriers reported by telehealth users included concerns about limited patient access to technology (74.3%), home environment distractions (56.5%), preference for in-person care (53.6%), telehealth effectiveness (48.1%), workflow efficiency (42.2%), and cost/reimbursement (32.1%). Conclusion: Global DBP clinicians rapidly adopted telehealth and continued to have interprofessional practice while doing so, with the largest adoption occurring in HICs. Provider concerns about effectiveness and patient access to technology emerged as key organizational and patient barriers, respectively. Increased provider confidence in telehealth and its sustained use in the future depends on supportive regulatory policies and availability and use of measures to monitor quality and effectiveness.

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Section: Global Trends In Telehealth Among Clinicians In Developmenta...mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Global Trends in Telehealth Among Clinicians in Developmental-Behavioral Pediatric Practice: A COVID-19 Snapshot

Srinivasan¹,

Wallis

Soares

2021

J Dev Behav Pediatr

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“…The curriculum was modelled on US post-graduate fellowships in DBP, with a shift in focus from the traditional patient-physician paradigm to a more holistic approach, with special emphasis on IPP of shared decision-making and defined responsibility. During this process, the lack of a critical mass of trained educators was keenly felt and a successful international collaborative developmental-behavioural paediatric (DBP) educational model using videoconferencing was initiated 12 . The aim was twofold: educational (case-based trainee teaching and training of team members by their international counterparts) and developmental (finer development of the fellowship programme in collaboration with the programme director).…”

Section: An Indian Model Of Ipe/ipp In Evolutionmentioning

confidence: 99%

Interprofessional education and practice in an Indian setting

Hegde

Gajre

Shah

et al. 2017

Journal of Taibah University Medical Sciences

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With current global healthcare trends, there is a growing need for interprofessional education (IPE) and interprofessional practice (IPP) in collaborative care of persons with chronic medical conditions. Tools and models for IPE and IPP are now available, but they are not yet in widespread use. Developmental-behavioural paediatrics is a medical discipline that is characterized by IPP with an encouraging emergence of this speciality in India and other developing countries. This article provides an overview of IPE and IPP, followed by a precise account of an Indian institution, which provides services to children suffering from neurodevelopmental disorders utilizing an IPP approach and implementing IPE to its trainees.

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Referral Trends in Two Pioneering Developmental-Behavioral Pediatric Centers in Turkey

Pekcici

Doğan

Akin

et al. 2020

J Dev Behav Pediatr

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Objective: To inform professionals pioneering developmental-behavioral pediatrics (DBP) services in low- and middle-income countries (LMICs), we aimed to examine referral trends in 2 pioneering DBP centers at different locations in Turkey and to ascertain whether the official establishment of DBP as a subspecialty affected these trends. Method: This longitudinal observational study included all children referred to Ankara (AUDPD) and Inonu (IUDPD) Universities' Developmental Pediatrics Divisions between 2010 and 2018. We examined the sources of referrals and the independent effects of time and the establishment of DBP as a subspecialty on referral volume using Negative Binomial Regression (NBR) models. Results: Of 8,051 children, most were boys (58%) and under 24 months of age (72%). Most referrals were from the pediatric and pediatric surgery department clinics (85%); less than 1% were from child and adolescent psychiatry, and none were from family physicians. The NBR models showed that yearly, the referral volume increased significantly, 1.18-fold (95% confidence interval [CI] = 1.09–1.28) and 1.48-fold (95% CI = 1.20–1.82) for AUDPD and IUDPD, respectively. Compared with the trend of referrals before, the trend after the establishment of DBP as a subspecialty increased significantly at AUDPD, but not IUDPD. Conclusion: The increase in referrals to DBP over time is encouraging to professionals working to advance DBP services and training in LMICs even if DBP is not officially established as a subspecialty. Additional efforts may be needed to improve recognition and use of DBP services by community physicians and allied disciplines that provide services to children.

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Building Developmental-Behavioral Pediatrics in Low-Middle Income Countries Through International Collaboration

Cited by 4 publications

References 3 publications

Global Trends in Telehealth Among Clinicians in Developmental-Behavioral Pediatric Practice: A COVID-19 Snapshot

Global Trends in Telehealth Among Clinicians in Developmental-Behavioral Pediatric Practice: A COVID-19 Snapshot

Interprofessional education and practice in an Indian setting

Referral Trends in Two Pioneering Developmental-Behavioral Pediatric Centers in Turkey

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