Telepsychiatry and School Mental Health

Grady, Brian; Lever, Nancy; Cunningham, Dana; Stephan, Sharon H.

doi:10.1016/j.chc.2010.09.004

Cited by 36 publications

(37 citation statements)

References 19 publications

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“…Provision of telemedicine services in schools not only allows young people to be involved in their care in a setting that is familiar and convenient, but also avoids personal costs, missed school days and parents' workdays disruption by travelling to outpatient clinic-based services. [27][28][29] Despite the current alarming increase in adolescent OW and OB in Greece, the overall prevalence of MetS (based on either the IDF or the modified ATP III criteria for adolescents) in our representative adolescent sample from the Attica region was still low (2.6% and 2.9%, respectively), lower than the internationally reported prevalence in adolescents. [1][2][3][4][5][6][7][8][9]30 Based on the ATP III definition with modified cut-off values for youths, Cook et al 2 (who defined abdominal obesity as WC ≥90th percentile) reported a prevalence of 4.2% of the MetS, whereas de Ferranti et al 30 (who used the 75th percentile for WC as central obesity cut-off) found a much higher prevalence, nearly 10% of the MetS, in adolescents in the USA.…”

Section: Discussioncontrasting

confidence: 54%

“…In this study, screening for the metabolic syndrome through telemedicine in the adolescent‐friendly school setting was effective, as the majority of adolescents and their parents agreed to participate. Provision of telemedicine services in schools not only allows young people to be involved in their care in a setting that is familiar and convenient, but also avoids personal costs, missed school days and parents’ workdays disruption by travelling to outpatient clinic‐based services …”

Section: Discussionmentioning

confidence: 99%

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Telemedicine screening adolescent metabolic syndrome in Greek schools

Bacopoulou

Efthymiou

Palaiologos

et al. 2019

Eur J Clin Investigation

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Background Using telemedicine in the school setting in Greece, we screened a representative adolescent sample for MetS (International Diabetes Federation criteria) and explored its associations with anthropometric, sociodemographic and behavioural parameters. Materials and methods Cross‐sectional data were obtained from 12‐ to 17‐year‐old high school students. Results The prevalence of MetS in 1578 adolescents (mean age ± SD 14.4 ± 1.7 years) was 2.6% (3.4% among males; 2.0% among females), highest (4.3%) at age 13 years and lowest (1.3%) at 16 years. Adolescents with MetS had significantly higher mean body mass index (BMI) ± SD than those without MetS (30.2 ± 4.2 vs 21.3 ± 3.2 kg/m2, respectively; P < 0.001); among participants with obesity, 31.6% had MetS. Abdominal obesity, elevated triglycerides, low HDL‐cholesterol, impaired fasting blood glucose (FBG) and elevated blood pressure (BP) were detected in 9.5%, 2.3%, 10.7%, 25.9% and 21.8% of participants, respectively. Additional analysis (modified NCEP:ATPIII youth criteria) demonstrated similar overall prevalence of MetS (2.9%). Statistically significant correlations were found between most anthropometric and MetS characteristics, with the exception of FBG, which was correlated only with systolic BP. BMI was strongly correlated with waist and hip circumferences (r = 0.818, P < 0.001; r = 0.825, P < 0.001, respectively). Single parenthood and older maternal age (>60 years) were risk factors for MetS. Although counterintuitive, body image distortion, body dissatisfaction and bullying about weight were more prevalent in normal weight girls. Conclusions The overall prevalence of MetS was low but 12‐fold higher when obesity was taken into account. Impaired FBG and elevated BP were the most prevailing features. Telemedicine services were used effectively in Greek schools for screening youth MetS.

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Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Telemedicine screening adolescent metabolic syndrome in Greek schools

Bacopoulou

Efthymiou

Palaiologos

et al. 2019

Eur J Clin Investigation

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“…While shortages of child psychiatry in underserved communities are expected to continue, rapid growth and improved and more affordable high-speed and sophisticated technology present greater opportunities for TMH to be realistically and effectively used in school and community settings (Katon et al 2010;Yellowlees and Nafiz 2010;Grady et al 2011a;Hilty et al 2013). School TMH could become an essential service delivery model to address the growing mental health needs of students by providing access to an interdisciplinary, comprehensive system of support.…”

Section: Discussionmentioning

confidence: 98%

Telemental Health in Schools

Stephan

Lever

Bernstein

et al. 2016

Journal of Child and Adolescent Psychopharmacology

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“…14 Although a few studies have reported on the use of telemedicine for the treatment of behavioral disorders in schools, 15 we are not aware of any schoolbased telemedicine programs that focus on the care of children with DD, particularly those with challenging behaviors. The purpose of this study was to describe the benefits of asynchronous school-based telemedicine for treatment of minor illnesses in the care of children with DD.…”

mentioning

confidence: 99%

Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care

Langkamp

McManus²,

Blakemore³

2015

Telemedicine and e-Health

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Background: The literature on the use of telemedicine for children with developmental disabilities (DD) is limited and mostly describes telemedicine being used to link patients with distant subspecialty multidisciplinary care. Parents generally have reported satisfaction with such care and have perceived it to be equally effective as inperson care. Here we report on the use of school-based asynchronous telemedicine to connect children with DD with primary care providers. Materials and Methods: We developed Tele-Health-Kids, a school-based program using asynchronous telemedicine to connect children with DD with their primary care physician for the care of minor illnesses. We surveyed parents at enrollment and after the child's first telemedicine visit to assess satisfaction. We describe 4 cases that illustrate benefits, particularly for children with DD and challenging behaviors, suggesting that asynchronous telemedicine may actually be superior to traditional in-office visits in some circumstances. Results: Most parents expressed a high level of satisfaction with the program. Benefits identified include decreased stress to the child and the parents as well as increasing the likelihood of a successful medical examination due to greater cooperation by the child. Visits using asynchronous or ''store and forward'' telemedicine technology may be superior in some situations by allowing the visit to be performed at a pace that can be adjusted to the needs of the child with DD. Conclusions: More research in the use of asynchronous telemedicine for children and youth with DD, particularly for children with DD and challenging behaviors, is needed.

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Telepsychiatry and School Mental Health

Cited by 36 publications

References 19 publications

Telemedicine screening adolescent metabolic syndrome in Greek schools

Telemedicine screening adolescent metabolic syndrome in Greek schools

Telemental Health in Schools

Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care

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