The implementation of telehealth services has shown significant promise in assessing, monitoring, and treating neurodevelopmental disorders (NDDs). A recent systematic review published in the Journal of Medical Internet Research by Valentine et al. (2021) highlights key findings that can guide practitioners in leveraging telehealth for improved clinical outcomes. Here, we discuss the major takeaways from the review and provide actionable insights for practitioners looking to enhance their telehealth practices.
Key Findings from the Systematic Review
The review analyzed 42 studies focusing on various NDDs, including autism spectrum disorders (ASD), attention deficit hyperactivity disorders (ADHD), communication disorders, and tic disorders. The studies primarily assessed the clinical effectiveness, economic impact, and user impact of telehealth services. Below are the key findings:
- Clinical Effectiveness: Telehealth services were generally effective for diagnosing and monitoring NDDs, particularly ASD. However, the evidence for ADHD was less conclusive.
- User Impact: High levels of satisfaction and engagement were reported among users, particularly parents and caregivers.
- Economic Impact: Some studies reported increased service delivery efficiency and cost-effectiveness, but these findings were not consistently documented.
Actionable Insights for Practitioners
Based on the findings, here are some strategies practitioners can implement to enhance their telehealth services:
1. Focus on ASD Diagnosis and Monitoring
The review found that telehealth services are particularly effective for diagnosing and monitoring ASD. Practitioners should consider incorporating telehealth tools for these purposes to reduce waiting times and improve access to care.
2. Improve User Engagement
User satisfaction is crucial for the success of telehealth services. Practitioners should focus on creating a user-friendly interface and providing comprehensive training to both healthcare professionals and families to maximize engagement.
3. Evaluate Economic Impact
While some studies reported cost savings, the economic impact of telehealth services is not well-documented. Practitioners should conduct cost-benefit analyses to determine the financial viability of telehealth implementations.
4. Address Technical Challenges
Technical issues such as low internet speeds and audio-visual problems were common barriers. Investing in robust technology and providing technical support can help mitigate these challenges.
5. Expand Research
The review highlighted the need for more robust research, particularly randomized controlled trials (RCTs) with larger sample sizes. Practitioners should consider participating in or initiating research studies to contribute to the growing body of evidence.
Conclusion
Telehealth holds significant potential for improving the assessment, monitoring, and treatment of NDDs. By focusing on evidence-based strategies and addressing existing challenges, practitioners can enhance the effectiveness and reach of their telehealth services. For a more comprehensive understanding, we encourage practitioners to delve into the original research paper: Implementation of Telehealth Services to Assess, Monitor, and Treat Neurodevelopmental Disorders: Systematic Review.
