{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T07:29:42Z","timestamp":1780558182832,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000897","name":"Cystic Fibrosis Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000897","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cystic fibrosis (CF) is a chronic genetic disorder requiring regimented visits for maintenance of care. The COVID\u201019 pandemic accelerated the accessibility of telehealth (TH) and forced a trial of incorporating remote care into routine CF care. The CF Learning Network (CFLN) organized for data sharing into a telehealth innovation lab (TH\u2010iLab) to improve access to the interdisciplinary care team and co\u2010produced shared agenda\u2010setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All persons with CF (PwCF) with a CF diagnosis in the CF Foundation Registry (CFFPR) from 1\/2020\u201312\/2021 were included and categorized into CFLN TH\u2010iLab, CFLN TH\u2010iLab non\u2010participants, and non\u2010CFLN programs. Hypothesis: standardized TH implementation in the CFLN TH\u2010iLab is associated with increased access to the CF care model and results in similar lung function and nutrition health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 2020 and 2021, the average number of TH visits per person per year and the percentage of PwCF with one or more TH visits per year were higher in the CFLN TH\u2010iLab than in the other groups. Lung function was highest in PwCF, followed by a program that was part of the CFLN TH\u2010iLab in 2020 and 2021. Anthropometric measurements, spirometry, and attainment of microbiology cultures were similar among all three groups. Access to interdisciplinary care was highest in the CFLN non\u2010TH\u2010iLab group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Integrating TH into CF care in the CFLN TH\u2010iLab provided access to care during the COVID\u201019 pandemic without compromising clinical outcomes. Further research on optimizing the telehealth experience for PwCF can help better understand TH's long\u2010term impact on CF care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71102","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T02:20:16Z","timestamp":1746498016000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cystic Fibrosis Learning Network Telehealth Innovation Lab During the COVID\u201019 Pandemic: Impact on Access to Care, Outcomes, and a New CF Care Model"],"prefix":"10.1002","volume":"60","author":[{"given":"Dana","family":"Albon","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Pulmonary and Critical Care University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4498-684X","authenticated-orcid":false,"given":"Thida","family":"Ong","sequence":"additional","affiliation":[{"name":"Seattle Children's Hospital, Pulmonary and Sleep Medicine University of Washington School of Medicine, Pediatrics Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Horton","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Brighton","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyi","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda","family":"List","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Pulmonary and Critical Care University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7380-120X","authenticated-orcid":false,"given":"Nicholas","family":"Antos","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi","family":"Asfour","sequence":"additional","affiliation":[{"name":"Department of Pediatrics The University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella","family":"Balasa","sequence":"additional","affiliation":[{"name":"Virginia Commonwealth University, Pulmonary and Critical Care Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Beachler","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Dell Children's Medical Center of Central Texas Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cori","family":"Daines","sequence":"additional","affiliation":[{"name":"University of Arizona Medical Center \u2010 University Campus, Pediatrics Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Froh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Kier","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Stony Brook University Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4124-316X","authenticated-orcid":false,"given":"Samya","family":"Nasr","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Michigan Health System Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7088-8530","authenticated-orcid":false,"given":"Meghana","family":"Sathe","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical Center, Division of Pediatric Gastroenterology and Nutrition Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3356-709X","authenticated-orcid":false,"given":"Gregory","family":"Sawicki","sequence":"additional","affiliation":[{"name":"Division of Respiratory Diseases Children's Hospital Boston Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schechter","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Solomon","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham, Medicine, Gregory Fleming James Cystic Fibrosis Research Center Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Powers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Oregon Health &amp; Sciences University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201207-1160oe"},{"issue":"4","key":"e_1_2_10_3_1","first-page":"522","article-title":"Cystic Fibrosis Pulmonary Guidelines: Airway Clearance Therapies","volume":"54","author":"Flume P. A.","year":"2009","journal-title":"Respiratory Care"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002369"},{"key":"e_1_2_10_5_1","unstructured":"Cystic Fibrosis Foundation.2024. Adult Care Clinical Guideline Cystic Fibrosis Foundation website."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32597-8"},{"key":"e_1_2_10_6_2","doi-asserted-by":"crossref","unstructured":"Epub 2019 Oct 31. Erratum in: Lancet. 2020 May 30;395(10238):1694 https:\/\/doi.org\/10.1016\/S0140-6736(20)31021-7.","DOI":"10.1016\/S0140-6736(20)31018-7"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1908639"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2021-001529"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.08.035"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.08.034"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.09.006"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.09.008"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10278"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2017-007219"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10232"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2022-001844"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201511-781OC"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2022.12.004"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2024.02.002"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.09.005"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202012-1484RL"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2024.09.002"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202105-532OC"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/17534666211037459"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202301-0084OC"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202202-0392OC"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202301-0021OC"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202102-0509OC"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2023-002466"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0000000000000823"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2024.08.007"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2024.09.011"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.71102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T10:03:35Z","timestamp":1771409015000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.71102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/ppul.71102"],"URL":"https:\/\/doi.org\/10.1002\/ppul.71102","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71102"}}