{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T02:53:05Z","timestamp":1774839185876,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study examined the outcomes of a telehealth model for sleep health assessment among Indigenous and non\u2010Indigenous children residing in remote and regional communities at the Top End Northern Territory (NT) of Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Video telehealth consultation, that included clinical history and relevant physical findings assessed virtually with an interstate paediatric sleep physician was conducted remotely. Polysomnography (PSG) and therapeutic interventions were carried out locally at Darwin, NT. The study participants were children referred between 2015 and 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the total 812 children referred for sleep assessment, 699 underwent a diagnostic PSG. The majority of patients were female (63%), non\u2010Indigenous (81%) and resided in outer regional areas (88%). Indigenous children were significantly older and resided in remote or very remote locations (22% vs. 10%). Referral patterns differed according to locality and Indigenous status \u2013 (non\u2010Indigenous via private (53%), Indigenous via public system (35%)). Receipt of referrals to initial consultation was a median of 16\u2009days and 4\u2009weeks from consult to PSG. Remote children had slightly longer time delay between the referral and initial consult (32 vs. 15\u2009days). Fifty one percent were diagnosed to have OSA, 27% underwent adenotonsillectomy and 2% were prescribed with CPAP therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study has demonstrated that a telehealth model can be an effective way in overcoming logistical barriers and in providing sleep health services to children in remote and regional Australia. Further innovative efforts are needed to improve the service model and expand the reach for vulnerable children in very remote communities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16549","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T09:18:44Z","timestamp":1715332724000},"page":"212-221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Establishing a telehealth model addressing paediatric sleep health in remote and rural <scp>Northern Territory Australia<\/scp>: Overcoming the distance barrier"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6348-7835","authenticated-orcid":false,"given":"Natalie","family":"Gentin","sequence":"first","affiliation":[{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"},{"name":"Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3028-0376","authenticated-orcid":false,"given":"Timothy P","family":"Howarth","sequence":"additional","affiliation":[{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"},{"name":"Department of Applied Physics University of Eastern Finland  Kuopio Northern Savonia Finland"},{"name":"Diagnostic Imaging Center Kuopio University Hospital  Kuopio Northern Savonia Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme","family":"Crossland","sequence":"additional","affiliation":[{"name":"Department of ENT Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemi","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of ENT Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Jonas","sequence":"additional","affiliation":[{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"},{"name":"Paediatric Sleep Service Northern Beaches Hospital  Frenchs Forest New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Blecher","sequence":"additional","affiliation":[{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"},{"name":"Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Liverpool Paediatric Care  Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Widger","sequence":"additional","affiliation":[{"name":"Division of Paediatric Medicine Women's and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Whybourne","sequence":"additional","affiliation":[{"name":"Women Children and Youth Division NT Health  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0788-7137","authenticated-orcid":false,"given":"Subash S","family":"Heraganahally","sequence":"additional","affiliation":[{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"},{"name":"Department of Respiratory and Sleep Medicine Royal Darwin Hospital  Darwin Northern Territory Australia"},{"name":"College of Medicine and Public Health Flinders University  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10621"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/pm.2019.09.05"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e3282ef6880"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1672"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-015-0228-1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1683124"},{"key":"e_1_2_8_8_1","volume-title":"Snapshot of Northern Territory [Internet","author":"Australian Bureau of Statistics","year":"2022"},{"key":"e_1_2_8_9_1","volume-title":"Australian Statistical Geography Standard (ASGS): Volume 5\u2014Remoteness Structure, July 2011. 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