{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T15:32:26Z","timestamp":1793287946984,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["P50HD089922"],"award-info":[{"award-number":["P50HD089922"]}],"id":[{"id":"https:\/\/ror.org\/04byxyr05","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Center for Advancing Translational Sciences","award":["UL1 TR002014"],"award-info":[{"award-number":["UL1 TR002014"]}],"id":[{"id":"https:\/\/ror.org\/04pw6fb54","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Telehealth technology can expand access to expert sexual assault nurse examiner (SANE) care in rural and underserved areas. Research previously demonstrated that telehealth-supported sexual assault nurse examiner (teleSANE) intervention led to changes in examination methods and evidence collection practices among a pediatric population; however, little is known about the impact of the intervention on changes among adolescent and adult victims of sexual assault (SA). The purpose of this study is to examine how SAFE-T System\n                      <jats:sup>TM<\/jats:sup>\n                      teleSANE consultations influence medical forensic examination (MFE) recommendations and changes for adolescent and adult survivors of SA in rural and suburban communities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From June 2021 to September 2024, SAFE-T System teleSANEs provided 24\/7 live telehealth consultations to local SANE-trained nurses at 11 hospitals in rural or suburban communities. A researcher-developed quality assurance tool was completed to assess the impact of the teleSANE consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Analysis of 178 teleSANE consultations conducted by 18 teleSANEs partnered with 64 local SANEs across 11 hospitals. TeleSANE consultations resulted in changes across 7 domains and 12 subcategories: The 8 domains include: Patient-centered Communication (67.4%); Initial History\/Data Gathering (42.1%); Forensic Evidence Collection (78.7%); Use of Multimethod Techniques (65.7%); Use of Adjunct Techniques (60.1%); Photo Documentation (51.1%) and Quality (59.6%); Post-assault Clinical Recommendations (43.8%); and Strangulation Evaluation (17.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Telehealth technology partnering expert teleSANEs with local SANEs in forensic specialty limited-access areas resulted in substantive changes to MFEs. These changes may reflect improved quality of care and enhanced forensic evidence collection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261470990","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T10:24:02Z","timestamp":1784975042000},"page":"1158-1166","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["SAFE-T System Telehealth Sexual Assault Nurse Examiner (TeleSANE) Consultation: Real-Time Changes to Medical Forensic Examinations for Adolescent and Adult Survivors in Rural and Underserved Communities"],"prefix":"10.1177","volume":"32","author":[{"given":"Sheridan","family":"Miyamoto","sequence":"first","affiliation":[{"name":"Sexual Assault Forensic Examination Telehealth (SAFE-T) Center; Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-3001","authenticated-orcid":false,"given":"Jennifer","family":"Delwiche","sequence":"additional","affiliation":[{"name":"Sexual Assault Forensic Examination Telehealth (SAFE-T) Center; Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Keim-Malpass","sequence":"additional","affiliation":[{"name":"Sexual Assault Forensic Examination Telehealth (SAFE-T) Center; Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoon Sun","family":"Hur","sequence":"additional","affiliation":[{"name":"College of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sr Agnes Marie","family":"Cummings","sequence":"additional","affiliation":[{"name":"University of Virginia School of Nursing, Charlottesville, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"key":"e_1_3_3_2_1","first-page":"106","article-title":"Sexual assault nurse examiner (SANE) education guidelines","year":"2018","unstructured":"1.Sexual assault nurse examiner (SANE) education guidelines. 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