{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T09:01:44Z","timestamp":1793091704106,"version":"4.5.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:00:00Z","timestamp":1639008000000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Rheumatol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>During the Coronavirus disease 2019 pandemic, ambulatory pediatric rheumatology healthcare rapidly transformed to a mainly telehealth model. However, pediatric patient and caregiver satisfaction with broadly deployed telehealth programs remains largely unknown. This study aimed to evaluate patient\/caregiver satisfaction with telehealth and identify the factors associated with satisfaction in a generalizable sample of pediatric rheumatology patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients with an initial telehealth video visit with a rheumatology provider between April and June 2020 were eligible. All patients\/caregivers were sent a post-visit survey to assess a modified version of the Telehealth Usability Questionnaire (TUQ) and demographic and clinical characteristics. TUQ total and sub-scale (usefulness, ease of use, effectiveness, satisfaction) scores were calculated and classified as \u201cpositive\u201d based on responses of \u201cagree\u201d or \u201cstrongly agree\u201d on a 5-point Likert scale. Results were analyzed using standard descriptive statistics and Wilcoxon signed rank testing. The association between demographic and clinical characteristics with TUQ scores was assessed using univariate linear regression.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>597 patients\/caregivers met inclusion criteria, and the survey response rate was 42% (<jats:italic>n<\/jats:italic>\u2009=\u2009248). Juvenile idiopathic arthritis was the most common diagnosis (33.5%). The majority of patients were diagnosed greater than 6\u2009months previously (72.6%) and were prescribed chronic medications (59.7%). The median total TUQ score was 4 (IQR: 4\u20135) with positive responses in 81% of items. Of the subscales, usefulness scores were lowest (median: 4, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Telehealth saves time traveling was the highest median item score (median\u2009=\u20095, IQR: 4\u20135). Within subscales, items that scored significantly lower included convenience, providing for needs, seeing rheumatologist as well as in person, and being an acceptable way to receive rheumatology services (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There were no significant demographic or clinical features associated with TUQ scores.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our results suggest telehealth is a promising mode of healthcare delivery for pediatric rheumatic diseases but also identifies opportunities for improvement. Innovation and research are needed to design a telehealth system that delivers high quality and safe care that improves healthcare outcomes. Since telehealth is a rapidly emerging form of pediatric rheumatology care, improved engagement and training of patients, caregivers, and providers may help improve the patient experience in the future.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12969-021-00649-4","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T11:11:23Z","timestamp":1639048283000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Evaluation of pediatric rheumatology telehealth satisfaction during the COVID-19 pandemic"],"prefix":"10.1186","volume":"19","author":[{"given":"Lindsay N.","family":"Waqar-Cowles","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Chuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela F.","family":"Weiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Gmuca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"LaNoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon M.","family":"Burnham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"649_CR1","unstructured":"Committee on Rheumatologic Care. Position Statement: Telemedicine. American College of Rheumatology. 2020. https:\/\/www.rheumatology.org\/Portals\/0\/Files\/Telemedicine-Position-Statement.pdf."},{"issue":"2","key":"649_CR2","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1258\/1357633053499886","volume":"11","author":"NM Hjelm","year":"2005","unstructured":"Hjelm NM. Benefits and drawbacks of telemedicine. J Telemed Telecare. 2005;11(2):60\u201370. https:\/\/doi.org\/10.1258\/1357633053499886.","journal-title":"J Telemed Telecare"},{"issue":"8","key":"649_CR3","doi-asserted-by":"publisher","first-page":"e016242","DOI":"10.1136\/bmjopen-2017-016242","volume":"7","author":"CS Kruse","year":"2017","unstructured":"Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open. 2017;7(8):e016242. https:\/\/doi.org\/10.1136\/bmjopen-2017-016242.","journal-title":"BMJ Open"},{"issue":"9","key":"649_CR4","doi-asserted-by":"publisher","first-page":"1366","DOI":"10.1002\/acr.23483","volume":"70","author":"LR Knudsen","year":"2017","unstructured":"Knudsen LR, Thurah AD, Lomborg K. Experiences with telehealth Followup in patients with rheumatoid arthritis: a qualitative interview study. Arthritis Care Res. 2017;70(9):1366\u201372. https:\/\/doi.org\/10.1002\/acr.23483.","journal-title":"Arthritis Care Res"},{"issue":"10","key":"649_CR5","doi-asserted-by":"publisher","first-page":"1546","DOI":"10.1002\/acr.23153","volume":"69","author":"JA McDougall","year":"2017","unstructured":"McDougall JA, Ferucci ED, Glover J, Fraenkel L. Telerheumatology: a systematic review. Arthritis Care Res. 2017;69(10):1546\u201357. https:\/\/doi.org\/10.1002\/acr.23153.","journal-title":"Arthritis Care Res"},{"issue":"10","key":"649_CR6","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1089\/tmj.2016.0236","volume":"23","author":"KN Ray","year":"2017","unstructured":"Ray KN, Ashcraft LE, Mehrotra A, Miller E, Kahn JM. Family perspectives on telemedicine for pediatric subspecialty care. Telemed J E Health. 2017;23(10):852\u201362. https:\/\/doi.org\/10.1089\/tmj.2016.0236.","journal-title":"Telemed J E Health"},{"key":"649_CR7","doi-asserted-by":"publisher","unstructured":"Bullock DR, Vehe RK, Zhang L, Correll CK. Telemedicine and other care models in pediatric rheumatology: an exploratory study of parent's perceptions of barriers to care and care preferences. Pediatric Rheumatology. 2017;15(55). https:\/\/doi.org\/10.1186\/s12969-017-0184-y.","DOI":"10.1186\/s12969-017-0184-y"},{"key":"649_CR8","doi-asserted-by":"publisher","unstructured":"Kessler EA, Sherman AK, Becker ML. Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits. Pediatric Rheumatology. 2016;14(54). https:\/\/doi.org\/10.1186\/s12969-016-0116-2","DOI":"10.1186\/s12969-016-0116-2"},{"issue":"1","key":"649_CR9","doi-asserted-by":"publisher","first-page":"3","DOI":"10.5195\/ijt.2016.6196","volume":"8","author":"B Parmanto","year":"2016","unstructured":"Parmanto B, Lewis AN, Graham KM, Bertolet MH. Development of the telehealth usability questionnaire (TUQ). Int J Telerehabilitation. 2016;8(1):3\u201310. https:\/\/doi.org\/10.5195\/ijt.2016.6196.","journal-title":"Int J Telerehabilitation"},{"issue":"6","key":"649_CR10","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1197\/jamia.M2146","volume":"13","author":"S Bakken","year":"2006","unstructured":"Bakken S, Grullon-Figueroa L, Izquierdo R, Lee NJ, Morin P, Palmas W, et al. Development, validation, and use of English and Spanish versions of the telemedicine satisfaction and usefulness questionnaire. J Am Med Inform Assoc. 2006;13(6):660\u20137. https:\/\/doi.org\/10.1197\/jamia.M2146.","journal-title":"J Am Med Inform Assoc"},{"issue":"4","key":"649_CR11","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1016\/j.pcl.2020.04.006","volume":"67","author":"R Pooni","year":"2020","unstructured":"Pooni R, Sandborg C, Lee T. Building a viable telemedicine presences in pediatric rheumatology. Pediatr Clin N Am. 2020;67(4):641\u20135. https:\/\/doi.org\/10.1016\/j.pcl.2020.04.006.","journal-title":"Pediatr Clin N Am"},{"issue":"8","key":"649_CR12","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1097\/BPO.0000000000000837","volume":"38","author":"FB Pen","year":"2018","unstructured":"Pen FB, Burrows JF, Shirley ED, Rosen P. Unlocking the doors to patient satisfaction in pediatric orthopaedics. J Pediatr Orthop. 2018;38(8):398\u2013402. https:\/\/doi.org\/10.1097\/BPO.0000000000000837.","journal-title":"J Pediatr Orthop"},{"issue":"6","key":"649_CR13","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1177\/1043454217717239","volume":"34","author":"J Davis","year":"2017","unstructured":"Davis J, Burrows JF, Khallouq BB, Rosen P. Predictors of patient satisfaction in pediatric oncology. J Pediatr Oncol Nurs. 2017;34(6):435\u20138. https:\/\/doi.org\/10.1177\/1043454217717239.","journal-title":"J Pediatr Oncol Nurs"},{"key":"649_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.inat.2016.10.002","volume":"7","author":"RR Barsoom","year":"2017","unstructured":"Barsoom RR, Maugans TA, Burrows JF, Rosen P. Exploring patient and family satisfaction in pediatric neurological surgery. Interdiscip Neurosurg. 2017;7:1\u20133. https:\/\/doi.org\/10.1016\/j.inat.2016.10.002.","journal-title":"Interdiscip Neurosurg"},{"issue":"8","key":"649_CR15","doi-asserted-by":"publisher","first-page":"e016242","DOI":"10.1136\/bmjopen-2017-016242","volume":"7","author":"CS Kruse","year":"2017","unstructured":"Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ. 2017;7(8):e016242. https:\/\/doi.org\/10.1136\/bmjopen-2017-016242.","journal-title":"BMJ."},{"issue":"6","key":"649_CR16","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1097\/MPG.0000000000002749","volume":"70","author":"E Berg","year":"2020","unstructured":"Berg E, Picoraro J, Miller S, Srinath A, Franciosi J, Hayes C, et al. COVID-19--a guide to rapid implementation of telehealth services - a playbook for the pediatric gastroenterologist. J Pediatr Gastroenterol Nutr. 2020;70(6):734\u201340. https:\/\/doi.org\/10.1097\/MPG.0000000000002749.","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"649_CR17","doi-asserted-by":"publisher","unstructured":"Foster HE, Jandial S. pGALS \u2013 paediatric gait arms legs and spine: a simple examination of the musculoskeletal system. Pediatr Rheumatol Online J. 2013;11(1). https:\/\/doi.org\/10.1186\/1546-0096-11-44.","DOI":"10.1186\/1546-0096-11-44"},{"key":"649_CR18","doi-asserted-by":"publisher","unstructured":"Consolaro A, Ruperto N, Bazso A, Magni-Manzoni S, Pelagatti MA, Pistorio A, et al. Final validation of a new composite disease activity score for juvenile idiopathic arthritis: the Juvenile Arthritis Disease Activity Score (JADAS). Pediatr Rheumatol Online J. 2008;6(Suppl 1), P115. https:\/\/doi.org\/10.1186\/1546-0096-6-S1-P115.","DOI":"10.1186\/1546-0096-6-S1-P115"},{"issue":"Suppl 1","key":"649_CR19","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1007\/s00296-018-3984-6","volume":"38","author":"DJ Lovell","year":"2018","unstructured":"For the Paediatric Rheumatology International Trials Organization (PRINTO), Lovell DJ, Brunner HI, et al. The American English version of the juvenile arthritis multidimensional assessment report (JAMAR). Rheumatol International. 2018;38(Suppl 1):35\u201342. https:\/\/doi.org\/10.1007\/s00296-018-3984-6.","journal-title":"Rheumatol International"},{"key":"649_CR20","doi-asserted-by":"publisher","unstructured":"Shenoi S, Hayward K, Curran ML, Kessler E, Mehta JJ, Riebschleger MP, Foster HE. Telemedicine in pediatric rheumatology: this is the time for the community to embrace a new way of clinical practice. Pediatr Rheumatol. 2020;18(85). https:\/\/doi.org\/10.1186\/s12969-020-00476-z.","DOI":"10.1186\/s12969-020-00476-z"}],"container-title":["Pediatric Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12969-021-00649-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12969-021-00649-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12969-021-00649-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T11:12:50Z","timestamp":1639048370000},"score":1,"resource":{"primary":{"URL":"https:\/\/ped-rheum.biomedcentral.com\/articles\/10.1186\/s12969-021-00649-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["649"],"URL":"https:\/\/doi.org\/10.1186\/s12969-021-00649-4","relation":{},"ISSN":["1546-0096"],"issn-type":[{"value":"1546-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"18 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This survey study was deemed not human subjects research by the Children\u2019s Hospital of Philadelphia Institutional Review Board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests. The authors have no financial relationships relevant to this article to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"170"}}