Perceptions of caregivers and adolescents of the use of telemedicine for the child sexual abuse examination |
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| Institution: | 1. Division of General Pediatrics, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA;2. Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA;3. Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA;4. Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA;1. Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, 904 W. Nevada Street, Urbana, IL, 61801, USA;2. Institute of Psychology, Federal University of Bahia, Rua Aristides Novis, 197, Estrada de São Lázaro, Salvador, BA, CEP: 40210-730, Brazil;3. Graduate Psychology Program, University of Fortaleza, Av. Washington Soares, 1321, Edson Queiroz, Fortaleza, CE, CEP: 60811-905, Brazil;4. Universidad del Rosario, Carrera 24 #63C-69, Bogotá, DC, Colombia;5. North-West University, Vanderbijlpark, South Africa;1. Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA;2. Department of Psychiatry and Behavioral Sciences, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA;3. Department of Psychiatry, University of Wisconsin-Madison, 6001 Research Park Blvd, Madison, WI 53719, USA;4. Departments of Psychiatry & Behavioral Sciences and Obstetrics & Gynecology, Leonard M. Miller School of Medicine, University of Miami, 1120 NW 14 Street, Suite 1446, Miami, FL 33136, USA;1. University of Southern California, Dworak-Peck School of Social Work, University Park Campus, MRF, MC 0411, Los Angeles CA 90089, United States;2. University of Southern California, Department of Preventive Medicine, Keck School of Medicine, 2001 N. Soto St., Los Angeles, CA 90034, United States;1. JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea;2. Department of Health Law, Policy and Management, Boston University, School of Public Health, Boston, MA United States;3. Seoul National University College of Nursing, Seoul, Republic of Korea;4. Department of Global Health, Hanoi Medical University, Hanoi, Viet Nam;5. Department of International Cooperation, Viet Nam Ministry of Health, Ha Noi, Viet Nam;6. Department of Family Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea;1. Cardiology Department, Hospital dos Lusíadas, Lisboa, Portugal;2. Nova Medical School, Lisboa, Portugal;3. Pathology Department, Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental Carnaxide, Lisboa, Portugal |
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| Abstract: | BackgroundChildhood sexual abuse is a common cause of morbidity and mortality. All victims should receive a timely comprehensive medical exam. Currently there is a critical shortage of child abuse pediatricians who can complete the comprehensive child sexual abuse examination. Telemedicine has emerged as an innovative way to provide subspecialty care to this population. Despite the growing popularity of telemedicine, no literature exists describing patient and caregiver perceptions of telemedicine for this sensitive exam.ObjectiveTo explore caregiver and adolescent perspectives of the use of telemedicine for the child sexual abuse examination and discover factors that drive satisfaction with the technology.Participants and SettingCaregivers and adolescents who presented for a child sexual abuse medical evaluation at our county’s child advocacy center.MethodsWe completed semi structured interviews of 17 caregivers and 10 adolescents. Guided by the Technology Acceptance Model interviews assessed perceptions about: general feelings with the exam, prior use of technology, feelings about telemedicine, and role of the medical team. Interviews were audio-recorded, transcribed, coded and analyzed using content analysis with constant comparative coding. Recruitment ended when thematic saturation was reached.ResultsThere was an overwhelming positive response to telemedicine. Participants reported having a good experience with telemedicine regardless of severity of sexual abuse or prior experience with technology. Behaviors that helped patients and caregivers feel comfortable included a clear explanation from the medical team and professionalism demonstrated by those using the telemedicine system.ConclusionTelemedicine was widely accepted by adolescents and caregivers when used for the child sexual abuse examination. |
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| Keywords: | Telemedicine Child sexual abuse Technology |
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