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International Survey of Telehealth in
Developmental-Behavioral and Social Pediatrics
Dear colleague:We trust you have been keeping safe and healthy during this COVID-19 pandemic. We are hoping to learn more about the use of telehealth among medical clinicians who treat children and adolescents with
developmental and behavioral concerns. For purposes of this study, telehealth includes live video-conferencing, audio calls (not just to answer patient questions), and/or sending and reviewing pictures or videos related to
development/behavior with caregivers.You may receive this survey through more than one contact or source. Please only complete the survey once. We will not be asking for any identifying information about you on the survey. We estimate that it will take less than 10 minutes to complete the survey.We do not offer any compensation for
participating in the study. Participation in this study is voluntary. Your completion of the survey will be an indication of your consent to participate in the research. This study is not considered human subjects research, and so does not require ethics board approval.If you have any questions or concerns about participating in this study you may
contact Dr Neelkamal Soares, MD at [email protected], or Dr.Roopa Srinivasan,DNB at [email protected] you so much!
What is your specialty? Developmental-Behavioral Pediatrics/ Developmental
Paediatrics
Psychiatry/ Child Psychiatry Neurology/ Child Neurology Community/ General Pediatrics Social Paediatrics
Other (specify) Please describe other
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In what country do you reside? Afghanistan
Albania Algeria Andorra Angola
Antigua and Barbuda Argentina
Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia
Bosnia and Herzegovina Botswana
Brazil Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cabo Verde Cambodia Cameroon Canada
Central African Republic Chad
Chile China Colombia Comoros
Congo (Congo-Brazzaville) Costa Rica
Croatia Cuba Cyprus
Czechia (Czech Republic)
Democratic Republic of the Congo Denmark
Djibouti Dominica
Dominican Republic Ecuador
Egypt El Salvador Equatorial Guinea Eritrea
Estonia
Eswatini (fmr. ""Swaziland"") Ethiopia
Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala
Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya
Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta
Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique
Myanmar (formerly Burma) Namibia
Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia Norway
Oman Pakistan Palau
Palestine State Panama
Papua New Guinea Paraguay
Peru Philippines Poland
Portugal Qatar Romania Russia Rwanda
Saint Kitts and Nevis Saint Lucia
Saint Vincent and the Grenadines Samoa
San Marino
Sao Tome and Principe Saudi Arabia
Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia
Solomon Islands Somalia
South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tonga
Trinidad and Tobago Tunisia
Turkey Turkmenistan Tuvalu Uganda Ukraine
United Arab Emirates United Kingdom
United States of America Uruguay
Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe
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Please choose your state. Alabama
Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada
New Hampshire New Jersey New Mexicao New York North Carolina North Dakota Ohio
Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming How many years have you been in practice? < 5
5-10 10-15
>15
Describe your practice type (check all that apply) Teaching institution (medical school/residency program etc)
Private (for profit) Private (not for profit) Government
Other (specify)
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Please describe other.
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Please answer the following questions with your primary practice in mind.
Where are the patients you serve mainly located? Urban
(Check all that apply) Suburban
Rural Approximately how many medical clinicians who treat 1-3 children and adolescents with developmental and 4-6 behavioral concerns are in your primary practice? 7-9
>10
Does your primary practice include the following Psychologists/counselors related health professionals? (Check all that apply) Speech/language pathologists
Occupational Therapists Physical therapists Educational specialists Behavioral therapists
Social workers/family support workers Other (specify)
None Please define other
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Telehealth includes telephone calls, live video-conferencing. and asynchronous communication (sending and reviewing pictures or videos, but NOT corresponding by email/text-based
messages).
How many patient encounters were you conducting using None telehealth prior to the COVID-19 pandemic < 1 a month
declaration in your country? 1-3 a month
1-3 a week
>3 a week How many patient encounters are you currently None
conducting by telehealth? < 1 a month
1-3 a month 1-3 a week
>3 a week
What organizational barriers have you experienced Cost/reimbursement that prevent you from using telehealth in your Legal Liability
primary practice? (Check all that apply) Patient privacy/confidentiality/security of data Effectiveness
Workflow efficiency/time management Technically challenged staff
Clinician (you or your colleague) resistance to change
Licensing
Perception that telehealth is impersonal Other (specify)
Please define other
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What organizational barriers do you experience while Cost/reimbursement conducting telehealth in your primary practice? Legal Liability
(Check all that apply) Patient privacy/confidentiality/security of data
Effectiveness
Workflow efficiency/ time management Technically challenged staff
Clinician (you or your colleague) resistance to change
Licensing
Perception that telehealth is impersonal Other (specify)
None Please define other
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What patient barriers have you experienced that Age of patient
prevent you from using telehealth in your primary? Caregiver's level of Education
(Check all that apply) Patient or caregiver lack of awareness of
telehealth
No/limited access to technology (computer, bandwidth, smartphone)
Socioeconomic Status Preference for in person care
Home environment (distractions or disturbances) not conducive to telehealth
Other priorities (food security, unemployment, etc.)
Other (specify) Please define other
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What patient barriers do you experience while Age of patient
conducting telehealth? (Check all that apply) Caregiver's level of Education
Patient or caregiver lack of awareness of telehealth
No/limited access to technology (computer, bandwidth, smartphone)
Socioeconomic Status Preference for in person care
Home environment (distractions or disturbances) not conducive to telehealth
Other priorities (food security, unemployment, etc.)
Other (specify) Please define other
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Are you completing encounters by the following: Asynchronous review of photos/video/audio
(Check all that apply) Interactive video visits
Audio only calls (telephone, WhatsApp audio) What platforms are you using to complete telehealth Embedded or linked within the electronic health encounters? (Check all that apply) record (e.g.,Zoom, Vidyo, WebEx, etc.)
Stand alone platform (e.g.,Zoom, Skype, Doxy.me, Google meet. Microsoft teams, WhatsApp , etc.) Other (specify)
Unsure
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Please describe other
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Please provide information about your telehealth encounters What sort of encounters are you completing by New/consult
telehealth? (Check all that apply) Follow-up/monitoring
For what diagnoses/situations are you using Autism spectrum disorder
telehealth? (Check all that apply) ADHD
Learning disability Developmental delay
Genetic diagnoses (e.g., trisomy 21) Behavioral concerns
Neonatal follow-up
Psychotropic medication management Depression/anxiety/mood conditions Intellectual impairment
Cerebral Palsy/Motor disorders Other (specify)
Please describe other
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Where are patients and families usually located Home
during the telehealth visit? (Check all that apply) Pediatric office (e.g, primary care pediatrician) Other site (specify)
Please describe other site
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Are you able to include any of the following in your Scribe/note taker/transcriptionist
telehealth encounters? (Check all that apply) Patient family member at a separate location Another professional (teacher, therapist) Other (specify)
Please define other
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Are you able to use an interpreter during the No, we cannot use an interpreter telehealth encounter for patients with different Yes, an interpreter can join by video
native language? Yes, an interpreter can join by telephone
Generally, do you record all or part of the No telehealth encounter? (e.g., for training purposes, Yes transcription, or for team visit review) Not sure To what degree are the psychologists in your clinical Independently
practice group participating in telehealth During a multi-team visit, with multiple providers encounters? (Check all that apply) on the visit simultaneously or sequentially
Other (specify)
We have not been able to include psychologists in telehealth visits
Please describe other
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To what degree are the allied health professionals Independently
(speech, OT, PT etc) in your clinical practice group During a multi-team visit, with multiple providers participating in telehealth encounters? (Check all on the visit simultaneously or sequentially
that apply) Other (specify)
We have not been able to include allied health professionals in telehealth visits
Please describe other
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Are you currently conducting research and/or quality Yes improvement projects related to telehealth? No Please describe your research or projects.
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How did you receive this survey? WhatsApp group
Facebook/social media link Professional discussion board Email from a colleague Other (specify)
Please describe other
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