Teleconsultation to prevent skin conditions in infants

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A recent publication in JMIR Pediatrics and parenthood reported that mothers of infants are prone to parental stress, which negatively affects the well-being of mothers and children. Additionally, studies have reported that atopic dermatitis (AD) in offspring increases parental stress, and postnatal maternal psychological problems may increase the risk of AD in children.

Eligible pairs of infants and mothers were randomly assigned to either the intervention group or the control group.

Additionally, participants in the intervention group had the option of combining routine pediatric services with teleconsultation and email newsletters at no cost from the date of enrollment until the infant reached 4 month.

The primary outcomes were prevalence of Alzheimer’s disease in infants diagnosed using the UK Task Force criteria and parenting stress and mothers’ mental status assessed using the Parenting Stress Index-Short Form and General Health Questionnaire-12.

There was a significant difference in the prevalence of AD between participants who used teleconsultation services and email newsletters, participants who did not use teleconsultation services but received email newsletters, and participants who did not receive or use either service.

Dr. Akira Oka of the University of Tokyo states that “the exchange of valid health-related information between healthcare professionals and their patients can facilitate diagnosis, treatment and prevention as well as research and evaluation, thereby improving the health of individuals and communities.”

Telemedicine and e-health are widely used services due to their functionality, ease of use, cost-effectiveness, time-saving features, and accessibility for patients who live far from healthcare facilities.

Telemedicine and eHealth intervention services provided to pediatric patients with conditions such as autism, attention deficit/hyperactivity disorder, and chronic disease have been shown to positively influence pediatric patients as well as patients. families and health care providers.

Additionally, parents reported real and perceived benefits of eHealth services, including ease of use, increased confidence and satisfaction with infant care, and effective knowledge transfer.

In Japan, a few reports have described the use of online perinatal health services provided by health care providers, such as telediagnosis of fetal heart disease, construction of electronic medical records for perinatal care, and digitization of a maternal and child health manual.

Compared to the control group receiving routine postnatal care through local government services, these authors hypothesized that the additional service including teleconsultation and email newsletters provided by pediatricians would be an effective strategy to prevent AD. in infants and reduce parental stress in mothers at 4 months postpartum. .

Dr. Oka and the research team concluded that although a pediatric service combined with teleconsultation and email newsletters was not effective in reducing parenting stress in mothers, this is the first randomized controlled trial to demonstrate that telehealth was effective in reducing the prevalence of AD in infants. .

Such educational programs are a necessary complement to clinical and public services that attempt to improve skin conditions in infants.

The authors hope that pediatric eHealth will become a widely used new strategy to prevent Alzheimer’s disease, which could also lead to a reduction in other allergic diseases.


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More information:
Tomohisa Ando et al, Effectiveness of pediatric teleconsultation for preventing skin conditions in infants and reducing parental stress in mothers: a randomized controlled trial, JMIR Pediatrics and parenthood (2021). DOI: 10.2196/27615

Provided by JMIR Publications

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