Usability and Satisfaction Outcomes from a Pilot Open Trial Examining Remote Patient Monitoring to Treat Pediatric Obesity during the COVID-19 Pandemic

Crystal S. Lim (), Cameronne A. Dodd, Laura E. Rutledge, Shanda W. Sandridge, Krista B. King, Darryl J. Jefferson and Tanya Tucker
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Crystal S. Lim: Department of Health Psychology, University of Missouri, Columbia, MO 65203, USA
Cameronne A. Dodd: Cancer Center and Research Institute, University of Mississippi Medical Center, Jackson, MS 39216, USA
Laura E. Rutledge: Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA
Shanda W. Sandridge: Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS 39216, USA
Krista B. King: Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS 39216, USA
Darryl J. Jefferson: Center for Telehealth, University of Mississippi Medical Center, Jackson, MS 39216, USA
Tanya Tucker: Center for Telehealth, University of Mississippi Medical Center, Jackson, MS 39216, USA

IJERPH, 2023, vol. 20, issue 3, 1-12

Abstract: Background: Pediatric obesity is common and a significant burden. Supplementing pediatric obesity treatment with technology is needed. This manuscript examines the usability and satisfaction, as well as explores initial effectiveness, of a remote patient monitoring system (RPMS) designed for youth presenting for pediatric weight management treatment. Methods: 47 youth, 10 to 17 years old, with obesity and a caregiver participated. For three months, families received treatment via the RPMS. Usability and satisfaction outcomes were examined. Exploratory analyses were conducted to examine initial effectiveness from baseline and post-treatment (month 3) assessments. Results: More than 80% of patients used the RPMS, and overall, patients completed 27 out of 90 daily sessions (30%). Youth and caregivers reported high satisfaction. Non-parametric tests revealed no significant improvements for youth or caregiver weight status after the RPMS treatment. Significant improvements in other outcomes examined were limited. Conclusions: Families were satisfied with the RPMS, but use of the system was limited. Initial effectiveness was not able to be determined due to the amount of missing data, which was impacted by the COVID-19 pandemic. Modifications of the RPMS and future evaluation of usability and effectiveness are warranted to determine utility in supplementing pediatric obesity clinical treatment.

Keywords: telemedicine; pediatric obesity; remote patient monitoring; weight management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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