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Table 14 In person care versus home monitoring for children and adolescents

From: The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond

Certainty assessment Impact Certainty Importance
№ of studies Study design Risk of bias Inconsistency Indirectness Imprecision Other considerations
Outcomes: Vital signs (heart rate and heart rate variability)
1 open trial very seriousa,b not serious not serious not serious none 1 pilot open trial comparing adolescent girls with AN using wearable sensors plus wireless technologies to monitor heart rate and heart rate variability (n = 27) versus healthy controls (n = 15) [118]. Results showed that the wearable sensors were feasible to monitor vital signs in adolescents with AN, but by a clinician rather than a caregiver.
LOW
CRITICAL
Outcomes: Monitoring weight at home
1 case report in a descriptive study very seriousa,b not serious not serious not serious none 1 case report in a descriptive study with 1 child with AN [44]. The family utilized telehealth for FBT during COVID-19 where the child’s caregivers successfully measured the child’s weight at home using a home scale, as well as blood pressure and heart rate and reported these measures to the clinician.
LOW
CRITICAL
  1. aNo control condition
  2. bNo randomization
  3. Bibliography:
  4. Open trial – Billeci 2015 [118]
  5. Case report – Wood 2020 [44]