• Kimberly A Miller, Jennifer Baird, Jessica Lira, Josseline Herrera Eguizabal, Shangnon Fei, Lynn Kysh, and Debra Lotstein.
• Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA; Department of Dermatology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
• J Pain Symptom Manage. 2021 Sep 1; 62 (3): 619-636.e6.

ContextThere is potential value to home-based palliative care for children with serious illness delivered via telemedicine (TM HBPC). Evidence to guide optimal design and delivery of TM HBPC is urgently needed.ObjectivesTo explore the existing literature to identify research on pediatric TM HBPC.MethodsSystematic scoping review conducted following preferred reporting items for systematic reviews and meta-analysis for scoping reviews guidelines. PubMed, Embase, Cochrane CENTRAL, CINAHL, Web of Science, PsycINFO, and ERIC were searched (January-April 2020) using keywords and controlled vocabulary. The Reach, Effectiveness, Adoption, Implementation, Maintenance framework was used to identify components in the literature that facilitate or limit dissemination of TM HBPC interventions.ResultsSeventeen articles were included. Most of the literature comprised small descriptive studies, such as case reports, and feasibility trials. Many studies focused on acceptability, and the TM HBPC model was generally acceptable to both clinicians and families. Few studies measured patient access to care, patient, and family centered health or quality of life outcomes. While included studies addressed multiple criteria for each of the Reach, Effectiveness, Adoption, Implementation, Maintenance dimensions, much of the information was qualitative and subjective.ConclusionTM HBPC is a promising strategy to increase access to palliative care for children with serious illness. However, the current review found a need for more robust information describing implementation and effectiveness of TM HBPC models, adaptation across care settings, and maintenance over time to guide and facilitate broader dissemination.Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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