Evaluation report
Assessing the Impact of Home Monitoring Technology on a Multidisciplinary Feeding Program.
Kathleen Carr, Mary Poyner-Reed, Ryan Davidson, Anna Rouse, Sarah Fleet ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This quality improvement project tested whether home monitoring technology (TytoCare) improved the experience of caregivers managing children with feeding disorders during telehealth visits at a US children's hospital. Most caregivers were satisfied with virtual visits both before and after the technology was introduced, and caregiver stress levels did not change. While caregivers found telehealth more convenient than in-person visits, technical challenges with the monitoring platform limited its practical use.
Key points
- 85% of caregivers were satisfied with virtual appointments both before and after technology implementation
- There was no measurable change in caregiver stress levels following implementation
- All caregivers preferred telehealth appointments to in-person visits and wished to continue them
- Technical challenges included the need for caregivers and providers to use a separate platform for data collection and transmission
- Limited baseline improvement in satisfaction may have been due to already-high baseline satisfaction levels (85%)
Limitations
This study did not include a comparison group and measured only caregiver satisfaction and stress, not clinical outcomes for children with feeding disorders. The high baseline satisfaction level (85%) may have created a ceiling effect preventing detection of further improvements.
Abstract
BACKGROUND: Children with pediatric feeding disorders require frequent monitoring via physical exams and the collection and assessment of anthropometric data. This quality improvement (QI) project initiated in the Growth and Nutrition Program at Boston Children's Hospital assessed whether implementation of TytoCare remote monitoring technology improved satisfaction and reduced stress among caregivers of children with feeding disorders. PURPOSE: The purpose of this QI project was to determine whether implementation of the new remote monitoring technology improved caregivers' and providers' telehealth experience. METHODS: Caregivers received TytoCare home monitoring technology for use in virtual visits with their child's medical team. Caregiver satisfaction and stress were assessed in an online survey given at baseline and at three and six months after implementation. RESULTS: Most caregivers (85%) were satisfied with their virtual appointments both before and after implementation of the remote monitoring technology, and there was no change in caregiver stress. Although there was significant interest in using the technology, there were challenges in its utilization, such as requiring both caregivers and providers to use a separate platform to collect, transmit, and view the data. All caregivers indicated that telehealth appointments were more convenient than in-person visits and wanted to continue having virtual visits. CONCLUSIONS: Limited change in caregiver satisfaction and in the perceived quality of virtual visits may be related to an already high satisfaction level at baseline. It's important to provide caregivers with tools for accurate clinical data collection, though they need to be user-friendly so the data are easily transmittable to providers during telehealth visits.
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
- Intervention
- Implementation of TytoCare remote home monitoring technology for use during telehealth visits with the medical team
- Population
- Caregivers of children with pediatric feeding disorders attending the Growth and Nutrition Program at Boston Children's Hospital
Key finding
Caregiver satisfaction remained at 85% both before and after technology implementation, with no change detected
Carr et al. · PubMed (US National Library of Medicine) · 25 Sept 2025