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Adolescents also prefer self-report screening [16,27]. Adolescent preferences combined with provider time constraints to address all 12 required health promotion categories in the Bright Futures guidelines within a single visit [14] suggest a need for an intervention such as TWC. The web-based application format of TWC allows it to be accessed outside of the physical clinic, supporting implementation during telehealth visits.
JMIR Form Res 2023;7:e50833
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For example, a prior study of Kurbo, a commercially available weight management program delivered over a mobile app with video coaching sessions, showed that children who engaged in more telehealth coaching sessions over a longer duration had greater weight loss compared to those with less engagement [28], albeit the level of engagement was self-selected by the family and not randomly assigned.
JMIR Pediatr Parent 2021;4(1):e24714
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