Acceptability of Pediatric Telerehabilitation Interventions Provided by Physical Therapists and Occupational Therapists—A Scoping Review

Dostie, Rosalie; Gaboury, Isabelle; Cinar, Eda; Camden, Chantal

doi:10.1080/01942638.2022.2064203

Cited by 10 publications

(4 citation statements)

References 48 publications

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“…Within the wider scope of paediatric rehabilitation, the issues of service gaps and extended waiting time are also a cause for concern, as delays in receiving services are recognised to have adverse consequences on children’s development and well-being, while also affecting the well-being of their family members [ 10 , 11 ]. Recent research has underscored the significance of telerehabilitation as a valuable tool for expanding access to services by providing timely [ 12 ], effective [ 13 ] and acceptable rehabilitation services for children with multiple diagnoses, chronic conditions, and developmental disabilities [ 14–16 ]. Telerehabilitation involves the use of various communication technologies such as audio, video, and other digital communication platforms to provide remote rehabilitation services.…”

Section: Introductionmentioning

confidence: 99%

Use of telehealth for paediatric rehabilitation needs of Indigenous children – a scoping review

Dostie,

Dunn,

Marks

et al. 2024

International Journal of Circumpolar Health

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Telerehabilitation is proposed as a promising avenue to enhance service accessibility for Indigenous communities, yet its application for Indigenous children remains relatively unexplored. This scoping review followed the PRISMA-ScR framework to explore current knowledge on the use of telerehabilitation for Indigenous children. Ten scholarly databases, seven grey literature databases, reference searches, and expert consultations were utilised to identify relevant studies. Included articles discussed the use of telerehabilitation provided by rehabilitation professionals (e.g. occupational therapist (OT), physical therapist (PT), speech and language pathologist (SLP) to Indigenous children and/or caregivers. Seven studies were included. Telerehabilitation was explored in different ways, the most common being real-time videoconferencing by SLPs. While some studies explicitly acknowledged cultural responsiveness within both the research process and the intervention, most were not designed for Indigenous children and their caregivers; rather, these participants were included with non-Indigenous participants. Successful implementation and sustainability of telerehabilitation services requires addressing technological limitations, understanding, and respecting diverse worldviews, and co-developing services to meet the unique needs of Indigenous families. Telerehabilitation has been rarely used with Indigenous children and when it was, little attention was given to cultural considerations. These findings emphasise that future telerehabilitation interventions should be truly community-led to ensure cultural relevance.

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Section: Introductionmentioning

confidence: 99%

Use of telehealth for paediatric rehabilitation needs of Indigenous children – a scoping review

Dostie,

Dunn,

Marks

et al. 2024

International Journal of Circumpolar Health

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“…Service delivery models shifted to an all-but-universal embrace of telehealth in response to COVID-19 infection control policies [ 12 ]. The move to telehealth demanded fundamental changes be made to both the philosophy and practice of pediatric rehabilitation; however, practitioners had no choice but to engage with this challenge [ 13 , 14 , 15 , 16 ]. The in-person environment of the clinic is regulated by practitioners, whereas the telehealth environment of the home is under the pediatric patient family’s control.…”

Section: Introductionmentioning

confidence: 99%

Evolution of a System to Monitor Infant Neuromotor Development in the Home: Lessons from COVID-19

et al. 2023

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In the nine months leading up to COVID-19, our biomedical engineering research group was in the very early stages of development and in-home testing of HUGS, the Hand Use and Grasp Sensor (HUGS) system. HUGS was conceived as a tool to allay parents’ anxiety by empowering them to monitor their infants’ neuromotor development at home. System focus was on the evolving patterns of hand grasp and general upper extremity movement, over time, in the naturalistic environment of the home, through analysis of data captured from force-sensor-embedded toys and 3D video as the baby played. By the end of March, 2020, as the COVID-19 pandemic accelerated and global lockdown ensued, home visits were no longer possible and HUGS system testing ground to an abrupt halt. In the spring of 2021, still under lockdown, we were able to resume recruitment and in-home testing with HUGS-2, a system whose key requirement was that it be contactless. Participating families managed the set up and use of HUGS-2, supported by a detailed library of video materials and virtual interaction with the HUGS team for training and troubleshooting over Zoom. Like the positive/negative poles of experience reported by new parents under the isolation mandated to combat the pandemic, HUGS research was both impeded and accelerated by having to rely solely on distance interactions to support parents, troubleshoot equipment, and securely transmit data. The objective of this current report is to chronicle the evolution of HUGS. We describe a system whose design and development straddle the pre- and post-pandemic worlds of family-centered health technology design. We identify and classify the clinical approaches to infant screening that predominated in the pre-COVID-19 milieu and describe how these procedural frameworks relate to the family-centered conceptualization of HUGS. We describe how working exclusively through the proxy of parents revealed the family’s priorities and goals for child interaction and surfaced HUGS design shortcomings that were not evident in researcher-managed, in-home testing prior to the pandemic.

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“…Family engagement in therapy is supported through a shared understanding of expectations, collaboration and positive relationships with therapists ( 15 , 17 ). To date much of the telerehabilitation literature examines its effectiveness ( 11 , 18 , 19 ) and the acceptability of this service model from the caregiver perspective ( 7 , 20 ), however qualitative research has started to explore parent engagement in telerehabilitation as it relates to the parent-therapist relationship ( 10 ). In 2022, a qualitative systematic review described engagement in early intervention telerehabilitation for young children with developmental disabilities and provided recommendations to establish and maintain engagement with these services ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Co-designing solutions to enhance access and engagement in pediatric telerehabilitation

Reitzel,

Letts,

Lennon

et al. 2023

Front. Rehabil. Sci.

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IntroductionPrior to the COVID-19 pandemic, children's therapy appointments provided by Ontario's publicly-funded Children's Treatment Centre (CTCs) primarily occurred in-person. With COVID-19 restrictions, CTCs offered services via telerehabilitation (e.g., video, phone), which remains a part of service delivery. CTC data shows that families experience barriers in attending telerehabilitation appointments and may need supports in place to ensure service accessibility. Our study aimed to co-design innovative solutions to enhance access and engagement in ambulatory pediatric telerehabilitation services. This manuscript reports the co-design process and findings related to solution development.MethodsThis research project used an experience based co-design (EBCD) approach, where caregivers, clinicians and CTC management worked together to improve experience with telerehabilitation services. Interview data were collected from 27 caregivers and 27 clinicians to gain an in-depth understanding of their barriers and successes with telerehabilitation. Next, 4 interactive co-design meetings were held with caregivers, clinicians and CTC management to address priorities identified during the interviews. Using qualitative content analysis, data from the interviews and co-design meetings were analyzed and findings related to the solutions developed are presented.FindingsFour topics were identified from the interview data that were selected as focii for the co-design meetings. Findings from the co-design meetings emphasized the importance of communication, consistency and connection (the 3C's) in experiences with telerehabilitation. The 3C's are represented in the co-designed solutions aimed at changing organizational processes and generating tools and resources for telerehabilitation services.DiscussionThe 3C's influence experiences with telerehabilitation services. By enhancing the experience with telerehabilitation, families will encounter fewer barriers to accessing and engaging in this service delivery model.

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Acceptability of Pediatric Telerehabilitation Interventions Provided by Physical Therapists and Occupational Therapists—A Scoping Review

Cited by 10 publications

References 48 publications

Use of telehealth for paediatric rehabilitation needs of Indigenous children – a scoping review

Use of telehealth for paediatric rehabilitation needs of Indigenous children – a scoping review

Evolution of a System to Monitor Infant Neuromotor Development in the Home: Lessons from COVID-19

Co-designing solutions to enhance access and engagement in pediatric telerehabilitation

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