Rethinking early intervention rehabilitation services for children with motor difficulties: engaging stakeholders in the conceptualization of telerehabilitation primary care

Factors Facilitating and Inhibiting the Implementation of Telerehabilitation—A Scoping Review

“…All 28 included studies were published between 2014 and 2023, and all but three studies [ 25 , 26 , 27 ] were conducted in high- or upper-middle-income countries [ 28 ]. Most of these ( n = 10) were undertaken in Canada [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], followed by 5 studies in Australia [ 39 , 40 , 41 , 42 , 43 ] and 4 studies in the USA [ 44 , 45 , 46 , 47 ]. The three studies conducted in lower-middle-income countries were from India [ 25 ], Iran [ 26 ] and Uganda [ 27 ].…”

“…Of the 28 included publications, 17 addressed the research question using a qualitative design [ 26 , 29 , 32 , 33 , 34 , 35 , 36 , 37 , 39 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ], while 5 studies worked with a quantitative design [ 25 , 40 , 50 , 51 , 52 ] and 5 studies were based on a mixed methods approach [ 27 , 30 , 38 , 41 , 53 ]. One of the included articles was a synthesis of six qualitative and quantitative studies with different study designs, which were mentioned, but not explained in detail (pre-post, pilot studies, RCTs, observational designs) [ 31 ].…”

“…Three studies used sensor-based technologies (wearables) to track physical activity [ 34 , 37 , 50 ], as well as VR-technologies [ 30 , 31 , 50 ]. Other complementary digital offers were exercise videos [ 32 , 41 , 45 ], e-learning modules [ 34 , 35 ], emails [ 46 ], SMS [ 27 ] and phone calls [ 27 , 33 ]. In four studies TR was not described in more detail [ 26 , 36 , 39 , 43 ].…”

“…In 19 studies, TR was analysed exclusively from the perspectives of healthcare professionals [ 26 , 27 , 29 , 30 , 32 , 36 , 37 , 39 , 40 , 42 , 43 , 44 , 46 , 47 , 48 , 50 , 51 , 52 , 53 ], while seven studies also included the patients’ perspectives [ 25 , 31 , 33 , 34 , 35 , 41 , 45 ]. Two studies analysed only the patients’ perspectives [ 38 , 49 ].…”

Bringing therapy home: Exploring parents’ experiences of telehealth for children with developmental coordination disorder

“…One participant reported waiting 6 years and counting for their child to receive occupational therapy intervention. This comes as no surprise as due to rising costs publicly funded services grapple to address the increasing number of chil dren presenting with motor delays (Hurtubise et al, 2021) and prioritise those with more severe motor difficulties (Miller et al, 2008). This finding is significant as a lack of early intervention has the potential to negatively impact children's development (Camden and Silva, 2021) and increase stress levels in these families (Miller et al, 2008).…”