Telehealth Opportunities in Occupational Therapy

Cason, Jana; Richmond, Tammy

doi:10.1007/978-1-4471-4198-3_10

Cited by 8 publications

(10 citation statements)

References 57 publications

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“…In addition, 60% of survey participants were unsure if their country had a position paper on the use of telehealth. The American Occupational Therapy Association (AOTA) has had a position paper [3] related to telehealth since 2005 and most recently updated in 2018. Since the majority of participants were U.S.based OTPs (97%), this result indicates that there is a need to raise awareness of and promote the use of the AOTA (2018) telehealth position paper as a practice resource among OTPs engaged in telehealth.…”

Section: Barriersmentioning

confidence: 99%

“…Prior to the onset of the COVID-19 pandemic, telehealth as a service delivery model had demonstrated comparative effectiveness to occupational therapy (OT) services delivered in-person in multiple studies [2]. Efficacy had also been established for a variety of OT assessments administered through telehealth [3], as well as in intervention studies across various OT practice settings. In addition, there is robust evidence of comparative effectiveness between telehealth and in-person OT services in multiple studies analyzing interventions for populations including adults with dementia, neurological conditions, and cancer; children with autism spectrum disorder (ASD); in the area of OT school-based practice for children with various conditions; as well as for caregivers of individuals with disabilities [4][5][6][7][8].…”

mentioning

confidence: 99%

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Toward successful future use of telehealth in occupational therapy practice: What the COVID-19 rapid shift revealed

Abbott-Gaffney

Gafni-Lachter

Cason

et al. 2022

WOR

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BACKGROUND: Prior to the onset of the COVID-19 pandemic, occupational therapy (OT) services delivered through telehealth demonstrated comparative effectiveness to in-person services. At the onset of the pandemic, occupational therapy practitioners (OTPs) needed to continue delivering care to clients without being in-person. Many OT practitioners pivoted rapidly to telehealth, in many instances, with very little training. OBJECTIVE: The objective of this study was to describe the use of telehealth in occupational therapy during the early stages of the pandemic, and to explore how participants traversed the barriers. The perceived benefits and barriers to success with rapid telehealth adoption as experienced by OTPs, along with the specific strategies used to promote favorable outcomes may inform ongoing successful telehealth use in occupational therapy. METHOD: This study used a mixed-methods sequential explanatory design. Data was collected from September to December 2020 with an electronic survey. RESULTS: A total of 193 OTPs completed the survey, representing the delivery of OT services in 13 countries. Three main barriers to the use of telehealth were availability of materials, mastery of technology, and collaboration with caregivers/e-helpers. These barriers were negatively and significantly correlated with the participants’ confidence level in the use of telehealth. Participants overcame barriers by independently obtaining telehealth training, including training within one’s organization, support from social media, self-directed learning, and paid online telehealth webinars. CONCLUSION: Employers and educators can remove barriers to telehealth use by OTPs by providing a variety of learning opportunities and supports to enhance practitioners’ confidence, thus increasing the likelihood of continued use of telehealth as a powerful and gap-bridging delivery model in occupational therapy.

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Section: Barriersmentioning

confidence: 99%

mentioning

confidence: 99%

Toward successful future use of telehealth in occupational therapy practice: What the COVID-19 rapid shift revealed

Abbott-Gaffney

Gafni-Lachter

Cason

et al. 2022

WOR

Self Cite

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“…In the United States, occupational therapy practitioners are using telehealth with many different populations in diverse settings, including early intervention, schools, pediatric and adult private practice, hospitals (pediatric, rehabilitation, and burn units), the Veterans Administration (VA) healthcare system, community-based mental health settings, home health, and in the workplace (AOTA, 2013; Cason & Jacobs, 2014). The AOTA telehealth position paper outlines the evidence that supports the use of telehealth in these practice settings and further points to the many benefits of telehealth for clients.…”

Section: Review Of Existing Telehealth Position Statementsmentioning

confidence: 99%

The Process for the Formulation of the International Telehealth Position Statement for Occupational Therapy

2015

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The World Federation of Occupational Therapists (WFOT) consists of 84 member organizations representing over 420,000 occupational therapists internationally (WFOT, 2014). In 2014, WFOT published the WFOT Telehealth Position Statement on the use of telehealth in occupational therapy. The process for the formulation of the official document involved reviewing WFOT member organizations’ telehealth position statements and data collected from a survey sent to member organizations’ delegates in April 2014. Qualitative data from 39 countries yielded factors to consider in five key areas: licensure/registration requirements, the cost of technology, privacy and security, reimbursement/payment models, and other issues (e.g., need for collaboration/transfer of knowledge, client selection, provider competencies, standard of care). The WFOT Telehealth Position Statement addressed each of these areas. The collaborative effort resulting in the development of the WFOT Telehealth Position Statement serves as a model for other international organizations.

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“…Further, while there is evidence that supports the reliability of assessment tools when administered remotely, OTs conducting telehealth evaluation must still consider whether a specific assessment is reliable in the remote format. 2 Telehealth is not a separate intervention method. As mentioned, it is a service delivery model utilized by healthcare practitioners, including OTs, to provide services, including teleevaluation.…”

Section: Introductionmentioning

confidence: 99%

“…Synchronous refers to when the service is delivered in real-time, whereas asynchronous is known as store-andforward technology. 2 The American Occupational Therapy Association (AOTA) telehealth position paper favors the use of telehealth in many areas, including cognitive screening; Orthopedic (hand) assessment; Lymphedema assessment; Wheelchair prescription; Home assessment; Adaptive equipment prescription and home modification; and Ergonomic assessment. Moreover, other studies support the use of telehealth, including neurological assessments, school-based practices, early intervention services, health and wellness programs.…”

Section: Introductionmentioning

confidence: 99%

The Tele-Evaluation Facilitators Model

Albarillo¹,

Balinas²,

Castaño³

et al. 2022

PJAHS

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Telehealth has become an alternative service delivery of different healthcare professionals, including occupational therapists, upon the onset of the COVID-19 pandemic. Occupational therapists have adapted to this platform to deliver service in response to the global crisis. This conceptual framework explores the facilitators of occupational therapy evaluation provided via telehealth. It aims to provide insights to clinicians and clients in engaging tele-evaluation. It also aims to establish primary considerations to ensure a thorough evaluation process. The Tele-Evaluation Facilitators Model (TFM) describes the occupational therapy evaluation in the therapy setting. It outlines the OT evaluation process, adapting it to the telehealth setting. The process emphasizes the importance of client-caregiver interaction in creating and achieving occupational therapy goals. Moreover, surrounding the tele-evaluation process, the model highlights the facilitators of tele-evaluation, enabling a comprehensive evaluation process despite the challenges and barriers of this alternative service delivery. Across practice settings, the COVID-19 pandemic necessitated a shift in service delivery to telehealth, and occupational therapists adapted accordingly. Evaluation frameworks exist for telehealth services, but none are unique to occupational therapy evaluation. As a result, an occupational therapy framework that highlights the facilitators of telehealth evaluation will benefit occupational therapy. TFM consists of three domain areas: (1) Family Involvement, (2) Accessibility, (3) Professional Development. This framework promotes telehealth evaluation to clinicians and clients who have hesitations and difficulties in this service delivery model.

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Telehealth Opportunities in Occupational Therapy

Cited by 8 publications

References 57 publications

Toward successful future use of telehealth in occupational therapy practice: What the COVID-19 rapid shift revealed

Toward successful future use of telehealth in occupational therapy practice: What the COVID-19 rapid shift revealed

The Process for the Formulation of the International Telehealth Position Statement for Occupational Therapy

The Tele-Evaluation Facilitators Model

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