The Development of Statewide Policies and Procedures to Implement Telehealth for Part C Service Delivery

Cole, Beth Vaughan; Stredler-Brown, Arlene; Cohill, Becki; Blaiser, Kristina M.; Behl, Diane; Ringwalt, Sharon

doi:10.5195/ijt.2016.6206

Cited by 11 publications

(14 citation statements)

References 7 publications

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“…Other studies have identified a number of disadvantages and barriers to the use of telehealth, including difficulty in establishing rapport between clinicians and children or families, internet and technical issues, and inability to use some materials in therapy [29][30][31]. These barriers could limit the adoption of telehealth among stakeholders, including patients and caregivers [22]. In addition to the importance of investigating the perceptions of caregivers who have used telehealth, exploring the perceptions of those who have not used the service may also help to increase interest and awareness in telehealth services and to identify difficulties that may be experienced by caregivers or families when using telehealth [32].…”

Section: Introductionmentioning

confidence: 99%

Assessment of caregivers’ perspectives regarding speech-language services in Saudi Arabia during COVID-19

2021

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Background As a consequence of stay-at-home and other lockdown measures, such as social distancing, all health care service provisions during the COVID-19 pandemic have been affected, including the provision of speech therapy. Telehealth services can play a major role in maintaining access to health care, help speech and language pathologists (SLPs) overcome physical barriers by providing patients and caregivers with access to health care, and limit the discontinuity of patient care. To have a better understanding of the changes that have occurred in these services during COVID-19, this research was conducted to explore the nature and current situation of speech-language services in Saudi Arabia based on caregivers’ perspectives. It also investigated whether changes have occurred in these services during the COVID-19 lockdown. The study also determined the perception of caregivers in delivering SLS sessions remotely. Method A cross-sectional study was conducted with 385 caregivers in Saudi Arabia. An online survey asked whether children were experiencing any SLS problems and if they had received any intervention. The survey also assessed the perception of changes in service during the COVID-19 lockdown and the perceptions, acceptance, and willingness of the caregivers to deliver telehealth speech services in Saudi Arabia. Results About 50% of the respondents had or were suspected to have a child with SLS problems, and just over half of them had accessed SLS services. Most of the respondents reported suspension of therapy sessions as a response to the COVID-19 pandemic. While the respondents had little experience using telehealth prior to the pandemic, they generally showed a willingness to use telehealth in therapy sessions, expressing a preference for video calls over other options. Conclusion The study revealed that SLS services in Saudi Arabia are limited and that accessing these services is challenging. Alternative service delivery using remote services could help caregivers overcome such challenges. When telehealth was introduced as an option for service delivery, the caregivers showed welcoming responses, particularly with video calls.

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Section: Introductionmentioning

confidence: 99%

Assessment of caregivers’ perspectives regarding speech-language services in Saudi Arabia during COVID-19

2021

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“…As of 2012, 13 states had incorporated telehealth into the state Early Intervention (IDEA Part C) service model (19). This number has only grown over the last decade, and most recently during the global COVID-19 pandemic, with several states launching initiatives to support statewide implementation of telehealth-based Early Intervention services (20). The scienti c data and stakeholder excitement around telehealth suggests that it is poised to serve as a viable alternative or supplement to traditional service delivery models with potential to deliver care in an effective, acceptable, and cost-e cient manner (21).…”

Section: Telehealthmentioning

confidence: 99%

Examining A Stepped-Care Telehealth Program for Parents of Young Children With Autism: A Proof of Concept Trial

Wainer

Arnold

Leonczyk

et al. 2020

Preprint

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Background Intervention during the first years of life for children with autism spectrum disorder (ASD) may have the strongest impact on brain development, behavior and long-term functioning. Yet, barriers such as a shortage of trained professionals contribute to significant delays in service. The goal of this proof-of-concept study was to explore strategies that support timely and equitable deployment of ASD-specific interventions. Methods We conducted a 15-week, randomized control trial (RCT) comparing a stepped-care model (i.e. parents first used an interactive website, and then received parent coaching if warranted) of Online Reciprocal Imitation Training (RIT; a naturalistic developmental behavioral intervention) versus a waitlist control condition (WLC). To be eligible, children had to be between 18 to 60 months, meet the cutoff for ASD on the Autism Diagnostic Observation Schedule-2 Edition and demonstrate significant social imitation deficits. Primary outcome measures included child imitation skills (Unstructured Imitation Assessment (UIA)), parental self-efficacy (Early Intervention Parenting Self-Efficacy Scale (EIPSES)), and parent fidelity (RIT Parent Fidelity Form (RIT-PFF)) to the intervention. Secondary outcome measures included child social communication (Social Communication Checklist (SCC)) and family quality of life (Beach Center Family Quality of Life Scale (FQOL)). Results Twenty participants were randomized in a 1:1 fashion, after participant drop out, eight were in the WLC and seven were in Online RIT. Among the primary outcomes, there were significant group differences and improvements in parent fidelity (p= .000), self-efficacy (p=.029), and ratings of child social communication (p=.048) in Online RIT relative to wait-list controls. There was no significant difference of improvement in imitation ability (p=.05) or family quality of life (p=.220)Limitations There are several limitations with this study, including the small sample size, lack of enactment data, and a lack of website engagement data. The WLC design limits the strength of the conclusions that can be drawn.Conclusions Overall, the novel use of stepped-care telehealth shows strong acceptability and holds promise as an innovative delivery model.Trial Registration Trial Registration: ClinicalTrials.gov, NCT04467073. Registered 10 July 2020- Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04467073

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“…One limitation to providing training through file sharing platforms instead of in person is the loss of real-time interaction between parents and trainers (Pickard et al, 2016; Wainer & Ingersoll, 2012). However, the addition of video conferencing allows for service providers to provide feedback and have parents try interventions in real time (Cole et al, 2016; Vismara et al, 2013). The following guide was created service providers to use when considering and developing parent training programs.…”

Section: Distance Education Modelsmentioning

confidence: 99%

“…Services based in applied behavior analysis (ABA) are the most widely used evidence-based practice for children with ASD (Peters-Scheffer, Didden, Korzilius, & Sturmey, 2011). Unfortunately, families face barriers in accessing evidence-based services due to knowledge of services, location, availability of service providers, and cost (Cason, Behl, & Ringwalt, 2012; Cole et al, 2016; DeMoss, Clem, & Wilson, 2012; Heitzman-Powell, Buzhardt, Rusinko, & Miller, 2014; H. Meadan & Daczewitz, 2014; J.…”

mentioning

confidence: 99%

Family-Centered Applied Behavior Analysis for Children With Autism Spectrum Disorder

Antill

2019

Intervention in School and Clinic

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Applied behavior analysis (ABA) services can improve the quality of life for individuals with autism spectrum disorder (ASD). However, not all children receive services based in ABA. The disconnect between available services and accessing services may be the result of families experiencing barriers. Online parent training addresses many of these barriers by connecting families with service providers that they otherwise would not have access to. Furthermore, this approach allows for a family centered approach that empowers parents. A combination of parent training modules and video conferencing sessions allow parents to learn techniques and try them out with the support of a service provider. This article provides service providers with guidelines and suggestions for developing and providing services online.

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The Development of Statewide Policies and Procedures to Implement Telehealth for Part C Service Delivery

Cited by 11 publications

References 7 publications

Assessment of caregivers’ perspectives regarding speech-language services in Saudi Arabia during COVID-19

Assessment of caregivers’ perspectives regarding speech-language services in Saudi Arabia during COVID-19

Examining A Stepped-Care Telehealth Program for Parents of Young Children With Autism: A Proof of Concept Trial

Family-Centered Applied Behavior Analysis for Children With Autism Spectrum Disorder

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