Describing Caregiver and Clinician Experiences with Pediatric Telerehabilitation Across Clinical Disciplines

International Journal of Telerehabilitation, Journal Year: 2025, Volume and Issue: 16(2)

Published: Jan. 15, 2025

Scope: This study describes the high and low points of caregiver clinician experiences with pediatric telerehabilitation consideration for sustainable adoption beyond COVID-19 pandemic context. Methods: As part a larger study, this project analyzed data from qualitative interviews to describe caregivers’ (n = 27) clinicians’ telerehabilitation. Findings: Caregiver are described according four touchpoints identified: (1) child engagement in telerehabilitation; (2) perceived value services engagement; (3) preparing people environment services; (4) fit using model; (5) providing family choice. Discussion: Findings highlight importance being informed about service model, feeling prepared appointments responsive families’ Recommendations address these areas discussed.

Language: Английский

---

The effect of sleep fragmentation on therapeutic engagement and rehabilitation progress after brain injury in a pediatric inpatient sample

Brain Injury, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 6

Published: March 24, 2025

This study evaluated the effect of sleep fragmentation after brain injury on therapeutic engagement and rehabilitation progress in pediatric inpatients. Participants (N = 29) wore a wrist accelerometer for one week to calculate index measuring restlessness during period. Therapists completed ratings functional independence (using WeeFIM) (effort active participation physical therapy sessions measured using Rehabilitation Therapy Engagement Scale). Controlling time from admission, is negatively associated with (defined as improvement WeeFIM scores admission discharge per day rehabilitation). Hierarchical regression demonstrated significant negative association between progress. However, when was added model it accounted portion variance no longer predictor Findings demonstrate detrimental impact also suggest possible mediating role

Language: Английский

---

Strategies Used by Professionals in Pediatric Rehabilitation to Engage the Child in the Intervention Process: A Scoping Review

Physical & Occupational Therapy In Pediatrics, Journal Year: 2024, Volume and Issue: 44(4), P. 461 - 488

Published: Jan. 11, 2024

To investigate strategies used by professionals in pediatric rehabilitation to engage children every step of the intervention process, including assessment, goal setting, planning and implementation intervention, results evaluation.

Language: Английский

---

A scoping review of parental roles in rehabilitation interventions for children with developmental delay, disability, or long-term health condition

Research in Developmental Disabilities, Journal Year: 2021, Volume and Issue: 111, P. 103887 - 103887

Published: Feb. 5, 2021

Language: Английский

---

A measure of parent engagement: plan appropriateness, partnering, and positive outcome expectancy in pediatric rehabilitation sessions

Disability and Rehabilitation, Journal Year: 2021, Volume and Issue: 44(14), P. 3459 - 3468

Published: Jan. 4, 2021

Purpose To examine the psychometric properties of a parent-report measure engagement in pediatric rehabilitation.Method 113 parents (of children 4 months to 18 years, varying diagnoses) were recruited from standard outpatient/inpatient, early intervention, and life skills programs, sampled different sites Canada, US, Australia. Parents completed Pediatric Rehabilitation Intervention Measure Engagement—Parent version (PRIME-P) twice, after two therapy sessions approximately weeks apart. Analyses examined factor structure, internal consistency, test-retest reliability, assessed construct validity hypotheses concerning participant characteristics contextual factors.Results The resulting 11-item PRIME-P has three factors capturing terms Plan Appropriateness, Partnering, Positive Outcome Expectancy. displayed strong consistency reliability (Partnering demonstrated slightly weaker reliability). Construct was shown by significant associations between scales parents' presence versus absence during sessions, as well service providers' years experience.Conclusions captures parent multifaceted involving appropriateness plan, sense active partnership intervention process, an expectation for positive outcome. promise research, clinical practice, educational purposes.IMPLICATIONS FOR REHABILITATIONThe is psychometrically sound tool that fills gap how researchers practitioners can process.To enhance engagement, providers encourage collaboration planning, foster working partnership, convey hope.The findings point need pay attention beliefs about plan outcomes, addition their behavioral involvement.The promising rehabilitation be used investigate role crucial, yet poorly understood variable process.

Language: Английский

---

Robotic Technology in Pediatric Neurorehabilitation. A Pilot Study of Human Factors in an Italian Pediatric Hospital

International Journal of Environmental Research and Public Health, Journal Year: 2020, Volume and Issue: 17(10), P. 3503 - 3503

Published: May 17, 2020

The introduction of robotic neurorehabilitation among the most recent technologies in pediatrics represents a new opportunity to treat pediatric patients. This study aims at evaluating response physiotherapists, patients and their parents this technology. considered outcomes technological innovation physiotherapists (perception workload, satisfaction), as well that (quality life, expectations, satisfaction) by comparing answers subjective questionnaires those who made use technology with used traditional therapy. A total 12 workers, 46 47 were enrolled study. Significant differences recorded workload score compared therapy (

Language: Английский

---

Tasks performed by parents to enable telepractice for children with communication disorders: an interview study with clinicians and parents

Disability and Rehabilitation, Journal Year: 2023, Volume and Issue: 46(8), P. 1547 - 1558

Published: April 20, 2023

AbstractAbstractPurpose Current service models in childhood rehabilitation promote the active participation of parents/caregivers their children's therapies. The existing literature provides a limited understanding tasks and responsibilities parents undertake therapies, especially over telepractice. This study describes undertaken by speech therapy delivered virtually during COVID-19 pandemic.Methods A qualitative descriptive was conducted with speech-language pathologists, using open-ended interviews. Interviews were analyzed combination content analysis thematic analysis.Results Parents performed many to enable These happened before (e.g., setting up both physical virtual space for therapy), managing child's behavior), after session carrying out home practice). While willing perform these order help children, some expressed toll that it can take on them.Conclusions Compared what is known from in-person visits, novel unique We recommend clinicians collaboratively decide avoid burdening parents, they weigh costs associated performing against benefits teletherapy.IMPLICATIONS FOR REHABILITATIONParents support outside sessionsTherapies require assume additional childrenFor services be Family-Centered, need decided between cliniciansKeywords: Parent rolesteletherapyspeech therapyfamily-centred serviceCOVID-19 AcknowledgementsThe authors thank families who participated this study.Disclosure statementNo conflicts interest, financial or otherwise, are declared authors.Data availability statementThe data findings available request corresponding author KP. not publicly due containing information could compromise privacy research participants.Additional informationFundingFunding received Social Sciences Humanities Research Council Canada (1008-2020-1034).

Language: Английский

---

Measuring Caregiver Outcomes in Pediatric Rehabilitation Telehealth Services: A Scoping Review

OTJR Occupational Therapy Journal of Research, Journal Year: 2023, Volume and Issue: 43(3), P. 368 - 380

Published: May 16, 2023

Pediatric occupational therapy practitioners use telehealth to facilitate performance and participation in natural contexts. Optimal outcomes occur when caregivers are integrated into sessions. This scoping review describes how caregiver measured the pediatric rehabilitation literature. We searched SCOPUS, MEDLINE, CINAHL, PsycINFO, ERIC for articles on interventions published from January 2005 June 2022. excluded non-empirical that children’s underlying deficits only. Thirty-one met inclusion criteria. Studies with study-specific questionnaires, standardized measures, electronic tracking, interviews. Caregiver improved after treatment, reported high acceptability satisfaction telehealth. Ample evidence supports measurement of services (PRTS). Future PRTS work should incorporate existing sound measures comprehensively evaluate outcomes, including engagement its components, demonstrate effect services.

Language: Английский

---

‘It's been an extraordinary journey’: Experience of engagement from the perspectives of people with post‐stroke aphasia

International Journal of Language & Communication Disorders, Journal Year: 2023, Volume and Issue: 58(6), P. 2008 - 2021

Published: June 10, 2023

Engagement is recognized as an important factor in aphasia treatment response and outcomes, yet gaps remain our understanding of engagement practices that promote from the client perspective.The purpose this phenomenological study was to explore how clients with experience during their inpatient rehabilitation.An interpretative analysis approach guided design analysis. Data were collected through in-depth interviews nine aphasia, recruited purposive sampling, rehabilitation admission. Analysis completed using a variety analytic techniques including coding, memoing, triangulation between coders team discussion.The revealed for acute phrase recovery, process resembles travelling on journey foreign land. Successful accomplished when one had therapist who served trusted guide able be friend, invested, adaptable, co-creator, encouraging dependable.Engagement dynamic, multifaceted person-centred involving client, provider context. Findings work have implications measuring engagement, training student clinicians skilled facilitators engaging implementing within clinical settings.What already known subject outcomes. Prior literature suggests plays critical role facilitating client-provider relationship. Communication impairments associated may negatively impact client's ability develop interpersonal connections participate process. There dearth research directly exploring topic rehabilitation, particularly perspective aphasia. Capturing can provide novel insights regarding foster maintain rehabilitation. What paper adds existing knowledge This individuals phase sudden journey. 'trusted guide' dependable. Through experience, seen are potential or actual work? The current highlights complexity nuance context, which has settings. It necessary recognize interactions (and thus engagement) embedded influenced by broader healthcare system. With mind, patient-centred care delivery cannot achieved individual efforts only require prioritization action at systems level. Future needed barriers enacting practices, order test strategies support practice change.

Language: Английский

---

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

Frontiers in Rehabilitation Sciences, Journal Year: 2023, Volume and Issue: 4

Published: Dec. 20, 2023

Introduction Prior 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 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 and may need supports place ensure accessibility. Our study aimed co-design innovative solutions enhance access engagement ambulatory pediatric services. This manuscript reports process findings related solution development. Methods research project used an based (EBCD) approach, where caregivers, clinicians management worked together improve with Interview were collected from 27 caregivers gain in-depth understanding their successes telerehabilitation. Next, 4 interactive meetings held address priorities identified during interviews. Using qualitative content analysis, interviews analyzed developed are presented. Findings Four topics interview selected as focii for meetings. emphasized importance communication, consistency connection (the 3C's) experiences The 3C's represented co-designed at changing organizational processes generating tools resources Discussion influence By enhancing telerehabilitation, will encounter fewer accessing engaging this delivery model.

Language: Английский

---