Acceptability of a Multimodal Telerehabilitation Intervention for Children Ages 3–8 Years with Motor Difficulties: Results of a Qualitative Study

Dostie, Rosalie; Gaboury, Isabelle; Trottier, Nathalie; Hurtubise, Karen; Camden, Chantal

doi:10.1080/17518423.2023.2233020

Cited by 5 publications

(1 citation statement)

References 68 publications

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“…Finally, no item explored the impact of technology issues on the fidelity of a telehealth intervention delivery. Recent studies, as well as our raters' comments, highlight issues with technology as important deterrents to telehealth service delivery ( De Taeye et al, 2023 ; Dostie et al, 2023 ; Grant et al, 2022 ; Hall et al, 2022 ; Hall et al, 2021 ; Kwok et al, 2022 ; Rettinger & Kuhn, 2023 ; Tully et al, 2021 ; Wittmeier et al, 2022 ). Consequently, the inclusion of behaviors related to navigating technology and/or associated with partnering with parents to resolve technological issues may need to be considered when assessing the fidelity of telehealth interventions.…”

Section: Discussionmentioning

confidence: 93%

The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay

Hurtubise,

Phoenix,

Camden

et al. 2024

Int J Telerehab

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This multi-methods study describes the development of a pediatric rehabilitation telehealth intervention fidelity checklist, estimates its inter-rater reliability, and documents raters' implementation experience. A literature scan and expert consultation identified eighteen key behaviors and categorized them into three subdomains, measured using a 5-point measurement system. To estimate the checklist’s inter-rater reliability, three raters scored 33 video recordings. A Shrout and Fleiss Class 1,1 intraclass correlation (ICC)) and 95% confidence intervals (CI) calculated ICCs = 0.5 (CI: 0, 0.9) for both the Therapist and the Parent-Therapists subdomains, and the Parent subdomain an ICC = 0.3 (CI: 0, 0.8). In the implementation surveys, raters reported high levels of satisfaction (100%), ease of use (84% to 88%), and confidence in their video ratings (87% to 100%). Changes in procedures and scoring were recommended. Capturing raters’ implementation experiences is crucial in the early evaluation of the fidelity checklists for telehealth.

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Section: Discussionmentioning

confidence: 93%

The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay

Hurtubise,

Phoenix,

Camden

et al. 2024

Int J Telerehab

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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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Tablet computer-based cognitive training for visuomotor integration in children with developmental delay: a pilot study

Suh,

Han,

Choi

et al. 2024

BMC Pediatr

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Background Impaired visuomotor integration (VMI) is commonly observed in children with developmental delay (DD). This pilot study aimed to evaluate the effects of tablet computer-based cognitive training on the VMI in children with DD. Methods This study included children aged 4 to under 18 years diagnosed with DD. The children participated in a 12-week tablet computer-based visual-spatial and visuomotor training program. They were administered the Mind Rx Kids Program (Brain Academy, Seoul, South Korea). The participants underwent daily 30-min tablet computer-based training for 12 weeks. The primary visuomotor function was measured using the Beery-Buktenica Developmental Test of Visual-Motor Integration, 6th Edition (VMI-6). For secondary outcomes, measurements were taken before and after 12-week treatment using the Quality of Upper Extremity Skills Test (QUEST), Functional Independence Measure for Children (WeeFIM), Childhood Autism Rating Scale (CARS), Attention deficit hyperactivity disorder Rating Scale (ARS), and Child Smartphone Addiction Observer Scale. The Wilcoxon signed-rank test was used to compare the pre- and post-treatment outcomes. Results Ten children with DD participated in this study. The results of the 12-week tablet computer-based cognitive training showed significant improvements in the raw score, standard score, percentile score, and equivalent age of the Beery VMI-6. Additionally, there were significant improvements in QUEST and WeeFIM scores. Although there were improvements in the CARS, ARS, and smartphone addiction observer scale, these were not statistically significant. Conclusion This pilot study confirmed that applying tablet computer-based cognitive training to children with DD not only improves VMI, but also enhances fine motor skills and activities of daily living. Furthermore, the results of this study indicate that tablet computer-based cognitive training does not increase digital media addiction. Therefore, children with DD can engage in tablet computer-based cognitive training at home without concerns about digital media addiction.

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Acceptability of a Multimodal Telerehabilitation Intervention for Children Ages 3–8 Years with Motor Difficulties: Results of a Qualitative Study

Cited by 5 publications

References 68 publications

The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay

The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay

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

Tablet computer-based cognitive training for visuomotor integration in children with developmental delay: a pilot study

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