Remote versus face-to-face delivery of early intervention programs for children with autism spectrum disorders: Perceptions of rural families and service providers

Ashburner, Jill; Vickerstaff, Sandy; Beetge, Julie; Copley, Jodie

doi:10.1016/j.rasd.2015.11.011

Cited by 111 publications

(156 citation statements)

References 31 publications

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“…19 A number of facilitators to telehealth acceptability themes identified in this study have been supported by previous research, for example, the perception that telehealth improves access to health services, 13 the importance of partnerships 20 and benefits to families. 21 Relationship and communication quality concerns were perceived by naïve and aware rather than familiar participants, suggesting that once users experience telehealth they find the medium adequate for relationship-forming and communication. Familiar users sharing their experiences might be a valuable resource to influence unfamiliar user perceptions.…”

Section: Barrier To Acceptability Extract Willingmentioning

confidence: 98%

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Campbell

Theodoros

Russell

et al. 2019

Australian J Rural Health

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Objective: To examine allied health client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services to facilitate adoption. Design: A qualitative design employed semistructured interviews with the three key stakeholder groups. Setting: Stakeholders were associated with BUSHkids (The Royal Queensland Bush Children's Health Scheme), a not-for-profit organisation serving children and families in Queensland, Australia. Participants: Thirty-nine stakeholders (12 clients, 16 providers and 11 community referrers). Main outcome measures:Participants were asked about familiarity with telehealth, willingness to use telehealth and perceived barriers and facilitators to telehealth acceptability. Result: Fifty-nine percent of participants had experienced telehealth and 77 percent were willing to use it. Participants perceived that technology problems were a barrier to telehealth, that children would not be able to concentrate on or enjoy telehealth sessions, that relationships and communication would be inferior to in-person sessions, and that telehealth was inappropriate for disciplines employing physical touch. Participants identified access to health services as a key benefit of telehealth, said that technology problems could be worked around, and said that telehealth services could be supported with internal partners (eg, assistants) and external partners (eg, local medical centres).They also identified a variety of telehealth benefits to families (eg, convenience, privacy). Conclusion: Overall, telehealth was acceptable to stakeholders. Providers need training to facilitate child participation online and identify alternatives to physical touch. Co-learning opportunities should be used to address low provider and referrer self-efficacy. K E Y W O R D Sallied health, children, perceptions, stakeholders, telehealth 420 |

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Section: Barrier To Acceptability Extract Willingmentioning

confidence: 98%

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Campbell

Theodoros

Russell

et al. 2019

Australian J Rural Health

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“…Telehealth is the delivery of health services through the use of information and communication technologies; this method has been increasingly studied as a means to deliver services for individuals with ASD (Ashburner et al, 2016). Telehealth services provide rural communities with a cost- and time-effective way for families to pursue diagnosis and interventions.…”

Section: Implementation Of Asd Services In Rural Settingsmentioning

confidence: 99%

Rural Trends in Diagnosis and Services for Autism Spectrum Disorder

et al. 2017

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Rural communities face significant challenges regarding the adequate availability of diagnostic-, treatment-, and support-services for individuals with autism spectrum disorder (ASD). Specifically, a variety of factors, including geographic distance between families and service providers, low reliance on health care professionals, and cultural characteristics, contribute to the diminished availability and utilization of services. Together, these factors lead to risks for delayed ASD screening and diagnosis, yielding lower educational and functional outcomes. The purpose of this review is to outline the specific diagnosis and treatment barriers that affect individuals with ASD and their families in rural settings. Telehealth feasibility and efficacy research is also reviewed, suggesting that telecommunication services may offer an inroad for addressing the specific service barriers faced by rural communities. Together, the current review identifies specific needs for both research and support services that address the specific access barriers characteristic of rural settings.

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“…Evidence from a number of countries that have a longer history of individual funding systems has shown that even though individualised budgets can have positive outcomes for people with disability their implementation is complex (Slasberg et al 2012, Spicker 2013, Webber et al 2014, Ashburner et al 2016, Pike et al 2016. Some of the main challenges identified are service provision and implementation alongside traditional resource allocation systems (Carter Anand et al 2012), access to information and education services (Slasberg et al 2012, Crozier et al 2013 and workforce shortages (Cunningham & Nickson 2010, Hilferty & Cortis 2012.…”

Section: Introductionmentioning

confidence: 99%

Access to therapy services for people with disability in rural Australia: a carers’ perspective

Gallego

Dew

Lincoln

et al. 2016

Health Soc Care Community

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In Australia and around the world, people with disability and their carers living in rural areas face additional challenges compared to their urban-dwelling counterparts. This cross-sectional study explored current access to therapy services for people with disability living in western New South Wales as reported by their primary carers. Data were collected using an online and paper survey distributed to carers, from December 2012 until June 2013. Information was sought about the carers, the person they care for, access to physiotherapy, speech pathology, occupational therapy and psychology services. A total of 166 carers participated. Respondents were mostly the carers of a son or daughter (83.6%) , the person they care for had an average age of 17.6 years (range 1-69 years) and more than half were males (56%). The majority of people with disability (73.5%) had received therapy services in the last 2 years. Waiting time and distance travelled to access physiotherapy, speech and occupational therapy services varied. People with disability had to wait an average of 6.6 months to receive speech pathology and had to travel an average of 2.6 hours to receive physiotherapy. The main provider of all services was the specialist disability government department, except for psychology, which is mainly provided in the private sector. From the carers' perspective, availability and accessibility to services are limited. Carers noted that availability of services was more restricted once people with disability reached adulthood. Lack of choice and frustration with the lack of availability of specialist disability services was reported frequently. Carers believed that timely allied health intervention prevented the development of more severe or complicated conditions that had a greater impact on carers, families, communities and the person with disabilities.

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Remote versus face-to-face delivery of early intervention programs for children with autism spectrum disorders: Perceptions of rural families and service providers

Cited by 111 publications

References 31 publications

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Client, provider and community referrer perceptions of telehealth for the delivery of rural paediatric allied health services

Rural Trends in Diagnosis and Services for Autism Spectrum Disorder

Access to therapy services for people with disability in rural Australia: a carers’ perspective

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