Telehealth Program for Infants at Risk of Cerebral Palsy during the Covid-19 Pandemic: A Pre-post Feasibility Experimental Study

Schlichting, Tatiane; Silva, Kaitiana Martins da; Moreira, Rafaela Silva; Moraes, Marcus Vinícius Marques de; Rocha, Nelci Adriana Cicuto Ferreira; Boyd, Roslyn N.; Santos, Adriana Neves dos

doi:10.1080/01942638.2022.2057209

Cited by 15 publications

(8 citation statements)

References 46 publications

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“… Schlichting et al (2022). confirmed that telehealth is a better facilitator to achieve the targeted goals in children at risk of CP showing significant improvement in their motor skills.…”

mentioning

confidence: 74%

“…Parent coaching was the mainstay of intervention described within the evidence included in a systematic review of children with ASD, keeping with the evidence‐based practices recommended in standard interventions for ASD (Whitehouse et al, 2020). Though a majority of the reviewed studies except Johnson et al (2020) focused on language, speech, social communication and visual and auditory comprehension, it is obvious that other developmental domains such as gross motor skills and fine motor skills also show a significant improvement by continuing telehealth services (Hsu et al, 2021; Lotan et al, 2021; Schlichting et al, 2022). Schlichting et al (2022) confirmed that telehealth is a better facilitator to achieve the targeted goals in children at risk of CP showing significant improvement in their motor skills.…”

Section: Discussionmentioning

confidence: 99%

“…Though a majority of the reviewed studies except Johnson et al (2020) focused on language, speech, social communication and visual and auditory comprehension, it is obvious that other developmental domains such as gross motor skills and fine motor skills also show a significant improvement by continuing telehealth services (Hsu et al, 2021; Lotan et al, 2021; Schlichting et al, 2022). Schlichting et al (2022) confirmed that telehealth is a better facilitator to achieve the targeted goals in children at risk of CP showing significant improvement in their motor skills. Another study found that through telehealth, interventions can be applied to address gross motor goals in children with Rett syndrome (Lotan et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Though a majority of the reviewed studies except Johnson et al (2020) focused on language, speech, social communication and visual and auditory comprehension, it is obvious that other developmental domains such as gross motor skills and fine motor skills also show a significant improvement by continuing telehealth services (Hsu et al, 2021;Lotan et al, 2021;Schlichting et al, 2022) Parent coaching is also a recognized element to deliver successful telehealth for all types of childhood NDDs. This was practised in delivering interventions for DS, HI, CLP and stuttering in the evidence reviewed.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

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Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Devagiri,

Ariyasena,

Siriwardhana

et al. 2023

Child

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BackgroundIn recent years telehealth became a popular and a rational health service delivery approach, especially amidst multiple challenges posed while providing health care interventions during the COVID‐19 pandemic.AimWe synthesized available evidence on telehealth for managing children with NDDs in the Asia‐Pacific region with the aim of identifying successful methods.MethodologyWe systematically reviewed six electronic databases: MEDLINE, AMED, EMBASE, PsychInfo, Web of Science, and (CINAHL plus) using the keywords and database‐specific subject headings from their inception to 25th August 2021. Review findings were synthesized narratively, and harvest plots were used to demonstrate the effect of interventions. The protocol and reporting the findings of this review adhered to PRISMA 2020 guidelines. PROSPERO registration: CRD 340690.ResultsWe harvested 30,823 records; 17,563 duplicates were removed, and 196 full‐text articles were assessed for eligibility. 16 studies with multiple research designs were included in the review. Eight were from the Pacific region and eight represented Asia. The interventions targeted families and children with a variety of NDDs (autism spectrum disorder, Down syndrome, cleft lip and palate, hearing impairment, cerebral palsy etc.) via telehealth. Telehealth packages consisted of direct and indirect methods of synchronous, asynchronous, and hybrid approaches. All studies used parent‐led intervention strategies. Telehealth reported a positive effect in 7/16 studies while five showed a neutral effect.ConclusionsAccording to published evidence telehealth for children with NDDs is an evolving, evidence‐based service facilitation modality in the Asia‐Pacific region, with only a few published randomized controlled trials. The systematic review shows promising telehealth practices emerging across the region despite the diversity in NDDs studied.

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“… Schlichting et al (2022). confirmed that telehealth is a better facilitator to achieve the targeted goals in children at risk of CP showing significant improvement in their motor skills.…”

mentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Though a majority of the reviewed studies except Johnson et al (2020) focused on language, speech, social communication and visual and auditory comprehension, it is obvious that other developmental domains such as gross motor skills and fine motor skills also show a significant improvement by continuing telehealth services (Hsu et al, 2021;Lotan et al, 2021;Schlichting et al, 2022) Parent coaching is also a recognized element to deliver successful telehealth for all types of childhood NDDs. This was practised in delivering interventions for DS, HI, CLP and stuttering in the evidence reviewed.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

See 2 more Smart Citations

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Devagiri,

Ariyasena,

Siriwardhana

et al. 2023

Child

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“…Outro ponto para ser levado em consideração é a sugestão de alguns autores sobre a necessidade de implantar programas domiciliares para crianças em países de baixa e média renda como o Brasil, baseados na abordagem centrada na família, porém para que isso aconteça os pais precisam receber o treinamento e as orientações adequadas dos profissionais, e que os mesmos também sejam ouvidos, acolhidos, treinados em como executar as orientações corretas. 5,[19][20][21][22] A premissa da abordagem centrada na família é um dos pilares para a fisioterapia pediátrica que norteia o desenvolvimento infantil. É a família que irá fornecer informações importantes para o terapeuta, relacionados aos aspectos emocionais, físicos e ao desempenho da criança no cotidiano.…”

Section: Discussionunclassified

Percepção de pais e cuidadores de crianças com deficiência sobre os serviços de reabilitação durante a pandemia da COVID-19 no Brasil

Souza,

Lima

2023

Rev Pesq Fisio

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INTRODUÇÃO: Observou-se durante a pandemia do coronavírus no Brasil a suspensão das sessões de reabilitação de crianças com deficiência. OBJETIVO: Analisar o andamento das sessões de reabilitação durante a pandemia, bem como a forma de suporte que os pais/cuidadores receberam neste período. MATERIAIS E MÉTODOS: Estudo qualitativo, com delineamento transversal, conduzido on-line pela plataforma Survey Monkey. Participaram pais e cuidadores de crianças com deficiência motora de zero a quatro anos de idade, que foram recrutados através das mídias sociais. A coleta de dados ocorreu por um questionário com 17 perguntas abertas e fechadas, acessível por um período de três meses durante o período de novembro de 2020 a janeiro de 2021. RESULTADOS: Todos os questionários foram lidos na íntegra e após observada saturação das respostas, 37 foram elegíveis. A suspensão das sessões nos serviços de reabilitação variou de 2 a 9 meses. Durante este período, vinte e seis famílias receberam orientações do profissional ou da instituição para estimular a criança em casa; para os demais, que não receberam orientações, a justificativa fornecida era que deviam aguardar a retomada dos atendimentos. Dezesseis famílias tiveram dificuldades para realizar as atividades/exercícios propostos pelos profissionais de saúde em ambiente domiciliar. CONCLUSÃO: Foram identificados, através das respostas dos pais, sentimentos de preocupação e ansiedade com a suspensão dos serviços de reabilitação durante a pandemia e medo com os possíveis prejuízos no desenvolvimento neuropsicomotor das crianças. Além disso, os pais se sentiram desamparados pelos serviços de saúde e profissionais.

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Hybrid developmental follow-up for preterm infants in Brazil: A feasibility study

Christovão,

de Almeida Rodrigues,

de Paula Machado

et al. 2024

Early Human Development

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Telehealth Program for Infants at Risk of Cerebral Palsy during the Covid-19 Pandemic: A Pre-post Feasibility Experimental Study

Cited by 15 publications

References 46 publications

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Percepção de pais e cuidadores de crianças com deficiência sobre os serviços de reabilitação durante a pandemia da COVID-19 no Brasil

Hybrid developmental follow-up for preterm infants in Brazil: A feasibility study

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