Departments of Physical Therapy (Mss Cleffi and Su and Dr Bhat), Psychological & Brain Sciences (Dr Bhat), and Biomechanics & Movement Science Program (Mss Cleffi and Su and Dr Bhat), University of Delaware, Newark, Delaware; Physical Therapy Program, Department of Kinesiology, The Connecticut Institute for the Brain and Cognitive Sciences, and Institute for Health, Intervention, and Policy (Dr Srinivasan), University of Connecticut, Storrs, Connecticut.
Pediatr Phys Ther. 2022 Apr 1;34(2):246-251. doi: 10.1097/PEP.0000000000000872.
After the COVID-19 pandemic, several randomized controlled trials came to a halt; however, we chose to reinvent our study and shifted to a home-based, telehealth intervention delivery format to support children with autism spectrum disorder and their families. Children with autism spectrum disorder have social communication impairments as well as perceptuomotor and cognitive comorbidities. Continued access to care is crucial for their long-term development.
We created a general movement intervention to target strength, endurance, executive functioning, and social skills through goal-directed games and activities delivered using a telehealth intervention model.
Our family-centered approach allowed for collaboration between trainers and caregivers and made it easy for families to replicate training activities at home.
While more studies comparing telehealth and face-to-face interventions are needed, we encourage researchers and clinicians to consider family-centered telehealth as a valid and feasible intervention delivery method, to increase the likelihood of carryover of skills into the daily lives of children and ultimately enhance their long-term development.
在 COVID-19 大流行之后，有几项随机对照试验停止了；然而，我们选择重新设计我们的研究，并转向基于家庭的远程医疗干预传递模式，以支持自闭症谱系障碍儿童及其家庭。自闭症谱系障碍儿童存在社交沟通障碍以及感知运动和认知共病。持续获得护理对他们的长期发展至关重要。
我们创建了一种通用运动干预，通过使用远程医疗干预模型提供的目标导向游戏和活动来针对力量、耐力、执行功能和社交技能。
我们以家庭为中心的方法允许培训师和照顾者之间的合作，并使家庭更容易在家中复制培训活动。
虽然需要更多比较远程医疗和面对面干预的研究，但我们鼓励研究人员和临床医生将以家庭为中心的远程医疗视为一种有效且可行的干预传递方法，以增加技能转移到儿童日常生活中的可能性，并最终增强他们的长期发展。
