College of Education, University of Washington, Seattle, WA, 98115, USA.
Department of Psychology, University of Washington, Seattle, WA, 98115, USA.
J Autism Dev Disord. 2023 Dec;53(12):4545-4559. doi: 10.1007/s10803-022-05734-5. Epub 2022 Sep 24.
Telehealth is a promising modality for Part C early intervention (EI), services typically implemented face-to-face in home and community settings. Barriers to telehealth in EI reported prior to COVID-19 included lack of training and access to reliable internet. The abrupt telehealth shift at the onset of the pandemic did not permit a phased adoption approach. This mixed-methods study aimed to characterize perspectives of service changes resulting from the telehealth transition. Providers (n = 39) and caregivers (n = 11) completed surveys about perceptions towards the telehealth switch. All providers indicated at least one aspect of services had changed. Approximately half of caregivers reported satisfaction with services decreased and half that satisfaction remained the same. Implications for telehealth in EI beyond the pandemic are discussed.
远程医疗是 Part C 早期干预 (EI) 的一种有前途的模式，该服务通常在家庭和社区环境中面对面实施。在 COVID-19 之前，远程医疗在 EI 中面临的障碍包括缺乏培训和无法获得可靠的互联网。大流行开始时突然转向远程医疗，不允许采用分阶段的采用方法。这项混合方法研究旨在描述远程医疗过渡所导致的服务变化的观点。服务提供者（n=39）和照顾者（n=11）完成了有关对远程医疗转换的看法的调查。所有提供者都表示至少有一个服务方面发生了变化。大约一半的照顾者报告说服务满意度下降，一半则保持不变。讨论了远程医疗在大流行之外在 EI 中的应用。
