University of Southern California, Los Angeles, USA.
Washington University, St. Louis, MO, USA.
OTJR (Thorofare N J). 2023 Jul;43(3):495-504. doi: 10.1177/15394492231153997. Epub 2023 Mar 6.
The Baby Bridge program is an implementation strategy to improve access to in-person early therapy services following neonatal intensive care unit (NICU) discharge. The objective of this study was to evaluate acceptability of Baby Bridge telehealth services among health care providers. Interviews with health care providers were conducted, transcribed, and coded in NVivo. Deductive analysis was used to organize data into negative and positive comments, suggestions for optimization, and perceptions about the first visit. Next, a conventional approach was used to organize the data into themes. Telehealth was viewed as an acceptable, but not necessarily preferable, form of Baby Bridge delivery. Providers identified how telehealth may improve access to care, but with potential challenges in delivery. Suggestions for optimization of the Baby Bridge telehealth model were proposed. Identified themes included delivery model, family demographics, therapist and organizational characteristics, parent engagement, and therapy facilitation. These findings provide important insights to consider when transitioning from in-person therapy to telehealth.
婴儿桥项目是一项实施策略，旨在改善新生儿重症监护病房（NICU）出院后获得面对面早期治疗服务的机会。本研究的目的是评估医疗保健提供者对婴儿桥远程医疗服务的可接受性。对医疗保健提供者进行了访谈、转录和 NVivo 编码。演绎分析将数据组织为负面和正面评论、优化建议以及对首次访问的看法。然后，采用常规方法将数据组织成主题。远程医疗被视为婴儿桥交付的一种可接受的形式，但不一定是首选形式。提供者确定了远程医疗如何改善获得护理的机会，但在提供方面可能存在挑战。提出了优化婴儿桥远程医疗模式的建议。确定的主题包括交付模式、家庭人口统计学、治疗师和组织特征、家长参与度以及治疗促进。这些发现为从面对面治疗过渡到远程医疗提供了重要的见解。
