University of Southern California, Los Angeles, USA.
University of California, Davis, Sacramento, USA.
OTJR (Thorofare N J). 2023 Jul;43(3):360-367. doi: 10.1177/15394492231164943. Epub 2023 Apr 23.
Telehealth is effective for service delivery in pediatric occupational therapy across ages and diagnoses. Remote parent coaching provides unique benefits for both parents and infants. As a result of COVID-19, practitioners and researchers pivoted to remote assessment and intervention without much preparation or training. It is critical that we evaluate the quality of these telehealth services. One important component of remote evaluations is assessment fidelity. To examine assessment fidelity of a telehealth-delivered observational autism screening tool for infants. An assessment fidelity checklist was applied as the primary outcome measure. Parents conducted assessments with 82% adherence to the fidelity checklist. Implications: A parent coaching telehealth approach may be valid for assessment in pediatric telehealth. Continually monitoring the assessment fidelity of a tool is critical for the valid administration of remote services.
远程家长指导为家长和婴儿都提供了独特的益处。由于 COVID-19 的影响，从业者和研究人员在没有太多准备或培训的情况下转向远程评估和干预。因此，评估这些远程医疗服务的质量至关重要。远程评估的一个重要组成部分是评估的保真度。为了检查婴儿远程提供的自闭症观察性筛查工具的评估保真度，应用了评估保真度检查表作为主要的结果测量指标。家长在评估中对检查表的依从性达到了 82%。启示：远程家长指导的远程医疗方法可能适用于儿科远程医疗评估。持续监测工具的评估保真度对于远程服务的有效实施至关重要。
