Tkach Melanie Morriss, Earwood Juliana Hudson
University of Missouri, Columbia, USA.
OTJR (Thorofare N J). 2024 Nov 5:15394492241291576. doi: 10.1177/15394492241291576.
Caregivers and children continue to use pediatric rehabilitation telehealth services (PRTS) post-pandemic. Understanding how caregivers support children during PRTS can help us fully integrate caregivers for positive outcomes. This scoping review describes the roles caregivers take on during PRTS.
We searched MEDLINE, CINAHL, PsycINFO, and ERIC for research published January 2005 to July 2023. We included English articles on the effect of PRTS. We excluded qualitative and non-peer-reviewed literature.
Thirty-four articles met inclusion criteria. Caregivers were gatekeepers, technicians, implementers, trainees, collaborators, telehealth consumers, and supervisors in PRTS. Caregivers took on roles throughout PRTS, and roles varied by type of PRTS delivered.
Caregivers take on multiple roles to support children during PRTS. Our results can inform clinical decisions about how to integrate and support caregivers in PRTS. Future research should explore strategies that support caregiver role taking to maximize caregiver involvement and outcomes in PRTS.
疫情后，照顾者和儿童仍在使用儿科康复远程医疗服务（PRTS）。了解照顾者在PRTS期间如何支持儿童有助于我们全面整合照顾者以实现积极成果。本范围综述描述了照顾者在PRTS期间所扮演的角色。
我们检索了MEDLINE、CINAHL、PsycINFO和ERIC数据库，查找2005年1月至2023年7月发表的研究。我们纳入了关于PRTS效果的英文文章。我们排除了定性和非同行评审的文献。
34篇文章符合纳入标准。照顾者在PRTS中担任把关人、技术人员、实施者、受训者、合作者、远程医疗消费者和监督者等角色。照顾者在整个PRTS过程中都承担着各种角色，且角色因所提供的PRTS类型而异。
照顾者在PRTS期间承担多种角色以支持儿童。我们的研究结果可为关于如何在PRTS中整合和支持照顾者的临床决策提供参考。未来的研究应探索支持照顾者角色承担的策略，以最大限度地提高照顾者在PRTS中的参与度和成果。
