Baker Alissa R, Barents Erin R, Cole Anna G, Klaver Alyssa L, Van Kampen Kathie, Webb Lucile M, Wolfer Kallen A
Department of Occupational Therapy, Western Michigan University, Kalamazoo, Michigan, USA.
Int J Telerehabil. 2025 Jan 15;16(2):e6655. doi: 10.5195/ijt.2024.6655. eCollection 2025.
Telehealth was widely adopted in pediatric occupational therapy practice during the COVID-19 pandemic; however, there is limited knowledge on telehealth use post-pandemic. This study collected 132 responses to a mixed-methods survey from March-October 2023 to explore pediatric occupational therapists' current use and perceptions on telehealth. Results indicated that over half of respondents continue to use telehealth. Frequency of use was differentiated by setting, with a significantly lower proportion of school-based respondents using telehealth compared to outpatient (p<.001) or early intervention (p<.001). The median rate of use was low with 10% of services delivered via telehealth. Respondents view telehealth as moderately effective and satisfactory. Rationale for use of telehealth included parent coaching, access to the natural environment, caregiver involvement, travel convenience, and to accommodate family illness. Challenges included lack of child engagement, limited parent involvement, and regulatory barriers.
在新冠疫情期间，远程医疗在儿科职业治疗实践中得到了广泛应用；然而，关于疫情后远程医疗使用情况的了解却很有限。本研究收集了2023年3月至10月对一项混合方法调查的132份回复，以探讨儿科职业治疗师目前对远程医疗的使用情况和看法。结果表明，超过一半的受访者继续使用远程医疗。使用频率因环境而异，与门诊（p<0.001）或早期干预（p<0.001）相比，在校受访者使用远程医疗的比例显著较低。使用的中位数率较低，通过远程医疗提供的服务占10%。受访者认为远程医疗有一定效果且令人满意。使用远程医疗的理由包括家长指导、进入自然环境、照顾者参与、出行便利以及适应家庭疾病。挑战包括儿童参与度不足、家长参与有限以及监管障碍。
