Bourke Aisling, O'Connor Una, Boyle Bryan, Kennedy Jessica, Lynch Helen
Department of Occupational Therapy, College of Medicine and Health, University College Cork, Cork, Ireland.
Br J Occup Ther. 2023 Oct;86(10):714-722. doi: 10.1177/03080226231181018. Epub 2023 Jul 14.
Developmental coordination disorder (DCD) significantly impacts a child's motor skills and ability to learn and perform self-care and academic tasks. Telehealth is a rapidly emerging service delivery model, ensuring expanded access to services and continuity of care. Many benefits to the use of telehealth have been identified; yet, there is a dearth of published evidence available on the experiences of parents of children with DCD.
The aim of this study was to explore parents' experiences of implementing a telehealth motor skills programme for their child with DCD.
This study utilised a qualitative descriptive approach to best capture parents' experiences of a telehealth programme. Data were collected through in-depth, semi-structured interviews with eight participants and analysed using thematic analysis. Measures to ensure the trustworthiness of the study were observed within the naturalistic paradigm comprising criteria of credibility, transferability, dependability and confirmability.
This study uncovered three major themes: (1) Parents in the dark, (2) telehealth in the family and (3) telehealth: what success looks like. Ten further subthemes highlighted the factors for success and parents' considerations for future service delivery.
Challenges for parents in accessing traditional occupational therapy services present an opportunity to explore alternative means of delivery such as telehealth. Parents, however, are clear in their preference for a blended approach for future services.
发育性协调障碍（DCD）严重影响儿童的运动技能以及学习和进行自我护理及学业任务的能力。远程医疗是一种迅速兴起的服务提供模式，可确保扩大服务获取范围并实现护理的连续性。人们已经确定了使用远程医疗的诸多益处；然而，关于DCD患儿家长经历的已发表证据却很匮乏。
本研究的目的是探索家长为患有DCD的孩子实施远程医疗运动技能项目的经历。
本研究采用定性描述方法，以最佳方式捕捉家长对远程医疗项目的体验。通过对八名参与者进行深入的半结构化访谈收集数据，并使用主题分析法进行分析。在自然主义范式内，遵循包括可信度、可转移性、可靠性和可确证性标准在内的措施，以确保研究的可信度。
本研究发现了三个主要主题：（1）蒙在鼓里的家长，（2）家庭中的远程医疗，（3）远程医疗：成功的样子。另外十个子主题突出了成功的因素以及家长对未来服务提供的考量。
家长在获取传统职业治疗服务方面面临的挑战为探索如远程医疗等替代服务提供方式创造了机会。然而，家长明确表示倾向于未来服务采用混合模式。
