Disability, Developmental, Pediatric Disorder
Conditions
Brief summary
The purposes of this study are to compare the impact of a hybrid of telehealth and in-person physical therapy services to in-person services alone on the in-home functional skills of children with moderate to severe disability. This is a mixed methods study.
Detailed description
The purposes of this study are to compare the impact of a hybrid of telehealth and in-person physical therapy services to in-person services alone on the in-home functional skills of children with moderate to severe disability. Research questions include: Is a hybrid of telehealth and in-person physical therapy service better than in-person services alone for improving in-home functional skills in children with moderate to severe disability? Is there a difference in the satisfaction of caregivers and children with physical therapy services which consist of a hybrid of telehealth and in-person physical therapy services compared to in-person services alone? What is the experience of children and caregivers who receive a hybrid of telehealth and in-person physical therapy services during an episode of care?
Interventions
OTHERHybrid of telehealth and in-person physical therapy services
The experimental group will receive a hybrid of telehealth and in-person physical therapy services to address an in-home functional skill in children with moderate to severe disability.
Sponsors
University of Missouri-Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The control group will receive usual physical therapy care. The experimental group will receive a hybrid of in-person and telehealth services to address in-home functional skills.
Eligibility
Sex/Gender
ALL
Age
2 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Children 2-17 years old with moderate to significant disability. * Families have access to minimum technology necessary to participate in a telehealth visit. ---The child's insurance covers telehealth visits.
Exclusion criteria
-Caregiver does not speak English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Canadian Occupational Performance Measure | after physical therapy episode of care an average of 12 weeks | evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living |
| Measures of Processes of Care (MPOC) | after physical therapy episode of care, an average of 12 weeks | Survey tool which assesses parents' perceptions of the care they and their children receive from children's rehabilitation treatment centers. Designed to assess the family-centered behaviours of healthcare providers |
| Change in Pediatric Evaluation of Disability Inventory | after physical therapy episode of care, an average of 12 weeks | Assess key functional capabilities and performance in children whose functional abilities are lower than those of seven-year-olds without disabilities |
| Semi-structured interviews with caregivers and children in experimental group | after physical therapy episode of care, an average of 12 weeks | Will follow an interview guide designed to capture the experiences of caregivers and children with telehealth |
Countries
United States
Outcome results
None listed