Journal
PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS
Volume 42, Issue 5, Pages 465-481Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/01942638.2022.2065898
Keywords
COVID-19; occupational therapy; pediatric rehabilitation; physical therapy; qualitative; telehealth; virtual care
Categories
Funding
- Winnipeg Rh Institute Foundation
- Endowed Research Chair in Allergy
- George and Fay Yee Center for Healthcare Innovation
- Center for Allergy Research
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This study explored the experiences, barriers, and facilitators of initial telehealth implementation from the therapist's perspective. Despite some challenges, therapists largely described telehealth as a positive experience and perceived it as relevant post-pandemic. However, additional training and ensuring equitable access to services are needed.
Aims Pediatric occupational and physical therapy service delivery via telehealth increased during the COVID-19 pandemic. Real-world experience can guide service improvement. This study explored experiences, barriers, and facilitators of initial telehealth implementation from the therapist's perspective. Methods Qualitative descriptive approach. Semi-structured interviews were conducted with occupational therapists (n = 4) and physical therapists (n = 4) between May-June 2020. Interviews were recorded, and transcribed verbatim. Data were coded inductively to generate themes, then re-coded deductively to classify barriers and facilitators to telehealth acceptance and use using the Unified Technology Acceptance Theory. Results Participants had 16.5 [(2-35); median (range)] years of experience (3 months with telehealth) and predominantly worked with preschool children. Three themes about telehealth were identified: a practical option; requires skill development and refinement; beneficial in perpetuity. Most frequently cited barriers were the lack of opportunity for 'hands-on' assessment/intervention and the learning curve required. Most frequently cited facilitators included seeing a child in their own environment, attendance may be easier for some families, and families' perception that telehealth was useful. Conclusion Despite rapid implementation, therapists largely described telehealth as a positive experience. Telehealth facilitated continued service provision and was perceived as relevant post-pandemic. Additional training and ensuring equitable access to services are priorities as telehealth delivery evolves.
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