Telehealth Versus Face-to-Face Fine Motor and Social Communication Interventions for Children With Autism Spectrum Disorder: Efficacy, Fidelity, Acceptability, and Feasibility.
Importance: The efficacy of telehealth (TH) interventions needs to be studied. Objective: To compare the efficacy, fidelity, acceptability, and feasibility of face-to-face (F2F) versus TH seated play (SP) interventions among children with autism spectrum disorder (ASD). Design: As part of a larger r...
| Publicado en: | American Journal of Occupational Therapy Vol. 77; no. 6; pp. 1 - 14 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
American Occupational Therapy Association
Nov/Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174599873&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174599873 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Nov/Dec2023 vid: 77 iid: 6 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 174599873 174599873 174599873 10.5014/ajot.2023.050282 174599873 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Telehealth Versus Face-to-Face Fine Motor and Social Communication Interventions for Children With Autism Spectrum Disorder: Efficacy, Fidelity, Acceptability, and Feasibility. aug: au: Su, Wan-Chun Cleffi, Corina Srinivasan, Sudha Bhat, Anjana affil: Wan-Chun Su, PhD, MS, PT, is Postdoctoral Fellow, National Institutes of Health, Bethesda, Maryland. sug: subj: Telehealth Motor Skills Communication Social Skills Autism Spectrum Disorder Therapy Treatment Outcomes Simulations Patient Attitudes Human Pilot Studies Pretest-Posttest Design Videoconferencing Random Assignment Child, Preschool Child Adolescence Female Male Chi Square Test Confidence Intervals Questionnaires Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Female Male ab: Importance: The efficacy of telehealth (TH) interventions needs to be studied. Objective: To compare the efficacy, fidelity, acceptability, and feasibility of face-to-face (F2F) versus TH seated play (SP) interventions among children with autism spectrum disorder (ASD). Design: As part of a larger randomized controlled trial, children were assigned to the SP group and received TH and F2F interventions over 8 wk using a pretest–posttest study design. Setting: A research lab or through videoconferencing. Participants: Fifteen children with ASD (ages 5–14 yr) were randomly assigned to the SP group and received the intervention F2F or through TH. Intervention: Children received 16 SP intervention sessions (2 sessions per week for 8 wk). Outcomes and Measures: Pretests and posttests included standardized fine motor assessments. Video coding compared socially directed verbalization during training sessions. Parents and trainers provided feedback on their experiences. Results: Seven children received the intervention F2F, whereas 8 received TH intervention. Children in both subgroups showed similar training improvements in fine motor skills and socially directed verbalizations (ps >.01). Parents rated both interventions as acceptable and feasible; however, they reported longer preparation time and effort during TH interventions (ps <.01). Trainers reported greater parental involvement but more communication and technological issues during TH interventions. Fidelity checks indicated fewer reinforcements during TH versus F2F sessions. Conclusions and Relevance: TH intervention is feasible and effective in improving fine motor and social communication performance. Clinicians should reduce parental burden and overcome technological issues. What This Article Adds: This study confirmed the efficacy, fidelity, acceptability, and feasibility of delivering seated play, standard of care interventions for children with autism spectrum disorder via telehealth. However, clinicians should work on reducing parental burden and overcoming communication and technological issues related to telehealth. This study confirmed the efficacy, fidelity, acceptability, and feasibility of delivering via telehealth seated play, standard of care interventions for children with autism spectrum disorder. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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