Service Disruptions in Early Intervention Amid COVID-19: Understanding Challenges Faced by Families and Providers.

Background Background: Infants at risk for developmental delays require early intervention (EI) services to support their development. However, many families face barriers to receiving services, which were exacerbated by the COVID-19 pandemic. Objective Objective: This qualitative study examined how...

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Publicado en:Open Journal of Occupational Therapy (OJOT) Vol. 14; no. 3; pp. 1 - 18
Autores principales: Nguyen, Tiana T., Mong, Samantha, Lainez, Juliana, Embrey, Domenique
Formato: research tables/charts Journal Article
Publicado: Open Journal of Occupational Therapy Summer2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2026
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      pub: Open Journal of Occupational Therapy
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        atl: Service Disruptions in Early Intervention Amid COVID-19: Understanding Challenges Faced by Families and Providers.
      aug:
        au:
          Nguyen, Tiana T.
          Mong, Samantha
          Lainez, Juliana
          Embrey, Domenique
        affil: University of California, San Francisco - USA
      sug:
        subj:
          COVID-19 Pandemic
          Infant Development Disorders Therapy
          Developmental Disabilities
          Caregiver Attitudes Evaluation
          Attitude of Health Personnel Evaluation
          Health Services Accessibility Evaluation
          Early Childhood Intervention
          Human
          Qualitative Studies
          Continuity of Patient Care
          Quality of Health Care
          Thematic Analysis
          Personnel Shortage
          Insurance, Health
          Communication
          Purposive Sample
          Convenience Sample
          Semi-Structured Interview
          Data Analysis Software
          Telehealth
          Family
          California
          Social Workers
          Case Managers
          Occupational Therapists
          Physical Therapists
          Speech-Language Pathologists
      ab: Background Background: Infants at risk for developmental delays require early intervention (EI) services to support their development. However, many families face barriers to receiving services, which were exacerbated by the COVID-19 pandemic. Objective Objective: This qualitative study examined how COVID-19 impacted access to EI therapy services from the perspectives of families and EI providers in the San Francisco Bay Area. The study aimed to identify existing barriers and new pandemic-specific challenges to inform strategies for improving continuity and quality of EI care during future service disruptions. Methods: Semi-structured virtual interviews were conducted with caregivers of eligible infants and EI providers. An inductive thematic analysis approach was used to identify key themes related to access barriers. Results Results: Participants described long-standing barriers, including limited understanding of EI, provider shortages, insurance complexities, and insufficient bilingual therapists, that worsened during the pandemic. The shift to virtual service delivery introduced additional challenges, such as limited access to technology and reliance on caregiver digital literacy. Participants emphasized the need for clearer communication, service flexibility, and proactive system-level planning. Conclusions Conclusions: Findings highlight the importance of policy changes aimed at enhancing workforce capacity, streamlining processes, and improving digital and linguistic accessibility to ensure equitable EI access during future disruptions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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