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Article

Transition to Multidisciplinary Pediatric Telerehabilitation during the COVID-19 Pandemic: Strategy Development and Implementation

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Department of Physical Therapy, University of Haifa, Haifa 3498838, Israel
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Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
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Department of Psychology, Bar-Ilan University, Ramat-Gan 52900, Israel
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Kaye Academic College of Education, M.Ed Programs and Physical Education Program, Beer-Sheva 8414201, Israel
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Department of Communication Disorders, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
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The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat-Gan 52900, Israel
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Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
*
Author to whom correspondence should be addressed.
Tal Krasovsky and Tamar Silberg equally contributed to this manuscript.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(4), 1484; https://doi.org/10.3390/ijerph18041484
Received: 24 December 2020 / Revised: 27 January 2021 / Accepted: 31 January 2021 / Published: 4 February 2021
(This article belongs to the Special Issue Evaluating Telerehabilitation for Patients across the Lifespan)
Telerehabilitation offers a unique solution for continuity of care in pediatric rehabilitation under physical distancing. The major aims of this study were to: (1) describe the development of telerehabilitation usage guidelines in a large hospital in Israel, and to (2) evaluate the implementation of telerehabilitation from the perspectives of healthcare practitioners and families. An expert focus group developed guidelines which were disseminated to multidisciplinary clinicians. Following sessions, clinicians filled The Clinician Evaluation of Telerehabilitation Service (CETS), a custom-built feedback questionnaire on telerehabilitation, and parents completed the client version of the Therapist Presence Inventory (TPI-C) and were asked to rate the effectiveness of sessions on an ordinal scale. Four goals of telerehabilitation sessions were defined: (1) maintenance of therapeutic alliance, (2) provision of parental coping strategies, (3) assistance in maintaining routine, and (4) preventing functional deterioration. Principal Components Analysis was used for the CETS questionnaire and the relationships of CETS and TPI-C with child’s age and the type of session were evaluated using Spearman’s correlations and the Kruskal–Wallis H test. In total, sixty-seven telerehabilitation sessions, with clients aged 11.31 ± 4.8 years, were documented by clinicians. Three components (child, session, parent) explained 71.3% of the variance in CETS. According to therapists, their ability to maintain the therapeutic alliance was generally higher than their ability to achieve other predefined goals (p < 0.01). With younger children, the ability to provide feedback to the child, grade treatment difficulty and provide coping strategies to the parents were diminished. Families perceived the therapist as being highly present in therapy regardless of treatment type. These results demonstrate a potential framework for the dissemination of telerehabilitation services in pediatric rehabilitation. View Full-Text
Keywords: telehealth; children; physical therapy; occupational therapy; COVID-19; coronavirus; presence telehealth; children; physical therapy; occupational therapy; COVID-19; coronavirus; presence
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MDPI and ACS Style

Krasovsky, T.; Silberg, T.; Barak, S.; Eisenstein, E.; Erez, N.; Feldman, I.; Guttman, D.; Liber, P.; Patael, S.Z.; Sarna, H.; Sadeh, Y.; Steinberg, P.; Landa, J. Transition to Multidisciplinary Pediatric Telerehabilitation during the COVID-19 Pandemic: Strategy Development and Implementation. Int. J. Environ. Res. Public Health 2021, 18, 1484. https://doi.org/10.3390/ijerph18041484

AMA Style

Krasovsky T, Silberg T, Barak S, Eisenstein E, Erez N, Feldman I, Guttman D, Liber P, Patael SZ, Sarna H, Sadeh Y, Steinberg P, Landa J. Transition to Multidisciplinary Pediatric Telerehabilitation during the COVID-19 Pandemic: Strategy Development and Implementation. International Journal of Environmental Research and Public Health. 2021; 18(4):1484. https://doi.org/10.3390/ijerph18041484

Chicago/Turabian Style

Krasovsky, Tal, Tamar Silberg, Sharon Barak, Etzyona Eisenstein, Neta Erez, Irit Feldman, Dafna Guttman, Pnina Liber, Smadar Z. Patael, Hadar Sarna, Yaara Sadeh, Pnina Steinberg, and Jana Landa. 2021. "Transition to Multidisciplinary Pediatric Telerehabilitation during the COVID-19 Pandemic: Strategy Development and Implementation" International Journal of Environmental Research and Public Health 18, no. 4: 1484. https://doi.org/10.3390/ijerph18041484

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