Hybrid Telehealth in Pediatric Physical Therapy

Does Hybrid Telehealth Physical Therapy for Children With Moderate to Severe Disability Improve Function in the Home Environment Better Than In-person Services Alone?--A Mixed Methods Study

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.

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?

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.

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.

evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living

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

Assess key functional capabilities and performance in children whose functional abilities are lower than those of seven-year-olds without disabilities

Will follow an interview guide designed to capture the experiences of caregivers and children with telehealth

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