Does Delivery Format Matter? A Pilot Study Comparing Telehealth Versus Face-to-Face Movement Interventions for Children With Autism Spectrum Disorder.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001131

Wan-Chun Su, Corina Cleffi, Sudha Srinivasan, Anjana Narayan Bhat

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Abstract

Purpose: Children with Autism Spectrum Disorder (ASD) have motor, social communication, and behavioral challenges. During the pandemic, children lost access to face-to-face (F2F) services and had to revert to telehealth (TH) options. We compared the efficacy, fidelity, acceptability, and feasibility of a general motor (GM) intervention using an F2F or telehealth (TH) format.

Methods: Fifteen children with ASD participated in an 8-week program involving gross motor games to promote motor and social communication skills. Differences across TH and F2F formats for motor and socially directed verbalization as well as stakeholder feedback on formats were collected.

Results: Gross motor and socially directed verbalization did not differ between the F2F and TH subgroups, and parents and trainers were satisfied with either format. However, TH interventions were longer, had more technological challenges, and required more parental effort.

Conclusions: The findings of this study support the use of TH as a comparable and viable substitute for F2F interactions for children with ASD.

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授课形式重要吗？比较远程医疗与面对面运动干预对自闭症谱系障碍儿童的影响的试点研究。

目的：患有自闭症谱系障碍 (ASD) 的儿童在运动、社会交流和行为方面面临挑战。在大流行病期间，儿童失去了面对面（F2F）服务的机会，不得不重新选择远程医疗（TH）。我们比较了使用 F2F 或远程医疗（TH）形式进行一般运动（GM）干预的有效性、忠实性、可接受性和可行性：15 名患有 ASD 的儿童参加了为期 8 周的项目，该项目涉及粗大运动游戏，以促进运动和社会交流技能。结果：粗大运动和社交引导性口头表达在远程医疗和 F2F 形式中的差异以及利益相关者对形式的反馈都被收集起来：结果：在 F2F 和 TH 分组之间，粗大运动和社交指导口头表达没有差异，家长和培训师对这两种形式都很满意。然而，TH 方式的干预时间更长，技术难度更大，需要家长付出更多努力：本研究的结果支持使用 TH 作为对 ASD 儿童进行 F2F 互动的可比和可行的替代方式。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.