Comparison of Goal Achievement When Transitioning from In-Person Therapy to Teletherapy in Westchester County Early Intervention Program Due to the COVID-19 Pandemic.
Inna C De Leon, JennaLynn Philipps, Marina Yoegel, Joseph Byrnes, Jordan S Kase
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引用次数: 2
Abstract
The sudden transition to virtual therapeutic services during the COVID-19 pandemic provided a unique opportunity to explore telehealth as a platform for delivering early intervention (EI) services. Through retrospective chart review of 93 children, we collected the following data: demographics, diagnosed conditions, therapy type, service format, and provider-reported participant goal achievement (1=no progress, 2=little progress, 3=moderate progress, 4=great deal of progress, 5=outcome achieved) over a six-month period before and after transitioning to telehealth. Pre- and post-transition progress scores were compared using the Wilcoxon signed-rank test. Results demonstrated maintained progress among children who transitioned from in-person to virtual services for similar therapy types. Children receiving speech therapy in-person and virtually demonstrated increased achievement (3.00 vs 3.33; p=0.032). Participants receiving a particular therapy post-transition but not in-person attained similar achievement as those who received the same therapy only in-person. Our research suggests that teletherapy may be a viable option for delivering EI services.
COVID-19大流行期间突然向虚拟治疗服务过渡,为探索将远程医疗作为提供早期干预(EI)服务的平台提供了独特的机会。通过对93名儿童的回顾性图表审查,我们收集了以下数据:人口统计数据、诊断条件、治疗类型、服务形式和提供者报告的参与者目标实现情况(1=无进展,2=进展甚微,3=中度进展,4=进展很大,5=取得成果)在过渡到远程保健前后的六个月期间。使用Wilcoxon符号秩检验比较过渡前后的进展分数。结果表明,从面对面的儿童过渡到虚拟服务的类似治疗类型的持续进展。接受面对面和虚拟语言治疗的儿童表现出更高的成就(3.00 vs 3.33;p = 0.032)。变性后接受特殊治疗但不当面治疗的参与者与那些只当面接受相同治疗的参与者取得了相似的成就。我们的研究表明,远程治疗可能是提供情商服务的一个可行选择。