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

Author

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  • Tal Krasovsky

    (Department of Physical Therapy, University of Haifa, Haifa 3498838, Israel
    Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
    Tal Krasovsky and Tamar Silberg equally contributed to this manuscript.)

  • Tamar Silberg

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
    Department of Psychology, Bar-Ilan University, Ramat-Gan 52900, Israel
    Tal Krasovsky and Tamar Silberg equally contributed to this manuscript.)

  • Sharon Barak

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
    Kaye Academic College of Education, M.Ed Programs and Physical Education Program, Beer-Sheva 8414201, Israel)

  • Etzyona Eisenstein

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Neta Erez

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Irit Feldman

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Dafna Guttman

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Pnina Liber

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Smadar Zohar Patael

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
    Department of Communication Disorders, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Hadar Sarna

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Yaara Sadeh

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
    The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat-Gan 52900, Israel)

  • Pnina Steinberg

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel)

  • Jana Landa

    (Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan 5262000, Israel
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

Abstract

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.

Suggested Citation

  • Tal Krasovsky & Tamar Silberg & Sharon Barak & Etzyona Eisenstein & Neta Erez & Irit Feldman & Dafna Guttman & Pnina Liber & Smadar Zohar Patael & Hadar Sarna & Yaara Sadeh & Pnina Steinberg & Jana La, 2021. "Transition to Multidisciplinary Pediatric Telerehabilitation during the COVID-19 Pandemic: Strategy Development and Implementation," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1484-:d:493430
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Tuija Partanen & Riitta Seppänen-Järvelä & Sinikka Hiekkala & Jari Lindh, 2023. "Telerehabilitation in the Finnish Outpatient Rehabilitation Setting from the Perspective of the Socio-Technical Systems Theory," IJERPH, MDPI, vol. 20(15), pages 1-14, August.
    2. Naomi Gefen & Shoshana Steinhart & Maurit Beeri & Patrice L. Weiss, 2021. "Lessons Learned during a Naturalistic Study of Online Treatment for Pediatric Rehabilitation," IJERPH, MDPI, vol. 18(12), pages 1-17, June.
    3. Pilar Rodríguez-Rubio & Laura Lacomba-Trejo & Selene Valero-Moreno & Inmaculada Montoya-Castilla & Marián Pérez-Marín, 2022. "10Vida: A Mental and Physical Health Intervention for Chronically Ill Adolescents and Their Caregivers in the Hospital Setting: An Open Study," IJERPH, MDPI, vol. 19(6), pages 1-15, March.

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