Hybrid Telehealth in Pediatric Physical Therapy

Study Overview
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Brief Summary
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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.

Detailed Description
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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?

Official Title
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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

Conditions
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Pediatric Disorder, Disability, Developmental

Intervention / Treatment
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* Other: Hybrid of telehealth and in-person physical therapy services


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 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.
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Hybrid of telehealth and in-person physical therapy services|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.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Canadian Occupational Performance Measure | evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living | after physical therapy episode of care an average of 12 weeks | 
| Measures of Processes of Care (MPOC) | 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 | after physical therapy episode of care, an average of 12 weeks | 
| Change in Pediatric Evaluation of Disability Inventory | Assess key functional capabilities and performance in children whose functional abilities are lower than those of seven-year-olds without disabilities | after physical therapy episode of care, an average of 12 weeks | 
| Semi-structured interviews with caregivers and children in experimental group | Will follow an interview guide designed to capture the experiences of caregivers and children with telehealth | after physical therapy episode of care, an average of 12 weeks |