Family-Professional Collaborative Physical Therapy Intervention via Telehealth for Children with Developmental Disabilities: A Mixed-Method Feasibility Study

To evaluate attendance rates, daily therapy engagement, parents’ perceptions regarding feasibility, acceptability, family-centeredness, and individualized outcomes of a collaborative telehealth-based physical therapy intervention for children with disabilities. Mixed-method design involving 15 families and 17 children with disabilities (range age 4–90 months). Parents recorded time spent on home activities. Family-centeredness was assessed using the Measure of Processes of Care-20-item (MPOC-20). The Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) were used to measure individualized outcomes. Interviews were conducted on families’ perceptions of the telehealth service. Parents attended an average of 8.29 out of 9 scheduled telehealth sessions and spent an average of 1.32 (±0.58) hours per day on therapy activities. Parents rated the services as family-centered “to a fairly great extent” or “to a great extent”. On average, children achieved individualized goals. Parents identified therapists’ collaborative behaviors and information sharing as facilitators, beliefs about their abilities and technical issues as barriers, and empowerment and active engagement as benefits of the telehealth sessions. The family-professional collaborative telehealth physical therapy was perceived by parents as acceptable and feasible to address their children needs. Children achieved individualized goals and participating families actively engaged in the intervention process.

本研究旨在评估针对残疾儿童的基于远程医疗协作的物理治疗干预的出勤率、每日治疗参与度，以及家长对该干预可行性、可接受性、家庭中心性及个性化结局的看法。研究采用混合方法设计，纳入15个家庭及17名残疾儿童（年龄范围4–90个月）。家长记录家庭活动耗时；采用20项护理过程测量量表（Measure of Processes of Care-20-item，MPOC-20）评估家庭中心性；通过加拿大职业表现测量量表（Canadian Occupational Performance Measure，COPM）与目标达成量表（Goal Attainment Scaling，GAS）测量个性化结局；并对家庭关于远程医疗服务的感知开展访谈。结果显示：家长平均参与9次预定远程医疗会话中的8.29次，每日平均投入1.32（±0.58）小时于治疗活动；家长对服务的家庭中心性评价为“相当大程度”或“很大程度”；儿童平均达成个性化目标。家长将治疗师的协作行为与信息共享视为促进因素，自身能力信念与技术问题视为障碍，而赋能与主动参与则是远程医疗会话的益处。家长认为家庭-专业人员协作的远程医疗物理治疗在满足儿童需求方面具备可接受性与可行性，儿童达成个性化目标且参与家庭积极投入干预过程。