Hybrid Telehealth in Pediatric Physical Therapy

Pediatric Disorder Clinical Trial

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05350904
• Other study ID #: 2090371
• Status: Recruiting
• Phase: N/A
• Start date: May 15, 2022
• Est. completion date: December 31, 2025

Study information

• Verified date: May 2024
• Source: University of Missouri-Columbia
• Contact: Jamie B Hall, PT, DPT, PhD
• Phone: 5738847531
• Email: halljami[@]health.missouri.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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?

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: December 31, 2025
• Est. primary completion date: December 31, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 2 Years to 17 Years

Eligibility

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

Related Conditions & MeSH terms

• Developmental Disabilities
• Disability, Developmental
• Pediatric Disorder

Intervention

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.

Locations

Country	Name	City	State
United States	University of Missouri	Columbia	Missouri

Sponsors (1)

Lead Sponsor	Collaborator
University of Missouri-Columbia

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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
Primary	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