A Pilot Telerehabilitation Program: Delivering Early Intervention Services to Rural Families


  • Jana Cason Auerbach School of Occupational Therapy, Spalding University, Louisville, KY




The enTECH Telerehabilitation Program explored the use of telerehabilitation as an alternative service delivery model for early intervention therapy services. Utilizing the Kentucky Telehealth Network, two families living in rural Kentucky received occupational therapy services over a 12-week period. Following program implementation, qualitative data was collected using participant journals and interviews. Data analysis identified three thematic categories related to the program: benefits/strengths, challenges/weaknesses, and recommendations for program improvement. Results of the program evaluation indicated that telerehabilitation has the potential to cost-effectively meet the therapeutic needs of children living in rural areas where provider shortages exist. The enTECH Telerehabilitation Program serves as a model for how telerehabilitation can be used to deliver early intervention services to ameliorate health disparities and improve access to rehabilitation services.

Keywords: Telerehabilitation, Occupational Therapy, Rural, Early Intervention, Children, Program Evaluation, Cost Analysis


Author Biography

Jana Cason, Auerbach School of Occupational Therapy, Spalding University, Louisville, KY



Bauer, K. (2003). Distributive justice and rural healthcare: A case for e-health.International Journal of Applied Philosophy, 17(2), 241-252.

Clark, P., Dawson, S., Scheideman-Miller, C. & Post, M. (2002). Telerehab: Stroke teletherapy and management using two-way interactive video. Neurology, 26(2), 87- 93.

ConnectKentucky. (2007). Connect Kentucky 2007 progress report. Retrieved March 24, 2008, from http://www.connectkentucky.org/_documents/connectkentucky_2007.pdf

Finch, L. (2000). Ingenious engineering. Rehab Management, 104-110.

Georgeadis, A., Brennan, D., Barker, L., & Baron, C. (2004). Telerehabilitation and its effects on story telling by adults with neurogenic communication disorders. Aphasiology, 18, 639-652.

Gilchrist, V. & Williams, R. (1999). Key informant interviews. In B. Crabtree & W. Miller (Eds.), Doing qualitative research (2nd ed.) (pp. 71-88). Thousand Oaks, CA: Sage.

Gross, D. (2005, Summer). KRHA conference: State of KY’s health ‘bad’, panelists say. Rural Health Update, 2.

Hagglund, K. & Clay, D. (1997). Rural healthcare initiatives in spinal cord injury. American Rehabilitation, 23(1), 2-6.

Harper, D. (2003). Telehealth. In. M. Roberts (Ed.), Handbook of Pediatric Psychology (3rd ed., pp. 735-746). New York: Guilford Press

Kentucky Part C Annual Report. (2008). Part C State Annual Performance Report (APR) for FFY 2006. Retrieved March 20, 2008, from http://chfs.ky.gov/NR/rdonlyres/A1D33FFF-C84C-432B-86FB-1468461C2F92/148765/FFY06APRRevised.pdf

Rural Assistance Center. (2007). Kentucky. Retrieved April 5, 2007, from http://www.raconline.org/states/kentucky.php

Samuels, M., Smith, J., & Whitler, E. (2005, Summer). Focus on: Rurality - Place of residence shown to have impact on health status. Rural Health Update, 8-9.

Sprang, R. (2007, December). Kentucky Telehealth Network (KTHN):2006-2007 annual report. Paper presented at the meeting of the Interim Joint Committee on Health and Welfare Kentucky Telehealth Network Board of Directors, Frankfort, KY.

Telerehab supports community reentry. (2000, October). Case Management Advisor, 164-166.

U.S. Office of Management and Budget. (2006). Detailed information on the Rural Health Activities Assessment. Retrieved on April 5, 2007, from http://www.whitehouse.gov/omb/expectmore/detail.10001065.2005.html

Wade, S., Wolfe, C., Brown, T., & Pestian, J. (2005). Putting the pieces together: Preliminary efficacy of a web-based family intervention for children with traumatic brain injury. Journal of Pediatric Psychology, 30(5), 437-442.

Wakeford, L., Wittman, P., White, M., & Schmeler, M. (2005). American Occupational Therapy Association (AOTA) Telerehabilitation position paper. Retrieved February 25, 2009, from http://www.aota.org/Practitioners/Official/Position/36203.aspx

Ziegmann, M., Cole, E., Lichtenberg, A., & Brooks, R. (2001). Telerehabilitation: New tools for providing in-home brain injury rehabilitation. Retrieved February 25, 2009, from http://www.aota.org/Pubs/OTP/1997-2007/Features/2001/f-110501.aspx



How to Cite

Cason, J. (2009). A Pilot Telerehabilitation Program: Delivering Early Intervention Services to Rural Families. International Journal of Telerehabilitation, 1(1), 29–38. https://doi.org/10.5195/ijt.2009.6007



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