Report on the Use of Telehealth in Early Intervention in Colorado: Strengths and Challenges with Telehealth as a Service Delivery Method
DOI:
https://doi.org/10.5195/ijt.2019.6273Keywords:
Early Intervention, Part C, Stakeholder Feedback, TelehealthAbstract
The use of telehealth as a service delivery method for early intervention (EI) is in its infancy and few studies have examined its use within the context of a statewide program. The focus of this report was to determine the factors that influence providers’ utilization of telehealth in Colorado’s Part C Early Intervention program (EI Colorado). This report presents information that was gathered through surveys sent to Part C program administrators, service coordinators, providers, and caregivers. Surveys were used to understand perceptions of telehealth, actual experiences with telehealth, and perceived benefits and challenges using this service delivery method. Follow-up focus groups were conducted with program administrators and family members to gather more nuanced information. Participants identified several benefits associated with telehealth including its flexibility, access to providers, and more family engagement. The primary barriers included access to high speed internet and the opinion that telehealth was not as effective as in-person treatment. The results in the report served to identify next steps in the implementation of telehealth in Colorado’s Part C EI program.
References
Adams, R. C., & Tapia, C. (2013). Early intervention, IDEA Part C services, and the medical home: Collaboration for best practice and best outcomes. Pediatrics, 132, 1073-1086. doi: 10.1542/peds.2013-2305
Ajzen, I. (1991). The theory of planned behavior. Organizational behavior and human decision processes, 50, 179-211. doi: 10.1016/0749-5978(91)90020-T
Baggett, K. M., Davis, B., Feil, E. G., Sheeber, L. L., Landry, S. H., Carta, J. J., & Leve, C. (2010). Technologies for expanding the reach of evidence-based interventions: Preliminary results for promoting social-emotional development in early childhood. Topics in Early Childhood Special Education, 29, 226-238. doi: 10.1177/ 0271121409354782
Baharav, E. & Reiser, C. (2010). Using telepractice in parent training in early autism. Telemedicine and e-health. 16, 727-731. doi: 10.1089/tmj.2010.0029
Behl, D., Blaiser, K., Cook, G., Barrett, T., Callow-Heusser, C., Moog Brooks, B., Dawson, P., Quigley, S., & White, K. R. (2017). A multisite study evaluating the benefits of early intervention via telepractice. Infants & Young Children, 30, 147-161. doi:
1097/IYC.0000000000000090
Blaiser, K. M., Behl, D., Callow-Heusser, C., & White, K. R. (2013). Measuring costs and outcomes of tele-intervention when serving families of children who are deaf/hard-of-hearing. International Journal of Telerehabilitation, 5, 3-10. doi: 10.5195/ijt.2013.6129
Cason, J. (2011). Telerehabilitation: An adjunct service delivery model for early intervention services. International Journal of Telerehabilitation, 3(1), 19-28. doi: 10.5195/ijt.2011.6071
Dedoose software: www.dedoose.com.
Early Intervention Colorado (2018a). EI data system in Salesforce.
Early Intervention Colorado (2018b). Report to the Joint Budget Committee, November 1, 2018.
Falcone, J., Harris, N., Glick, H., Bell-Souder, D., Stredler-Brown, A., Elder, S., … Sharma. A. (2018, October). Central Auditory Development and Language Outcomes in Children with Hearing Loss Receiving Aural Habilitation: Preliminary Findings. Poster presented at the Colorado Academy of Audiology Conference, Breckenridge, CO.
Individuals with Disabilities Education Improvement Act (IDEA) of 2004, PL 108-446, 20 U.S.C. §§1400 et seq.
Ingersoll, B., Straiton, D., Casagrande, K., & Pickard, K. (2018). Community providers’ intentions to use a parent-mediated intervention for children with ASD following training: An application of the theory of planned behavior. BMC Research Notes, 11, 777-783. doi: 10.1186/s13104-018-3879-3
Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCT. Journal of Autism and Developmental Disorders, 46, 2275-2284. doi: 10.1007/s10803-016-2755-z
Little, L. M., Wallisch, A., Pope, E., & Dunn, W. (2018). Acceptability and cost comparison of a telehealth intervention for families of children with autism. Infants & Young Children, 31, 275-286. doi: 10.1097/IYC.0000000000000126
McWilliam, R. (2016). Birth to three: Early intervention. In B. Reichow, et al. (Eds.) Handbook of Early Childhood Special Education (pp. 75-84). Switzerland: Springer International Publishing.
Meadan, H., & Daczewitz, M. E. (2015). Internet-based intervention training for parents of young children with disabilities: A promising service-delivery model. Early Child Development and Care, 185, 155-169. doi: 10.1080/03004430.2014.908866
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, CA: Sage Publications.
OSEP. (2018). Grads 360 report of compliance indicators to the Office of Special Education Programs (OSEP).
Pickard, K., Wainer, A., Bailey, K., & Ingersoll, B. (2016). A mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with ASD. Autism, 20, 845-855. doi: 10.1177/1362361315614496
Rosenberg, S.A., Zhang, F., & Robinson, C.C. (2008). Prevalence of developmental delays and participation in early intervention services for young children. Pediatrics, 121, e1503-1509. doi: 10.1542/peds.2007-1680.
Rush, D. D., & Sheldon, M. L. (2011). The early childhood coaching handbook. Baltimore, MD: Paul H. Brookes Publishing.
Stredler-Brown, A. (2017). Examination of coaching behaviors used by providers when delivering early intervention via telehealth to families of children who are deaf or hard of hearing. Perspectives of the ASHA Special Interest Group SIG 9, 2(Part 1), 25-42. https://doi.org/10.1044/persp2.SIG9.25
Vismara, L. A., Young, G. S., & Rogers, S. J. (2012). Telehealth for expanding the reach of early autism training to parents. Autism Research and Treatment, 2012. doi: 10.1155/2012/121878
Vismara, L. A., McCormick, C., Young, G. S., Nadhan, A., & Monlux, K. (2013). Preliminary findings of a telehealth approach to parent training in autism. Journal of Autism and Developmental Disorders 43, 2953-2969. doi: 10.1007/s10803-013-1841-8
Wainer, A. L., & Ingersoll, B. R. (2015). Increasing access to an ASD imitation intervention via a telehealth parent training program. Journal of Autism and Developmental Disorders, 45, 3877-3890. doi: 10.1007/s10803-014-2186-7
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.