The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay

Authors

  • Karen Hurtubise School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada; Faculté de Médicine et Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Québec, Canada; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada
  • Michelle Phoenix School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada https://orcid.org/0000-0002-6190-3997
  • Chantal Camden Faculté de Médicine et Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Québec, Canada; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada; Centre de recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada https://orcid.org/0000-0002-5503-3403
  • Raphaëlle Gauthier Faculté de Médicine et Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Québec, Canada. https://orcid.org/0000-0001-8352-7550
  • Paul Stratford School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada https://orcid.org/0000-0003-4971-2386
  • Rosalie Dostie Faculté de Médicine et Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Québec, Canada. https://orcid.org/0000-0003-0276-8083
  • Audrée Jeanne Beaudoin Faculté de Médicine et Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Québec, Canada; Centre de recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada https://orcid.org/0000-0001-5204-0897
  • Désirée Maltais École de sciences de réadaptation, Faculté de Médecine, Université Laval, Québec, Québec, Canada; Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Québec, Québec, Canada https://orcid.org/0000-0002-4941-3055
  • Jade Berbari Centre de recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada https://orcid.org/0000-0003-2991-1337
  • Isabelle Gaboury Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Québec, Québec, Canada https://orcid.org/0000-0002-2881-4714

DOI:

https://doi.org/10.5195/ijt.2024.6603

Keywords:

Fidelity measure development, Implementation experience, Pediatric rehabilitation, Telehealth

Abstract

This multi-methods study describes the development of a pediatric rehabilitation telehealth intervention fidelity checklist, estimates its inter-rater reliability, and documents raters' implementation experience. A literature scan and expert consultation identified eighteen key behaviors and categorized them into three subdomains, measured using a 5-point measurement system. To estimate the checklist’s inter-rater reliability, three raters scored 33 video recordings. A Shrout and Fleiss Class 1,1 intraclass correlation (ICC)) and 95% confidence intervals (CI) calculated ICCs = 0.5 (CI: 0, 0.9) for both the Therapist and the Parent-Therapists subdomains, and the Parent subdomain an ICC = 0.3 (CI: 0, 0.8). In the implementation surveys, raters reported high levels of satisfaction (100%), ease of use (84% to 88%), and confidence in their video ratings (87% to 100%). Changes in procedures and scoring were recommended. Capturing raters’ implementation experiences is crucial in the early evaluation of the fidelity checklists for telehealth. 

  

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2024-06-28

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Hurtubise, K., Phoenix, M., Camden, C., Gauthier, R., Stratford, P., Dostie, R., Beaudoin, A. J., Maltais, D., Berbari, J., & Gaboury, I. (2024). The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay. International Journal of Telerehabilitation, 16(1). https://doi.org/10.5195/ijt.2024.6603

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Vol. 16 No. 1 (2024)

Section

Early Intervention

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Copyright (c) 2024 Karen Hurtubise, Michelle Phoenix, Chantal Camden, Raphaëlle Gauthier, Paul Stratford, Rosalie Dostie, Audrée Jeanne, Désirée Maltais, Jade Berbari, Isabelle Gaboury

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