While allied health students prefer face-to-face clinical placement, telehealth can support competency development: results from a mixed-methods study

Introduction: Student clinical placements are a mandatory requirement within most accredited health programs. During the COVID-19 pandemic, many health settings that had traditionally provided placements cancelled their offerings. Telehealth services however, increased and emerged as an alternative placement setting. Aim: To compare the learning experiences for allied health students provided by telehealth and face-to-face accredited health placements. Methods: Health students, from a university clinic between March to December 2020, delivering both face-to-face and telehealth consultations, were invited to complete a telephone survey with 3 demographic questions; and 10-items comparing their telehealth and face-to-face learning experiences. Pearson’s chi-squared/Fisher’s exact test was used to examine the association between each item and consultation setting. Qualitative survey data was thematically analysed using a descriptive approach. Results: 49 students from 2 universities and 5 disciplines completed the survey. Students rated their face-to-face experiences significantly higher than their telehealth experiences across all items (all p-values <0.01). Across 9 items students reported positive learning experiences in both settings. Students had greater opportunities to work in a multidisciplinary team in a face-to-face setting. Four themes were generated: (1) placements can vary in quality regardless of setting; (2) telehealth can provide valuable learning experiences and support competency development; (3) enablers for telehealth placements and (4) barriers for telehealth placements. Conclusion: While telehealth can support student learning and competency development, in this study students preferred face-to-face experiences. To optimise telehealth placements consideration needs to be given to barriers and enablers such as technological issues and university curricula preparation.</p

While allied health students prefer face-to-face clinical placement, telehealth can support competency development: results from a mixed-methods study

Introduction: Student clinical placements are a mandatory requirement within most accredited health programs. During the COVID-19 pandemic, many health settings that had traditionally provided placements cancelled their offerings. Telehealth services however, increased and emerged as an alternative placement setting. Aim: To compare the learning experiences for allied health students provided by telehealth and face-to-face accredited health placements. Methods: Health students, from a university clinic between March to December 2020, delivering both face-to-face and telehealth consultations, were invited to complete a telephone survey with 3 demographic questions; and 10-items comparing their telehealth and face-to-face learning experiences. Pearson’s chi-squared/Fisher’s exact test was used to examine the association between each item and consultation setting. Qualitative survey data was thematically analysed using a descriptive approach. Results: 49 students from 2 universities and 5 disciplines completed the survey. Students rated their face-to-face experiences significantly higher than their telehealth experiences across all items (all p-values <0.01). Across 9 items students reported positive learning experiences in both settings. Students had greater opportunities to work in a multidisciplinary team in a face-to-face setting. Four themes were generated: (1) placements can vary in quality regardless of setting; (2) telehealth can provide valuable learning experiences and support competency development; (3) enablers for telehealth placements and (4) barriers for telehealth placements. Conclusion: While telehealth can support student learning and competency development, in this study students preferred face-to-face experiences. To optimise telehealth placements consideration needs to be given to barriers and enablers such as technological issues and university curricula preparation

The collaborative goal setting experiences of parents who have children with disabilities and occupational therapists

Collaborative goal setting between parents and therapists is considered essential to the principles of the family-centered practice philosophy. It is considered best practice to underpin family and child therapy services with family centered practice. Only recently has research evolved that examines how parents and therapists experience collaborative goal setting practice. Within the occupational therapy literature occupational therapists are encouraged to engage clients in collaborative goal setting practices yet therapists have identified that achieving this is much more difficult than it is proposed. The purpose of this research inquiry is to explore the collaborative goal setting experiences of parents who have children with disabilities and occupational therapists. It does so within an Australian context and from the viewpoints of parents of children of all ages and disabilities. A naturalistic inquiry was conducted that used in-depth interviews and document analysis to explore the phenomenon of collaborative goal setting experiences of parents and occupational therapists. This inquiry generated five themes: “An obscure concept”: Learning to goal set; “The things we would discuss became the goals”: Goal setting experiences; “It’s just the beginning”: The impact of goal setting on families’ everyday lives and the occupational therapy process; “People vary in their life experiences”: Factors influencing goal setting experiences; and “More guidance, more direction”: How goal setting could be improved. Within these five themes the similarities and differences between parents’ and occupational therapists’ collaborative goal setting experiences were presented. The key findings derived from this inquiry were that goal setting was experienced as a dynamic, complex process and both parents and occupational therapists had to learn how to participate in collaborative goal setting. It identified that current collaborative goal setting practices require modifications to facilitate improved active participation of parents and children with disabilities

Helping Parents Support Their Preschool Children’s Learning and Development Through SMS Messages:An Australian Pilot Study

Families are children’s first and most important teachers. However, their ability to support children’s learning and development at home varies due to knowledge, skills, and confidence. Family interventions aimed at increasing parents’ skills are labour-intensive and expensive. In contrast, text messages are low-cost and scalable. Text messages can provide bite-sized bits of information that remind parents of activities they can do in their everyday lives to support learning. Our pilot study replicated two studies from the United States of America (USA) using text messages to increase children’s language and literacy development. A mixed methods approach comprising a pre- to post-design and survey was used. Approximately 70 families with preschool children in the Australian Capital Territory received three text messages weekly for 18 weeks. Families were randomly assigned to either the language and literacy group or the control group that received general child development messages. Measurement of the impact of text messages on children’s language and literacy skills was not feasible due to COVID-19 constraints. We were able to measure parent knowledge and perceptions of the pilot project pre- and post-text messages. Parent knowledge in both groups moved in the right direction, and approximately 90% of parents reported that the text messages were useful and would recommend the program to other parents. Parents found both sets of texts equally valuable. Our study included highly educated and high-income families, while previous research in the USA were comprised of disadvantaged families. Our findings suggest that text messages about early language and literacy, and general child development are useful to all families.</p