The Provider’s Experience of Delivering an Education-based Wellness Program via Telehealth

Provider acceptance is a first step to implementing a successful telehealth program. This pilot study examined the experience of six providers delivering an education-based wellness program in a telehealth format. Providers indicated an overall positive experience with high Telehealth Usability Questionnaire (TUQ) total scores (5.6 ± 1.1) and in their comments. High TUQ subscale scores for Usefulness (6.7 ± 0.4) and Ease of Use (5.3 ± 0.3) indicated providers found the telehealth system usable. Strong relationship bonds that developed offset the reported drawback of technical issues related to connectivity and audio. Providers with a wide range of computer experience all reported synchronous remote training via phone and videoconference meetings was adequate to prepare them to deliver classes via telehealth. This research indicates motivated providers with varying technology experience can have a positive telehealth experience with customized remote support.

Telehealth Experiential Learning: A Pilot Study of The Client’s Experience

This research examined the client experience of a student-led occupational therapy pro bono clinic that involved telehealth-delivered treatment sessions. Six clients responded to a survey that included both Likert scale close-ended and open-ended items. The researchers employed descriptive statistics for close-ended items and summarized open-ended responses. All close-ended items had a median score of 4 out of 5, indicating it was easy to communicate, easy to find and use features of the software, and that there were minimal problems with the software in the telehealth delivered sessions. Open ended-responses reflected an overall positive experience

Survey of Occupational Therapy Education in Telehealth

Telehealth delivered occupational therapy services are increasing, and students will need to be prepared to safely and ethically deliver telehealth services. Occupational therapy education standards require that students demonstrate knowledge of telehealth and related technology. However, there is a limited discussion in the literature on how programs are preparing students to deliver services via telehealth. This explanatory mixed methods study examined telehealth education in entry-level occupational therapy programs to understand if and how students are learning about telehealth. The quantitative portion involved a survey of 429 occupational therapy programs in the United States. The qualitative part involved four survey respondents in an interview. The low survey response rate (11.89%; N=51) brings into question if programs are comfortable talking about how they are meeting telehealth education standards. Survey respondents reported the use of lecture (98%) and electronic health records (55.1%) as the most frequently cited methods to deliver educational content about telehealth. Half of the programs did not include interactive content for students to apply telehealth knowledge and skills. The least frequently cited content included interaction with robotic arms (2.2%), telemonitoring (20%), provision of services through telehealth (20%), and use of gaming systems (23.9%). Three themes emerged from the interviews: educational activities, telehealth technology, and curriculum planning. Participants discussed a desire to add content and strategies for overcoming barriers to telehealth education such as utilizing existing technology and utilizing resources and experts. Telehealth education is not advancing as quickly as needed for application in practice. Students could benefit from added telehealth learning opportunities to become competent in telehealth service delivery

Feasibility of Using Telehealth to Deliver the “Powerful Tools for Caregivers” Program

Caregivers report poorer health and wellness than the general population and identify numerous barriers to their attending programs to improve health and wellness.  The purpose of this study was to explore the feasibility of employing a telehealth delivery method to enhance access to caregiver wellness programs. This article presents the quantitative results of a mixed methods feasibility study of translating the Powerful Tools for Caregivers (PTC) program to a telehealth delivery format. Four unpaid family caregivers of older adults participated in a telehealth delivered PTC program, a wellness program with established outcomes in the in-person environment.  The program was delivered using synchronous videoconferencing methods. High class attendance and a high median total average Telehealth Usability Questionnaire score of 5.7 indicated the telehealth delivery method was feasible. This research suggests that telehealth is a feasible delivery format for a caregiver program traditionally delivered in an in-person format

Telehealth Student Experiences and Learning: A Scoping Review

Telehealth as a service delivery model is increasing in popularity. Knowledge and use of telehealth technology will be a new mandatory learning outcome in occupational therapy curriculums with the implementation of the 2018 Accreditation Council for Occupational Therapy Education standards. However, it is not known how healthcare programs are currently incorporating telehealth into education or which methods of telehealth education are most effective. This study addressed this gap in the literature using Arksey and O’Malley’s five-step methodological process to conduct a scoping review to examine the student experience of delivering healthcare services via telehealth and related learning outcomes. The scoping review encompassed eight databases with inclusion criteria of articles that discussed student learning outcomes, telehealth or telemedicine, and the student experience of delivering telehealth services. The research team screened 955 articles, reviewed 24 full-text articles, and came to a consensus on six articles to include in the review. Findings suggested a high level of student satisfaction related to the experience of delivering healthcare services using telehealth. Results indicated that students have a variety of related learning outcomes including increased knowledge of their professional practice, increased cultural competence, increased knowledge of how to work on interprofessional teams, and increased knowledge and skill in the use of technology. The review revealed a need for objective measures to examine specific student learning outcomes related to utilizing telehealth as a service delivery method. Additionally, the review indicated a need for future research to identify best educational practices for teaching students about telehealth