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Remote Delivery of Allied and Behavioral Healthcare During COVID-19 for Children With Developmental Disabilities
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10 05 2023
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Source: JAACAP Open. 2(1):36-44
[PDF-355.63 KB]
Details:
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Alternative Title:JAACAP Open
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Personal Author:
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Description:Objective:
Many children with autism spectrum disorder (ASD) and other developmental disabilities (DD) transitioned to telehealth services due to the COVID-19 pandemic. Our objectives were to describe reductions in allied and behavioral healthcare services and receipt of caregiver training to deliver services at home because of COVID-19 for children with ASD and other DD, and factors associated with worse response to remote delivery of services for children with ASD.
Method:
Prior to the pandemic, children 2 to 5 years of age were enrolled in a multi-site case-control study and completed a developmental assessment. Caregivers completed questionnaires on child behavior problems and ASD symptoms. Children were classified as having ASD vs another DD based on standardized diagnostic measures. Subsequently, caregivers completed a survey during January to June 2021 to assess how COVID-19 affected children and families.
Results:
Caregivers reported that most children with ASD and other DD had a decrease in service hours (50.0%−76.9% by service type) during the COVID-19 pandemic. Children with ASD were significantly more likely to experience reduced speech/language therapy than children with other DD. Receipt of caregiver training to deliver services at home ranged from 38.1% to 57.4% by service type. Among children with ASD, pre-pandemic problems with internalizing behaviors and social communication/interaction were associated with worse response to behavioral telehealth but no other common therapies.
Conclusion:
Our study demonstrates the caregiver-reported impacts of COVID-19 on remote delivery of allied and behavioral healthcare services for children with ASD and other DD. Considerations for caregiver support and remote delivery of services are provided.
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Source:
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Pubmed ID:38533351
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Pubmed Central ID:PMC10964929
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Funding:
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Volume:2
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Issue:1
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