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Measuring Costs and Outcomes of Tele-Intervention When Serving Families of Children who are Deaf/Hard-of-Hearing.

Blaiser KM, Behl D, Callow-Heusser C, White KR - Int J Telerehabil (2013)

Bottom Line: The TI group scored statistically significantly higher on the expressive language measure than the in-person group (p =.03).A measure of home visit quality revealed that the TI group scored statistically significantly better on the Parent Engagement subscale of the Home Visit Rating Scales-Adapted & Extended (HOVRS-A+; Roggman et al., 2012).Cost savings associated with providing services via TI increased as the intensity of service delivery increased.

View Article: PubMed Central - PubMed

Affiliation: Department of Communicative Disorders and Deaf Education, College of Education and Human Services, Utah State University, Logan, UT.

ABSTRACT

Background: Optimal outcomes for children who are deaf/hard-of-hearing (DHH) depend on access to high quality, specialized early intervention services. Tele-intervention (TI), the delivery of early intervention services via telehealth technology, has the potential to meet this need in a cost-effective manner.

Method: Twenty-seven families of infants and toddlers with varying degrees of hearing loss participated in a randomized study, receiving their services primarily through TI or via traditional in-person home visits. Pre- and post-test measures of child outcomes, family and provider satisfaction, and costs were collected.

Results: The TI group scored statistically significantly higher on the expressive language measure than the in-person group (p =.03). A measure of home visit quality revealed that the TI group scored statistically significantly better on the Parent Engagement subscale of the Home Visit Rating Scales-Adapted & Extended (HOVRS-A+; Roggman et al., 2012). Cost savings associated with providing services via TI increased as the intensity of service delivery increased. Although most providers and families were positive about TI, there was great variability in their perceptions.

Conclusions: Tele-intervention is a promising cost-effective method for delivering high quality early intervention services to families of children who are DHH.

No MeSH data available.


Related in: MedlinePlus

HOVRS differences between TI and comparison groups.
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f2-6129-24251-1-pb: HOVRS differences between TI and comparison groups.

Mentions: Recordings of sessions independently scored by an author of the HOVRS-A+ indicated that average ratings favor the TI group. Group means, standardized mean difference effect sizes (SMDES), and the results of statistical tests of differences between groups are shown in Table 2. All differences favor the TI group except child engagement, though differences in child engagement are quite small as shown in Figure 2. Additionally, the group difference for Parent Engagement during Home Visit was statistically significant (p < .05), indicating that parents in the TI group were more engaged during the TI session than parents in the comparison group during the home visit.


Measuring Costs and Outcomes of Tele-Intervention When Serving Families of Children who are Deaf/Hard-of-Hearing.

Blaiser KM, Behl D, Callow-Heusser C, White KR - Int J Telerehabil (2013)

HOVRS differences between TI and comparison groups.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352990&req=5

f2-6129-24251-1-pb: HOVRS differences between TI and comparison groups.
Mentions: Recordings of sessions independently scored by an author of the HOVRS-A+ indicated that average ratings favor the TI group. Group means, standardized mean difference effect sizes (SMDES), and the results of statistical tests of differences between groups are shown in Table 2. All differences favor the TI group except child engagement, though differences in child engagement are quite small as shown in Figure 2. Additionally, the group difference for Parent Engagement during Home Visit was statistically significant (p < .05), indicating that parents in the TI group were more engaged during the TI session than parents in the comparison group during the home visit.

Bottom Line: The TI group scored statistically significantly higher on the expressive language measure than the in-person group (p =.03).A measure of home visit quality revealed that the TI group scored statistically significantly better on the Parent Engagement subscale of the Home Visit Rating Scales-Adapted & Extended (HOVRS-A+; Roggman et al., 2012).Cost savings associated with providing services via TI increased as the intensity of service delivery increased.

View Article: PubMed Central - PubMed

Affiliation: Department of Communicative Disorders and Deaf Education, College of Education and Human Services, Utah State University, Logan, UT.

ABSTRACT

Background: Optimal outcomes for children who are deaf/hard-of-hearing (DHH) depend on access to high quality, specialized early intervention services. Tele-intervention (TI), the delivery of early intervention services via telehealth technology, has the potential to meet this need in a cost-effective manner.

Method: Twenty-seven families of infants and toddlers with varying degrees of hearing loss participated in a randomized study, receiving their services primarily through TI or via traditional in-person home visits. Pre- and post-test measures of child outcomes, family and provider satisfaction, and costs were collected.

Results: The TI group scored statistically significantly higher on the expressive language measure than the in-person group (p =.03). A measure of home visit quality revealed that the TI group scored statistically significantly better on the Parent Engagement subscale of the Home Visit Rating Scales-Adapted & Extended (HOVRS-A+; Roggman et al., 2012). Cost savings associated with providing services via TI increased as the intensity of service delivery increased. Although most providers and families were positive about TI, there was great variability in their perceptions.

Conclusions: Tele-intervention is a promising cost-effective method for delivering high quality early intervention services to families of children who are DHH.

No MeSH data available.


Related in: MedlinePlus