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Can you give an example of a pediatric treatment provided via telehealth, the session length, and how much parents need to be involved?

Aditi Mehra, DHSc, OTR/L

May 1, 2020

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Question

Can you give an example of a pediatric treatment provided via telehealth? What is the typical length of the session? How much do the parents need to be involved?

Answer

1)What does a typical session look like?
 
This is a treatment example for an 8-year-old boy with goals for handwriting (fine motor and visual perceptual). I would email the caregiver the night before with the time for the 30-minute session and any supplies needed. I also use a PPT as a visual schedule.
 
Step 1:  Collaborate with parents on a reward for the student.
 
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Step 2:  Ask the parents to have certain the items ready:
 
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Step 3: Use a visual schedule with the student on PowerPoint so they can cross off as an item is completed.
 
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2) What is the typical length of a session?

It depends on the age of the child and if there is a facilitator present.  Typically, I do 30-minute sessions.
 
3)How much do the parents need to help during these sessions?
 
It depends on the child's age and attention. However, after a few sessions, a routine is often established and this tends to decrease the need for a facilitator.  It is important and helpful to have a routine or schedule with the session and use a 2:1 ratio. You work on 2 easier or preferred tasks for every non- preferred activity.
 
 
For more information on the topic of "Telehealth in Pediatrics", please check out the OT Virtual Cafe chat.


aditi mehra

Aditi Mehra, DHSc, OTR/L

Dr. Aditi Mehra graduated with a bachelor's degree in occupational therapy from Western Michigan University and pursued her doctorate in health sciences at Midwestern University in Illinois. She has practiced as a pediatric OT for the past 23yrs in various settings. During her doctoral studies, Dr. Mehra also pursued a certification in behavior analysis to gain a better understanding of behavioral challenges in OT. Once she delved deeper into this field, Dr. Mehra discovered Fit Learning, an academic program that combines the science of building fluency and charting data to optimize learning. Once she realized the ease and profound effectiveness of this charting system, Dr. Mehra implemented this charting system in her own practice. This soon became her passion and she now offers classes and consultations to other professionals seeking to become more data-driven in their practice.  She offers several data-based free resources on her website www.DrAdititheOT.com. Dr. Mehra is the director of 2 Fit learning labs, she is also an adjunct professor at Elmhurst University and continues to work in the school setting as a pediatric OT.

 


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