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Telehealth OT: Using Pediatric Case Studies to Inform Practice

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1.  The therapist meets for a virtual session with a parent and child via video conferencing to demonstrate Wilbarger brushing strategies for sensory input. The therapist then emails the parent a YouTube link of a video on the brushing protocol for parents to reference and review.
  1. Asynchronous followed by synchronous
  2. Synchronous followed by asynchronous
  3. Store and forward technology only
  4. Synchronous followed by synchronous
2.  The parent sends a recorded session of performing joint compressions with their child to the therapist. What type of telehealth delivery would this mode be considered?
  1. Asynchronous only
  2. Synchronous only
  3. Store and forward technology only
  4. Asynchronous and store and forward technology
3.  Which of the following is a consideration in the AOTA's decision-making guidelines for telehealth services?
  1. State/regulatory guidelines
  2. Technical considerations
  3. Facility support
  4. All of the above
4.  Occupation-based coaching includes the following 5 key principles:
  1. Authentic context, family involvement, caregiver involvement, reflection, and joint plans
  2. Authentic context, family interests, caregiver involvement, reflection, and joint plans
  3. Authentic context, family planning, caregiver education, reflection, and joint plans
  4. Authentic context, family involvement, caregiver involvement, reflection, and education
5.  All of the following are tips for reflective questioning EXCEPT:
  1. Ask multiple reflective questions at the same time.
  2. Be comfortable with silence.
  3. An analysis question always follows informative feedback.
  4. A yes/no question should only be used to ask permission.
6.  Research indicates the following statement is TRUE concerning the parent coaching or occupation-based coaching model of delivery?
  1. Parents’ goals and priorities guide intervention.
  2. Family centered and parent therapist relationships are active ingredients for interventions.
  3. Increased positive statements can change the perception of their child.
  4. All of the above
7.  According to the research (Wallisch et al., 2019), the following are 3 positive parent perceptions of telehealth OT.
  1. Parent engagement, schedules, collaboration
  2. Parent empowerment, compatibility with daily life, equality
  3. Parent empowerment, compatibility with daily life, a collaborative relationship
  4. Therapist empowerment, compatibility with daily life, a collaborative relationship
8.  Name some synchronous methods which can be utilized to address handwriting goals in telehealth?
  1. Student completes worksheets and the parent emails them to the therapist.
  2. Parent sends a photograph of the pencil grip when writing.
  3. Mirroring the iPad in the session and using a stylus to write.
  4. There are no synchronous methods for handwriting, it can only be addressed during face to face sessions.
9.  All of the following are ways to keep a student engaged EXCEPT:
  1. Pair yourself with a reinforcer
  2. Use a fixed ratio of 4:1 reinforcement
  3. Use puppets
  4. Use of a visual timer
10.  What percent of parents observed improvements in their children's school performance related to IEP goals as a result of telehealth OT?
  1. 48%
  2. 56%
  3. 86%
  4. 100%

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