Pediatric Assistive Tech

Question 1

AOTA definition of telehealth

Answer 1

“the application of evaluative, consultative, preventative, and therapeutic services delivered through telecommunication and information technologies”(AOTA, 2013)

Question 2

When is it appropriate to use?

Answer 2

Consider client factors, activity demands, activity demands, performance skills, performance patterns, and environment and contexts.

Case by case judgement

Clinical judgement, clients informed choice and professional standards of care.

Question 3

What are some of the areas that telehealth can address?

Answer 3

develop skills

modify work home or school environments

incorporate assistive tech and adaptive techniques

create habits and routines.

Question 4

Benefits of Telehealth in Early Intervention

Answer 4

Improve access to services

Facilitate family-centered service provision

Session may be recorded for use as a resource in the future

Can support more efficient use of interpreters

Reduce delays in service

Question 5

limitations of telehealth in peds

Answer 5

Unable to use manual therapies

unable to help with self-care and personal hygiene skills

technology constraints

environmental constraints - you need an adult to help with the child

cultural considerations

Question 6

Essentials of Telehealth Practice

Answer 6

Computer/tablet
Webcam
Internet
Browser
Video conferencing tool
Digital activity content
Tech skills and support
Management tools
Reporting tools
Location
Licensing & Regulations
Onsite support
Billing

Question 7

Best practices for telehealth with kids.

Answer 7

OT Materials Kit near the computer

Manipulatives, scissors, pencil, paper, playdough etc.

Over plan and pre-plan

Don’t rely on computer based activities

Treatment plan as if seeing in person
- - Then adapt and modify

Question 8

Resources for treatment sessions

Answer 8

Telehealth Share (videos and free resources)
Teachers Pay Teachers
Tools to Grow
Go Noodle
The OT Tools Box
YouTube Channels
Jack Hartman
Learning Station
Cosmic Kids Yoga

Question 9

initially assistive tech was seperate legislation from IDEA until

Answer 9

1994

Question 10

Assistive tech under PART C

Answer 10

• Part of supports and services needed to meet desired outcomes
• Does NOT guarantee funding to pay for AT
• Families must exhaust all other possible sources of funding
• Often AT will be obtained through lending programs.

Question 11

AT under Part B

Answer 11

• AT is used to facilitate the child’s IEP goals directly related to the education program.
• Often AT will not go home unless required to complete education related tasks.
• AT is provided at no cost to the families

Question 12

What are the 3 main models for AT assessment?

Answer 12

Human activity assistive tech

student environment task tool

wisconsin assistive tech initiative

Question 13

Human Activity Assistive technology model

Answer 13

Human, Activity and AT are viewed within the context of participation
Human- physical, cognitive and emotional
Activities- Occupations
AT- devices and/or services

Question 14

Student Environment task, tool

Answer 14

Designed for use in a school setting
Developed to promote good decision, promote collaboration, and communication of the team
Student-centered, environmentally specific and task-focused tool to support participation
Includes series of questions to guide discussion, evaluation and intervention.

It’s Free

Question 15

Wisconsin Assistive technology initiative

Answer 15

Used by teams to determine:
Technology intervention and needs
Brainstorm solutions
Prioritize
Develop intervention plans

It’s Free

Question 16

Evaluating Child for AT

Answer 16

Trial different devices as part of the assessment process

Completed by the team
Family members, service providers, medical professionals, educators, social workers, service coordinators etc.

Family Considerations

There is no standardized tool

Question 17

AT assessments

Answer 17

WATI

Georgia Project for Assistive Technology

Matching Person and Technology Assessment Instruments

Functional Evaluation for Assistive Technology.

Question 18

Outcome Measurements

Answer 18

• Canadian Occupational Performance Measure (COPM)
• School Function Assessment, AT Supplement (SFA-AT)
• Psychosocial Impact of Assistive Devices Scale (PIADS)
  Has been done on parents

Quality Indicators for for Assistive Technology (QIAT)
- Used to document implementation and progress

Question 19

Specific Types of AT

Answer 19

Switch operated toys
Switch use with Computers & Tablets
Alternative and Augmentative Communication (AAC)
–Unaided
–Aided
–Nonelectric aids
–Computer-based communication systems

Question 20

Mobility devices also fall within the realm of part B in IDEA

Answer 20

Help to provide a means of access to environment
–Improves psychosocial, visual spatial, language and cognitive development

Professionals many recommend mobility devices in early childhood.

Professionals and 3rd party payers may resist powered mobility before age 5

Question 21

Classification of Mobility Skills

Answer 21

Children who will never ambulate

Children with inefficient mobility who ambulate but are unable to do so at a reasonable rate of speed or with acceptable endurance

Children who have lost their independent mobility

Children who temporarily require assisted mobility and often progress to independent mobility with age.

Question 22

Evaluations which address functional mobility

Answer 22

Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT)

WeeFIM

School Function Assessment (SFA)

Question 23

Top-Down Evaluation Process

Answer 23

Focus on what the child needs or wants to do

Context the child typically engages in

Limitations the child may experience

Question 24

Selecting a wheelchair

Answer 24

Must fit child’s present needs
When recommending features of the wheelchair OT’s need to consider
- Areas of mobility
- Accessibility
- Transfer Techniques
- Seating and positioning
- Communication
- Transportation

Question 25

Specific features of the Wheelchair to consider

Answer 25

Style of frame
Tilt-in-space
Recline
Footrest style
Armrest style
Backrest height
Backrest adjustability
Height and adjustability of features
Floor to seat ratio
Type, size and placement of wheels
Additional features

Question 26

Under IDEA, what does AT service include?

Answer 26

AT devices and services as a means for a free public education. IEP and IFSP plans need to consider if AT is needed at least once per year. Device, treatment and training are all provided by the school system.

Question 27

Name 3 ways in which Occupational Therapist’s can provide AT services within the home and community settings.

Answer 27

Direct training
problem solving with family
can provide carryover from school setting.

Question 28

Which factor that may impact AT delivery takes into consideration the values regarding health and wellness, values regarding finances, adherence to tradition and degree of importance attributed to independence?

Answer 28

cultural

Question 29

Which criteria for evaluating AT looks at the influence of the device’s size and weight on the user’s ability to move, carry, relocate and operate it in varied locations?

Answer 29

Portability

Question 30

BONUS Question!! In Box 19.4 what is missing from the long term goal “Child will use AT to complete daily occupation” and the short term goal “Child will feed himself lunch using built up handled utensils”.

Answer 30

performance measure.