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Technology-based functional assessment in early childhood intervention: a pilot study.

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Area of Science:

  • Pediatric Health
  • Early Intervention Services
  • Health Technology

Background:

  • Electronic patient-reported outcomes (e-PROs) offer potential for family input in pediatric care planning and monitoring.
  • Early intervention (EI) has not widely adopted e-PROs for assessing child functioning.
  • Pilot study to assess technology-based functional assessment feasibility in EI.

Purpose of the Study:

  • Evaluate feasibility of integrating technology-based functional assessment into EI.
  • Examine correlates of caregiver-reported child functioning in the home environment.
  • Identify child, family, service, and environmental factors impacting EI outcomes.

Main Methods:

  • Cross-sectional design with 8 EI providers.
  • Providers received training on technology-based functional assessment.
  • Caregivers completed online YC-PEM and iPad-based PEDI-CAT; EI service data from records.

Main Results:

  • 37 caregivers enrolled (44% rate) for children aged 6-35 months.
  • Providers recommended enhanced training and data access.
  • 56% of caregivers desired changes in child's home activity participation; lower education and higher EI intensity correlated with less participation.

Conclusions:

  • Technology-based functional assessment is feasible in EI with modifications.
  • Collected data can identify child, family, and EI service correlates of functioning.
  • Findings inform protocol adjustments for future large-scale EI studies.