Efficacy, Feasibility and Cost-effectiveness of Parent Coaching via Telerehabilitation for Autism in Early Childhood
Care Continuum
Technology
ACE Value-Based Healthcare Conference
National Healthcare Group
National University Health System
31 December 2024
Evaluate the effectiveness, feasibility, and cost-effectiveness of parent coaching via telerehabilitation compared to. Hybrid models combining telerehabilitation and in-person care may optimize early autism interventions.
Year Submitted: 2024
Published Date: 31 December 2024
Tags: Technology, Care Continuum, Digital Health, Telehealth, Tele-Rehabilitation, Tele-Consultation, Productivity, Cost Saving, Manhour Saving, Value Based Care, Functional Outcome, Quality Of Life
About this Content
Aims
Evaluate the effectiveness, feasibility, and cost-effectiveness of parent coaching via telerehabilitation compared to standard in-clinic interventions for children with autism.
Background
Autism prevalence is rising globally, with 1 in 100 children affected in Singapore. Telerehabilitation can enhance intervention accessibility, reducing costs and logistical barriers.
Methods
A parallel-group randomized controlled trial was conducted from January 2019 to May 2023. Inclusion criteria: children aged 15-48 months with autism. Parents were coached via Zoom sessions using a structured intervention model.
Results
Telerehabilitation showed comparable efficacy to standard care in improving adaptive behavior and early learning composite scores. Cost reduction of 48.8% in total program costs and 30.4% in healthcare system costs was observed.
Conclusion
Hybrid models combining telerehabilitation and in-person care may optimize early autism interventions. Policy adaptation can enhance cost-effective service delivery.
Lessons Learnt
Telerehabilitation offers significant cost savings while maintaining comparable outcomes. Parents reported high satisfaction despite some feasibility challenges.
Keywords
Tele-rehabilitation, Proof of Value, Functional Outcome, Autism, Early Childhood
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group, National University Health System |
Organization(s) Involved | Khoo Teck Puat Hospital, National University Hospital |
Platform(s) | ACE Value-Based Healthcare Conference |
Healthcare Professional Group(s) | Allied Health, Medical |
Applicable Specialty or Discipline | Paediatrics, Healthcare Administrators |
Project Lead(s) | Isaac Sia |
Project Member(s) | Chong Shang Chee |
Connect with this contributor!
Philina Lai - philina_lai@nuhs.edu.sg