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Family Perceptions of Barriers and Facilitators of a Telehealth Program to Support Infants at Risk for Developmental Delays Cover

Family Perceptions of Barriers and Facilitators of a Telehealth Program to Support Infants at Risk for Developmental Delays

Open Access
|Jul 2025

Figures & Tables

Figure 1.

Steps of the telehealth program.
Steps of the telehealth program.

Sample characterization

Characteristics (n = 30)Values
Sex - f (%)
  Female15 (50)
  Male15 (50)
Gestational age (weeks) - M (SD)
Apgar score in the fifth minute - M (SD)8.0 (± 1.6)
Birth weight (g) - M (SD)1961.6 (± 711.6)
Chronological age before the program (months) - M (SD)3.1 (± 1.1)
Corrected age before the program (months) - M (SD)1.6 (± 0.9)
AIMS Score * (First consultation) – f (%)
  Atypical18 (60)
  Suspicious9 (30)
  Normal3 (10)
ASQ-3 (Before the program) – f (%)
  Communication (Normal/Requires follow-up or professional evaluation)20 (66.7) / 10 (33.4)
  Gross Motor Coordination (Normal/Requires follow-up or professional evaluation)8 (26.7) / 22 (73.4)
  Fine Motor Coordination (Normal/Requires follow-up or professional evaluation)20 (66.7) / 10 (33.3)
  Problem-Solving (Normal/Requires follow-up or professional evaluation)20 (66.7) / 10 (33.3)
  Personal Aspects (Normal/Requires follow-up or professional evaluation)16 (53.3) / 14 (46.7)
Maternal age - M (SD)30.2 (± 6.1)
Socioeconomic level - f (%)
  B12 (6.7)
  B28 (26.7)
  C112 (40)
  C27 (23.3)
  D and E1 (3.1)
Maternal educational level - f (%)
  Incomplete elementary school1 (3.3)
  Incomplete high school5 (16.7)
  Complete high school14 (46.7)
  Incomplete higher education6 (20)
  Complete higher education4 (13.3)
Family income (Brazilian real)** - M (SD)2+B3:C29924.67 (± 1446.39)

Characterization of the telehealth program

Variables (n = 30)Values
Caregiver that conducted the session - f (%)
  Mother26 (86.7)
  Father2 (6.7)
  Grandmother1 (3.3)
  Aunt1 (3.3)
City of origin - f (%)
  Goiânia7 (23.3)
  Countryside of the state of Goiás21 (70)
  Another state2 (6.7)
Time to complete the program (months) - M (SD)6.3 (± 3.2)
  minimum – maximum1 – 12
Total number of sessions - M (SD)9.5 (± 4.0)
  minimum – maximum2 – 12
Duration of the session (minutes) - M (SD)24.1 (± 4.9)
  minimum – maximum15 – 32

Perception of caregivers regarding facilitators, barriers, and experience telehealth program

Perceptions of caregivers (n = 24)Agreement level
Totally disagree (1)Disagree (2)Neither agree nor disagree (3)Agree (4)Totally agree (5)
Barriers - n (%)
My internet hindered the video calls.10 (33.3)11 (36.7)2 (6.7)1 (3.3)
My house is too busy for video calls.8 (26.7)16 (53.3)
I had trouble finding a place to answer the video calls in my house.7 (23.3)16 (53.3)1 (3.3)
The video calls caused me shame and embarrassment.14 (46.7)10 (33.3)
The video calls were tiring for me.17 (56.7)7 (23.3)
I felt overwhelmed to stimulate the child at home.13 (43.3)7 (23.3)4 (13.3)
I needed help understanding the instructions given by the physical therapist.11 (36.7)13 (43.3)
I felt insecure about showing my face or the face of the infant during the video calls.11 (36.7)11 (36.7) 2 (6.7)
I care little about the development of my infant.7 (23.3)1 (3.3) 10 (33.3)6 (20)
Telehealth program has not made any difference to the development of my infant.15 (50)9 (30)
The telehealth program could have been better.12 (40)7 (23.3)3 (10)2 (6.7)
Facilitators - n (%)
I felt comfortable participating in the video calls with the physical therapist. 4 (13.3)20 (66.7)
The app used for the video calls was easy to use. 10 (33.3)14 (46.7)
The video calls were compatible with my schedule. 1 (3.3)14 (46.7)9 (30)
The duration of the video calls was sufficient to receive assistance from the physical therapist. 1 (3.3)2 (6.7)14 (46.7)7 (23.3)
I found it easy to understand the physical therapist during the video calls. 2 (6.7) 9 (30)13 (43.3)
Using video calls to complement the care was a great idea. 2 (6.7)2 (6.7)20 (66.7)
The video calls helped me clear up several doubts. 6 (20)18 (60)
I felt more confident in carrying out the stimulation exercises with my infant. 3 (10)5 (16.7)16 (53.3)
I was satisfied with the physical therapist service. 5 (16.7)19 (63.3)
I am very satisfied with the telehealth program. 2 (6.7)6 (20)16 (53.3)
The telehealth program helped improve the development of my infant. 10 (33.3)14 (46.7)
Experience with telehealth program - mean (standard deviation)9.71 (±0.46)
DOI: https://doi.org/10.34763/jmotherandchild.20252901.d-24-00042 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 47 - 54
Submitted on: Oct 23, 2024
Accepted on: Apr 30, 2025
Published on: Jul 2, 2025
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Kathlen Terezinha Montes Soares Fernandes, Ana Luiza Righetto Greco, Nayara Rodrigues Gomes de Oliveira, Maja Medeiros, Alicia Spittle, Cibelle Kayenne Martins Roberto Formiga, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.