The Effect of Pediatric Telerehabilitation on Parental Stress, Caregiver Burden, and Satisfaction of Children with Disabilities during the COVID-19 Outbreak in Thailand


  • Srinual Chavasiri Department of Rehabilitation Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Ratcharin Kongkasuwan Department of Rehabilitation Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University
  • Teerada Ploypetch Department of Rehabilitation Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University
  • Supitcha Tassatarn Department of Rehabilitation Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University


caregiver burden, COVID-19, pediatric, telerehabilitation, Thailand


Objectives: To assess the effect of pediatric telerehabilitation on parental stress, caregiver burden, and satisfaction of children with disabilities during the corona virus disease 2019 (COVID-19) outbreak in Thailand.

Study design:  A retrospective cohort study.

Setting: Department of Rehabilitation Medicine, Siriraj Hospital, Thailand.

Subjects: A total of 40 caregivers of patients with disabilities who were followed up at the outpatient unit of the Pediatric Rehabilitation Service between February 1, 2021 and November 30, 2021 were divided into a participating telerehabilitation group (n = 20) and a non-participating telerehabilitation or non-intervention group (n = 20). Only caregivers who answered the questionnaires completely were included in the study.

Methods: The researchers collected information from caregivers using both pre-intervention questionnaires (before commencing telerehabilitation) and post-intervention questionnaires (after two months of telerehabilitation) including general data, the Depression Anxiety and Stress Scales (DASS-21), the Zarit Burden Interview (ZBI), and The Client Satisfaction Questionnaire (CSQ-8). The primary outcome of interest was pre-intervention to post-intervention change in DASS-21. The secondary outcomes were pre-intervention to post-intervention changes in ZBI in the telerehabilitation and non-intervention groups and telerehabilitation satisfaction (CSQ-8) in the telerehabilitation group

Results: Changes reduction in ZBI scores was statistically signi-ficantly greater in the telerehabilitation group than in the non-intervention group. Caregivers in the telerehabilitation group indicated high satisfaction and reported good compliance with the online intervention. However, there was no statistically significant difference in DASS-21 change between the telerehabilitation and non-intervention groups.  No clinical complaints were reported in either group.

Conclusions: Pediatric telerehabilitation during the COVID-19 outbreak helped relieve caregiver burden with a high level of satisfaction and without clinical complaints.


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