Feasibility and acceptability of using telehealth for early intervention parent counselling

Objective: With technology options for communication in healthcare becoming more widely available, families are increasingly able to access assistance regardless of location. Video conferencing (VC) is one means by which clients could access services remotely. A two-year pilot project was conducted with social workers, psychologists and parents to examine the feasibility and acceptability of the experience of VC for clinicians and clients undertaking parent counselling within child health services across Queensland. Method: The evaluation included pre and post questionnaires for parents and clinicians measuring their confidence, experience and satisfaction with using VC. Parents also completed the Parents Sense of Competence Questionnaire and a session feedback form after each appointment. Results: Clinicians showed increased confidence and skills in using technology. Most parents reported improved parenting satisfaction and improved feelings of self-efficacy. Despite half of the parents experiencing some technical issues, parents were satisfied with VC service delivery and their satisfaction with counselling via VC was comparable to the in-person appointments. Parents reported a preference for a hybrid approach combining VC and in-person counselling. Discussion: Parents and clinicians found the VC system easy to use and effective for counselling. Recommendations for the use of VC in parenting interventions are outlined, including the benefits of a flexible mixed service delivery model.