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Relatively inexpensive remote tele-video technology offers a practical alternative to traditional in-home rehabilitation. This paper describes three studies of “hands-on” AT skills training delivered via in-home and remote tele-video technologies. Study 1 was a randomized clinical trial that demonstrated a significant change in self-efficacy (F=6.32, P=.015) in the intervention group that received a comprehensive intervention compared to a control group of mobility impaired adults, and secondarily that interventions delivered by remote tele-technology was as effective as on-site in the home. Study 2 was a pilot study of 32 caregivers (17 intervention) and (15 control) that adapted Study 1 protocols and methods to deliver an intervention targeting care dyads and to obtain data on preliminary effect sizes to power Study 3. In this study, intervention group was related to change in satisfaction with assistance skills for two of the four tasks, getting in and out of bed, (χ2= 6.9, p=.032) and toileting (χ2=7.7, p=.020). Study 3 will implement the Study 2 protocol as both in-home and tele-videoconferencing modalities. The study is expected to result in a more efficacious AT service delivery that will improve both caregiving and care recipient outcomes.
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