Authors: (including presenting author): :
Chan YM(1), Pang WY(1), Tsang KY(1), Chan YL(1), Chum CW (1)
Affiliation: :
(1)Occupational Therapy Department, Kowloon Hospital
Keyword 2: :
occupational therapy
Keyword 4: :
caregiver empowerment
Keyword 5: :
service efficiency
Introduction: :
Home-based training was essential in Paediatric rehabilitation. Adherence to home program was positively correlated with the parents’ knowledge, coaching, and confidence in implementing the training. Existing occupational therapy fine motor and handwriting programme for children aged 6–17 relied primarily on face-to-face training, supplemented by individual phone education for caregivers who were unable to attend sessions. To enhance parental support, accessibility, and service efficiency, a structured group-based tele-caregiver education programme was developed using the tele-health and tele-prescription functions of the “HA Go” mobile application.
Objectives: :
(1)To enhance caregivers’ knowledge, confidence and compliance in supporting children’s fine motor and handwriting development at home (2) To improve the efficiency and accessibility of caregiver education through tele-delivery.
Methodology: :
Caregivers of school-aged children referred for occupational therapy handwriting assessment and training, who had the “HA Go” application installed, were recruited after the initial face-to-face assessment. A two-session group-based tele-education programme was conducted monthly. Demonstration videos of fine motor training activities were prescribed through the app, with push notifications to support regular practice. Programme effectiveness was evaluated using post-session quizzes, caregiver surveys, objective compliance data, and retrospective clinical outcome comparison.
Result & Outcome: :
By June 27, 2025, 44 caregivers completed both sessions. Post-session quizzes demonstrated a high level of comprehension, with a mean correct response rate of 95%. Overall programme satisfaction reached 96%. Specifically, 96% of caregivers rated the content as appropriate or very appropriate, and 92% found the session time convenient. Improvements in knowledge related to handwriting strategies were reported by 85%, while 81% reported better understanding of occupational therapy assessments and interventions. 88% expressed increased confidence and ability to identify fine motor and handwriting challenges and to coach their children in home-based training. In terms of practical implementation, 89% demonstrated full completion of prescribed training videos, as confirmed by objective performance data from individual “HA Go” accounts. The shift to group-based tele-education improved service delivery efficiency, saving at least 15 minutes per caregiver compared with traditional individual phone education. Clinically, retrospective comparison demonstrated greater handwriting speed improvement in the tele-education group, with 60% and 53% of children achieving at least 1 standard deviation improvement on locally referenced Chinese and English handwriting speed tests, respectively, compared with 10% and 27% in the non-tele group.
