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Last Modified: 06/21/2023

Fact Sheet: The Nature of the Relationship

a telehealth session, the child, mother, and father communicating with a health professional on their laptop

Key Points:

  • Those not using telehealth believe that building a relationship is more difficult via telehealth
  • Those using telehealth indicate that this isn’t difficult (Colorado Self Report)
  • Families feel like they are more of partners with the provider, instead of just having the provider tell them what to do. Families are more in control.


Cole, B., Pickard, K., Stredler-Brown, A. (2019). Report on the use of telehealth in early intervention in Colorado: Strengths and challenges with telehealth as a service delivery method. International Journal of Telerehabilitation, 11:1, 33-40. doi:
McCarthy, M., Leigh, G., & Arthur-Kelly, M. (2020a). Comparison of caregiver engagement in telepractice and in-person family-centered early intervention. The Journal of Deaf Studies and Deaf Education, 25(1), 33-42. doi:10 .1093/deafed/enz037
McCarthy, M., Leigh, G., & Arthur-Kelly, M. (2020c). Comparison of observed participant behaviors in telepractice and in-person early intervention. Manuscript submitted for publication.

Video clips:

This resource was developed by the NCHAM Tele-Intervention Learning Community