Keeping PACE With 21st Century Healthcare: A Framework for Telehealth Research, Practice, and Program Evaluation in Occupational Therapy


  • Lauren M. Little Rush University, Chicago, Illinois
  • Kristen A. Pickett University of Wisconsin-Madison, Madison, Wisconsin
  • Rachel Proffitt University of Missouri, Columbia, Missouri
  • Jana Cason Spalding University, Louisville, Kentucky



Occupational therapy, PACE Framework, Program evaluation, Research, Telehealth


The use of telehealth to deliver occupational therapy services rapidly expanded during the COVID-19 pandemic. There are frameworks to evaluate services delivered through telehealth; however, none are specific to occupational therapy. Therefore, occupational therapy would benefit from a framework to systematically evaluate components of telehealth service delivery and build evidence to demonstrate the distinct value of occupational therapy.  The PACE Framework outlines four priority domains to address areas of need: (1) Population and Health Outcomes; (2) Access for All Clients; (3) Costs and Cost Effectiveness; and (4) Experiences of Clients and Occupational Therapy Practitioners. This article describes the development and expert reviewer evaluation of the PACE Framework. In addition, the PACE Framework’s domains, subdomains, and outcome measure examples are described along with future directions for implementation in occupational therapy research, practice, and program evaluation. 


Author Biography

Jana Cason, Spalding University, Louisville, Kentucky

Auerbach School of Occupational Therapy at Spalding University - Louisville, Kentucky

Assistant Professor


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How to Cite

Little, L. M. ., Pickett, K. A. ., Proffitt, R., & Cason, J. (2021). Keeping PACE With 21st Century Healthcare: A Framework for Telehealth Research, Practice, and Program Evaluation in Occupational Therapy. International Journal of Telerehabilitation, 13(1).



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