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This vision is in harmony with the American Occupational Therapy Association’s (AOTA’s; 2010e) definition of occupational therapy as a “science-driven, evidence-based profession that enables people of all ages to live life to its fullest by helping them to promote health and prevent—or live better with—illness, injury, or disability” (para. 1).

practitioners must use a high level of clinical reasoning to ensure that interventions provided through telehealth meet the same professional, legal, and ethical standards as services provided in person

barriers to its implementation remain: lack of reimbursement and sustained funding; limited technology infrastructure and interoperability; apprehension by practitioners and clients; privacy and security concerns; state licensure issues, including portability; and need for rigorous research supporting telehealth as a service delivery model.

Garrison’s recent research has also focused on blended learning. “There is a lot of evidence to suggest that it’s even more effective than other learning environments