The use of telehealth as a strategy to provide occupational therapy services in South Africa.

Only ten therapists took part, all of them working in private practice, so the views of occupational therapists in the public sector, where most South African clients are seen, are missing entirely. Every participant was a woman, so nothing here reflects male therapists' experience. Taking part required at least three months of telehealth experience and current telehealth use, so therapists who tried telehealth and stopped, arguably the most informative group, are not represented. This is what therapists said about their own practice, not measured client outcomes, so it cannot show whether telehealth works or how it compares with seeing someone in person. Participants were recruited partly through each other and through online searches, so the group may share views that other therapists do not hold. The paper never reports the participants' ages, how many clients they treated online, or how long each had been in practice.

The authors received no financial support for the research, authorship or publication of this article, and declared no potential conflicts of interest.

Do not read this as evidence that telehealth works, or that it beats seeing someone in person. No client outcomes were measured and there was no comparison group. The statement that children with autism do brilliantly online is what a few therapists said about their own caseloads, not the result of a study testing that idea.