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Few have examined caregiver perceptions of direct-to-home telehealth evaluations for children with developmental concerns broader than ASD. The current study explored caregiver perspectives (<jats:italic>N<\/jats:italic>\u2009=\u2009439) of the telehealth process, including technology barriers and satisfaction with remote delivery of diagnostic feedback, before and after a 24-month tele-assessment, in children from four outcome groups (ASD, Speech-Language Concerns, Other Developmental Concerns, and No Concerns). The results indicated overall high levels of caregiver satisfaction and acceptability across all outcome groups, although the ASD group had a lower rate (89%) than the other groups (99\u2013100%) of rating \u201cvery true\u201d to feeling like a valued partner in the tele-assessment, the evaluation meeting their needs (89% v. 94\u201399%), and understanding the results (86% v. 96\u201398%). Families of children with Speech-Language Concerns, the largest diagnostic outcome group, were highly satisfied and found tele-assessment acceptable. There were no differences in caregiver perceptions of the tele-assessment process based on whether they had prior concerns about their child or not. Few technology barriers were reported by any groups and socio-demographic variables (race, ethnicity, socioeconomic status, travel distance from medical center) were not associated with differences in technology access or satisfaction with the tele-evaluations. Overall, these findings support the use of tele-assessment for a wide range of children whose families may not have access to in-person assessment services, as well as suggest ways to further improve remote models of care.<\/jats:p>","DOI":"10.1007\/s10803-025-07016-2","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T04:38:31Z","timestamp":1757997511000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Caregiver Perspectives on the Use of Tele-Assessment for Toddlers with Developmental Concerns"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2774-8524","authenticated-orcid":false,"given":"Chandni","family":"Parikh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Ni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devon","family":"Gangi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique Moore","family":"Hill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana-Maria","family":"Iosif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shy","family":"Maqbool","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liliana","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Ozonoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"7016_CR1","doi-asserted-by":"crossref","unstructured":"Alfuraydan, M., Croxall, J., Hurt, L., Kerr, M., & Brophy, S. 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