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Caregiver involvement may facilitate patient participation in occupational therapy (OT) video telehealth. However, little is known about the extent to which caregivers participate and what they do. This scoping review aims to, 1) describe the caregiver role supporting patient participation in OT video telehealth, and, 2) identify barriers and facilitators to caregiver involvement. Findings reveal caregiver involvement in a range of OT evaluation and intervention processes, with details on what caregivers did overall lacking. Barriers and facilitators are also described. This study underscores the need for clear and robust descriptions of caregiver participation to increase best practices in video telehealth., Competing Interests: Declarations (e.g. funding or conflicts of interest): The authors have no conflicts of interest to disclose. This paper is the result of work supported in part by resources and the use of facilities at the United States Veterans Health Administration, including the New England Geriatric Research Education and Clinical Center. The contents do not represent the views of VA or the United States Government.