A Randomized Controlled Trial of Functional Communication Training via Telehealth for Young Children with Autism Spectrum Disorder

Lindgren, Scott D.; Wacker, David P.; Schieltz, Kelly M.; Suess, Alyssa N.; Pelzel, Kelly; Kopelman, Todd G.; Lee, John; Romani, Patrick W.; O’Brien, Matthew J.

doi:10.1007/s10803-020-04451-1

Cited by 102 publications

(82 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Comparison of in‐person services, partial in‐person telehealth services, and each direct telehealth service delivery is also needed in our field. Research should evaluate the optimal dosage of direct treatment and clinical oversight to guide health insurance funders on best practices and ensure optimal client outcomes (Lindgren et al, 2016; Lindgren et al, 2020; Schieltz & Wacker, 2020). Due to the fact that this was an archival analysis and data represent what occurred immediately following a public health emergency, we did not obtain social validity data from the families whose children were included in the analysis.…”

Section: Discussionmentioning

confidence: 99%

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Pollard

LeBlanc²,

Griffin³

et al. 2020

J of App Behav Analysis

View full text Add to dashboard Cite

Telehealth delivery of applied behavior analysis treatment has focused on supervision or staff and parent training, rather than the direct delivery of treatment to clients. The novel coronavirus (COVID‐19) crisis had the potential to significantly disrupt access to direct treatment for individuals with autism. We report a sample of 17 cases that transitioned from in‐person to telehealth delivery of treatment when shelter‐in‐place orders were issued. Of these cases, 76% of participants transitioned to technician‐delivered telehealth services whereas the rest transitioned to a caregiver‐implemented telehealth model. Participants continued to access a similar dosage of treatment hours per week in spite of the treatment model transition (in‐person M = 12; telehealth M = 11) and maintained or improved correct independent responding across all targets from in‐person treatment (M = 75%) to telehealth treatment (M = 80%). These findings provide initial evidence that some clients with autism benefit from technician‐delivered telehealth services.

show abstract

Section: Discussionmentioning

confidence: 99%

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Pollard

LeBlanc²,

Griffin³

et al. 2020

J of App Behav Analysis

View full text Add to dashboard Cite

show abstract

“…Even low-cost, low-intensity parent-mediated interventions involving coaching parents around interacting with their young children with ASD can have immediate effects on social behavior and communication [62]. Increasing evidence suggests that caregivers could be trained remotely to deliver parentmediated interventions, and remote training can impact parent knowledge, intervention fidelity, and social behavior or communication skills of children [63,64]. A rapid shift toward remote options to implement caregivermediated interventions could have an important impact.…”

Section: Technology To Implement Evidence-based Interventionsmentioning

confidence: 99%

Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond

et al. 2020

View full text Add to dashboard Cite

The new coronavirus disease (COVID-19) pandemic is changing how society operates. Environmental changes, disrupted routines, and reduced access to services and social networks will have a unique impact on autistic individuals and their families and will contribute to significant deterioration in some. Access to support is crucial to address vulnerability factors, guide adjustments in home environments, and apply mitigation strategies to improve coping. The current crisis highlights that our regular care systems are not sufficient to meet the needs of the autism communities. In many parts of the world, people have shifted to online school and increased use of remote delivery of healthcare and autism supports. Access to these services needs to be increased to mitigate the negative impact of COVID-19 and future epidemics/pandemics. The rapid expansion in the use of telehealth platforms can have a positive impact on both care and research. It can help to address key priorities for the autism communities including long waitlists for assessment and care, access to services in remote locations, and restricted hours of service. However, system-level changes are urgently needed to ensure equitable access and flexible care models, especially for families and individuals who are socioeconomically disadvantaged. COVID-19 mandates the use of technology to support a broader range of care options and better meet the diverse needs of autistic people and their families. It behooves us to use this crisis as an opportunity to foster resilience not only for a given individual or their family, but also the system: to drive enduring and autism-friendly changes in healthcare, social systems, and the broader socio-ecological contexts.

show abstract

“…Online parent-training programs may also be effective for therapies delivered in the home by a caregiver. A small study of parent-mediated therapies suggests that there are no differences in outcomes when parents are trained in-person versus via remote platforms (Hao et al 2020 ) and that parent training delivered remotely can be effective at reducing problem behaviors in children with ASD (Lindgren et al 2020 ). Overall, however, there is little evidence supporting the successful delivery of ASD services (including special education) in an online or remote setting.…”

mentioning

confidence: 99%

Brief Report: Impact of COVID-19 on Individuals with ASD and Their Caregivers: A Perspective from the SPARK Cohort

White

Law

Daniels

et al. 2021

J Autism Dev Disord

120

140

View full text Add to dashboard Cite

The impact of the 2019 coronavirus pandemic (COVID-19) in the United States is unprecedented, with unknown implications for the autism community. We surveyed 3502 parents/caregivers of individuals with an autism spectrum disorder (ASD) enrolled in Simons Powering Autism Research for Knowledge (SPARK) and found that most individuals with ASD experienced significant, ongoing disruptions to therapies. While some services were adapted to telehealth format, most participants were not receiving such services at follow-up, and those who were reported minimal benefit. Children under age five had the most severely disrupted services and lowest reported benefit of telehealth adaptation. Caregivers also reported worsening ASD symptoms and moderate family distress. Strategies to support the ASD community should be immediately developed and implemented.

show abstract

A Randomized Controlled Trial of Functional Communication Training via Telehealth for Young Children with Autism Spectrum Disorder

Cited by 102 publications

References 42 publications

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

The effects of transition to technician‐delivered telehealth ABA treatment during the COVID‐19 crisis: A preliminary analysis

Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond

Brief Report: Impact of COVID-19 on Individuals with ASD and Their Caregivers: A Perspective from the SPARK Cohort

Contact Info

Product

Resources

About