Outcomes and Acceptability of Telehealth-Based Coaching for Caregivers in Asian Countries

Tsami, Loukia; Nguyen, Jennifer Trang; Alphonso, Naomi; Lerman, Dorothea C.; Matteucci, Marissa; Chen, Ning

doi:10.1177/01454455221113560

Cited by 4 publications

(9 citation statements)

References 24 publications

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“…Hence, telehealth was widely explored as a practical option to deliver interventions for children with NDDs in many settings, especially in HICs (Rosenbaum et al, 2021). However, telehealth as an established method of service delivery is less reported in the Asia‐Pacific region (Vikram et al, 2021), yet recent evidence supports telehealth as a successful and an acceptable modality to deliver parent coaching to implement parent‐mediated services from the Asian region (Tsami et al, 2019; Tsami et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Devagiri,

Ariyasena,

Siriwardhana

et al. 2023

Child

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BackgroundIn recent years telehealth became a popular and a rational health service delivery approach, especially amidst multiple challenges posed while providing health care interventions during the COVID‐19 pandemic.AimWe synthesized available evidence on telehealth for managing children with NDDs in the Asia‐Pacific region with the aim of identifying successful methods.MethodologyWe systematically reviewed six electronic databases: MEDLINE, AMED, EMBASE, PsychInfo, Web of Science, and (CINAHL plus) using the keywords and database‐specific subject headings from their inception to 25th August 2021. Review findings were synthesized narratively, and harvest plots were used to demonstrate the effect of interventions. The protocol and reporting the findings of this review adhered to PRISMA 2020 guidelines. PROSPERO registration: CRD 340690.ResultsWe harvested 30,823 records; 17,563 duplicates were removed, and 196 full‐text articles were assessed for eligibility. 16 studies with multiple research designs were included in the review. Eight were from the Pacific region and eight represented Asia. The interventions targeted families and children with a variety of NDDs (autism spectrum disorder, Down syndrome, cleft lip and palate, hearing impairment, cerebral palsy etc.) via telehealth. Telehealth packages consisted of direct and indirect methods of synchronous, asynchronous, and hybrid approaches. All studies used parent‐led intervention strategies. Telehealth reported a positive effect in 7/16 studies while five showed a neutral effect.ConclusionsAccording to published evidence telehealth for children with NDDs is an evolving, evidence‐based service facilitation modality in the Asia‐Pacific region, with only a few published randomized controlled trials. The systematic review shows promising telehealth practices emerging across the region despite the diversity in NDDs studied.

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Section: Introductionmentioning

confidence: 99%

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Devagiri,

Ariyasena,

Siriwardhana

et al. 2023

Child

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“…A growing number of studies have demonstrated the efficacy of using telehealth technologies to train caregivers and professionals who are geographically distant from the trainer (Frieder et al, 2009;Lee et al, 2015;Tomlinson et al, 2018). This approach has been particularly useful for disseminating evidence-based interventions to families and professionals across the globe (e.g., Neely et al, 2019;Tsami et al, 2019Tsami et al, , 2023Zhu et al, 2020). In Tsami et al (2023), for example, experimenters in the United States remotely coached nine caregivers of children with ASD and other disabilities residing in Pakistan, Vietnam, and India to implement functional analyses and treatments for severe problem behavior.…”

Section: Introductionmentioning

confidence: 99%

“…This approach has been particularly useful for disseminating evidence-based interventions to families and professionals across the globe (e.g., Neely et al, 2019;Tsami et al, 2019Tsami et al, , 2023Zhu et al, 2020). In Tsami et al (2023), for example, experimenters in the United States remotely coached nine caregivers of children with ASD and other disabilities residing in Pakistan, Vietnam, and India to implement functional analyses and treatments for severe problem behavior. The training was highly effective for all parents and resulted in dramatic reductions in problem behavior for all but one child.…”

Section: Introductionmentioning

confidence: 99%

“…The lack of experts in evidence‐based interventions for individuals with NDD is a key barrier to dissemination of these practices into schools. Such a barrier is particularly prominent in Asia, the largest and most densely populated continent in the world (Tsami et al., 2023). For example, as of January 10, 2023, 34 Board Certified Behavior Analysts (BCBAs) or doctoral‐level BCBAs (BCBA‐Ds) resided in Taiwan, an East Asian country, with more than 23 million residents and an estimated 372,000 students with autism spectrum disorder (NDD) in the public schools (Chien et al., 2011).…”

Section: Introductionmentioning

confidence: 99%

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Remote training of educators in Taiwan to disseminate discrete trial training for students with developmental disabilities

Chen,

Lerman

2023

Behavioral Interventions

Self Cite

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Educators in many areas of the world lack the necessary resources and training to serve students with developmental disabilities effectively. Telehealth technologies and a train‐the‐trainer approach may help disseminate evidence‐based instructional strategies to teachers in underserved areas. In this study, experimenters combined synchronous and asynchronous remote training to prepare six teachers in Taiwan to implement discrete trial training (DTT) with students. First, the experimenter taught three teachers from a private school to implement DTT with their students. Then, they trained these participants to teach another educator at their school. Finally, the three teachers trained those additional educators. Results indicated that the training was effective for all participants and that the DTT skills of the three trainers maintained over time and transferred to their in‐classroom instruction. These findings replicate and extend the current literature suggesting that the use of telehealth and a train‐the‐trainer model is a promising and socially valid method for disseminating ABA to countries with limited resources.

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“…The special issue starts with an article demonstrating the global reach of behavioral interventions through telehealth (Tsami et al, 2023). Tsami et al evaluated the effectiveness of using telehealth to train caregivers of children with disabilities residing in three countries in Asia with limited access to behavior-analytic services.…”

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confidence: 99%

Developing and Delivering Behavioral Interventions Through Telehealth

2023

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This special issue on telehealth in Behavior Modification features 10 studies related to developing and delivering behavioral interventions through telehealth. The studies in this issue cover a variety of topics including using telehealth to train caregivers, training clinicians to use telehealth, and directly implementing interventions or assessments through telehealth. The special issue concludes with a comprehensive literature review examining variables that impact the effectiveness of telehealth as a service-delivery tool.

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Outcomes and Acceptability of Telehealth-Based Coaching for Caregivers in Asian Countries

Cited by 4 publications

References 24 publications

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Telehealth services for children with neuro‐developmental disabilities in the Asia‐Pacific region: A systematic review

Remote training of educators in Taiwan to disseminate discrete trial training for students with developmental disabilities

Developing and Delivering Behavioral Interventions Through Telehealth

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