The use of telehealth technologies to provide clinical services to families of children with autism and other developmental disabilities is a rapidly growing area of research. In particular, remote training of caregivers via video conferencing appears to be a promising approach for disseminating behavior-analytic interventions (Neely et al. in J Dev Phys Disabil 29:849–874, 2017. https://doi.org/10.1007/s10882-017-9550-4; Tomlinson et al. in J Behav Educ 27:172–222, 2018. https://doi.org/10.1007/s10864-018-9292-0). Although remote training offers a number of advantages, it brings a variety of challenges that are unique to this modality. The field would benefit from information on problems that practitioners may encounter when providing these services and how to train caregivers effectively. In this paper, we report on the experiences of 18 practitioners who provided caregiver training via telehealth from four different sites across a 4-year period. We describe a variety of technical and clinical issues that arose during service delivery, suggest strategies for preventing and remediating problems, and include case descriptions and data to illustrate our experiences. This information may help prepare practitioners to deliver telehealth services and guide further research in this area.

中文翻译：

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通过远程医疗对护理人员进行远程指导：挑战和潜在解决方案

使用远程医疗技术为自闭症和其他发育障碍儿童的家庭提供临床服务是一个快速发展的研究领域。特别是，通过视频会议对护理人员进行远程培训似乎是传播行为分析干预措施的一种很有前途的方法（Neely 等人，J Dev Phys Disabil 29:849–874, 2017. https://doi.org/10.1007/ s10882-017-9550-4；Tomlinson 等人在 J Behav Educ 27:172–222, 2018. https://doi.org/10.1007/s10864-018-9292-0)。尽管远程培训提供了许多优势，但它带来了这种模式独有的各种挑战。该领域将受益于从业者在提供这些服务时可能遇到的问题以及如何有效培训护理人员的信息。在本文中，我们报告了 18 名从业者在 4 年期间从四个不同地点通过远程医疗提供护理人员培训的经验。我们描述了在服务提供过程中出现的各种技术和临床问题，提出了预防和补救问题的策略，并包括案例描述和数据来说明我们的经验。这些信息可能有助于从业者为提供远程医疗服务做好准备，并指导该领域的进一步研究。