Intercontinental telehealth may be a solution for the dissemination of evidence-based practices in underserved countries. The purpose of this study was to evaluate the use of intercontinental telehealth to train interventionists in incidental teaching. The training package consisted of written and verbal instructions and videoconferencing with delayed video-feedback. Five adults and two children participated in this study. One adult was in the United States (host site), and the remaining participants were in Japan. The adult located at the host site first taught one of the participants (termed “coach”) the incidental teaching and coaching procedures. The coach then trained the three subsequent interventionists in the incidental teaching procedures. All three interventionists improved their implementation of incidental teaching and reached the preset criterion. We also evaluated the distal outcomes on child mands with one child emitting increased mands in response to interventionists’ improved implementation fidelity of incidental teaching and one child demonstrating no change.

中文翻译：

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洲际远程医疗将训练日本干预专家进行自闭症儿童附带教学

洲际远程医疗保健可能是在服务水平不足的国家传播基于证据的做法的一种解决方案。这项研究的目的是评估洲际远程医疗在干预教学中培训干预者的使用。培训包包括书面和口头说明以及视频会议和延迟的视频反馈。五个成年人和两个孩子参加了这项研究。一名成年人在美国（主办地），其余参与者在日本。位于主办地点的成年人首先教了一位参与者（称为“教练”）附带的教学和指导程序。然后，教练在附带的教学程序中培训了随后的三名干预人员。三位干预者均改进了附带教学的实施并达到了预设标准。我们还评估了儿童手部的远端结局，其中一名儿童放出更多的手，这是由于干预者对附带教学的实施保真度提高了，而一名儿童却没有表现出任何改变。