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.

中文翻译：

---

COVID-19 危机期间过渡到技术人员提供的远程医疗 ABA 治疗的效果：初步分析


应用行为分析治疗的远程医疗提供侧重于监督或员工和家长培训，而不是直接向客户提供治疗。新型冠状病毒（COVID-19）危机有可能严重扰乱自闭症患者获得直接治疗的机会。我们报告了 17 个病例的样本，这些病例在发布就地避难令后从面对面治疗转变为远程医疗提供治疗。在这些案例中，76% 的参与者过渡到技术人员提供的远程医疗服务，而其余的则过渡到护理人员实施的远程医疗模式。尽管治疗模式发生了转变（面对面M = 12；远程医疗M = 11），但参与者仍继续每周接受相似剂量的治疗小时数，并且在面对面治疗的所有目标中保持或改善了正确的独立响应（ M = 75%）接受远程医疗治疗（ M = 80%）。这些发现提供了初步证据，表明一些自闭症患者受益于技术人员提供的远程医疗服务。