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Effectiveness of Telehealth Direct Therapy for Individuals with Autism Spectrum Disorder
Behavior Analysis in Practice Pub Date : 2021-07-12 , DOI: 10.1007/s40617-021-00603-6
Karen Nohelty 1 , Casey B Bradford 1 , Leah Hirschfeld 1 , C J Miyake 1 , Marlena N Novack 1
Affiliation  

The field of applied behavior analysis (ABA) has utilized telehealth for clinical supervision and caregiver guidance with research supporting the use of both modalities. Research demonstrating effectiveness is crucial, as behavior analysts must ensure the services they provide are effective in order to be ethical. With the increased need for patients to access more services via telehealth, due to the novel coronavirus (COVID-19) pandemic, the current study evaluated the efficacy of telehealth direct therapy to teach new skills to individuals with autism spectrum disorder (ASD). This study examined the utility of natural environment teaching and discrete trial training strategies provided over a videoconferencing platform to teach new skills directly to seven individuals with varying ASD severity levels. The targeted skills were taught solely through telehealth direct therapy with varying levels of caregiver support across participants and included skills in the language, adaptive, and social domains. In a multiple baseline design, all seven participants demonstrated mastery and maintenance for all targets; in addition, generalization to family members was assessed for some targets. The evidence suggests that telehealth is a modality that is effective and can be considered for all patients when assessing the appropriate location of treatment.



中文翻译:

自闭症谱系障碍患者远程医疗直接治疗的有效性

应用行为分析 (ABA) 领域已将远程医疗用于临床监督和护理人员指导,研究支持这两种模式的使用。证明有效性的研究至关重要,因为行为分析师必须确保他们提供的服务是有效的,才能合乎道德。由于新型冠状病毒 (COVID-19) 大流行,患者通过远程医疗获得更多服务的需求增加,目前的研究评估了远程医疗直接治疗向自闭症谱系障碍 (ASD) 患者传授新技能的效果。本研究检查了通过视频会议平台提供的自然环境教学和离散试验培训策略的效用,以直接向七名不同 ASD 严重程度的人教授新技能。目标技能仅通过远程医疗直接治疗教授,参与者提供不同程度的护理人员支持,包括语言、适应和社交领域的技能。在多基线设计中,所有七名参与者都展示了对所有目标的掌握和维护;此外,还评估了某些目标对家庭成员的概括性。证据表明,远程医疗是一种有效的方式,在评估适当的治疗位置时可以考虑用于所有患者。对某些目标进行了对家庭成员的泛化评估。证据表明,远程医疗是一种有效的方式,在评估适当的治疗位置时可以考虑用于所有患者。对某些目标进行了对家庭成员的泛化评估。证据表明,远程医疗是一种有效的方式,在评估适当的治疗位置时可以考虑用于所有患者。

更新日期:2021-07-12
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