The COVID-19 pandemic has created unprecedented challenges and disruptions for autistic individuals receiving specialized treatment services. This caregiver-report survey study (n = 339) explored predictors of satisfaction with autism services during COVID-19 to improve perceived support for these families. Specifically, we investigated whether service delivery medium (telehealth vs. in person), child’s emotional functioning, and caregiver stress would predict satisfaction with the most highly utilized services. Satisfaction ratings for ABA/behavioral, speech/language, and occupational therapy were lower when delivered via telehealth as compared to in person. Caregivers who reported higher emotional dysregulation in their children were less satisfied with behavioral therapy services. These results provide a critical caregiver-informed perspective on factors influencing satisfaction with specialized autism services during COVID-19.

COVID-19 大流行给接受专业治疗服务的自闭症患者带来了前所未有的挑战和干扰。这项照顾者报告调查研究（n = 339）探索了 COVID-19 期间自闭症服务满意度的预测因素，以改善对这些家庭的感知支持。具体来说，我们调查了服务提供媒介（远程医疗与面对面）、儿童的情绪功能和照顾者压力是否会预测对使用率最高的服务的满意度。与面对面相比，通过远程医疗提供的 ABA/行为、言语/语言和职业治疗的满意度评分较低。报告孩子情绪失调程度较高的看护人对行为治疗服务的满意度较低。这些结果为 COVID-19 期间影响对专业自闭症服务满意度的因素提供了重要的护理人员知情视角。