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Caregiver Training Via Telehealth on Behavioral Procedures: A Systematic Review

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Abstract

Telehealth has been utilized to provide behavioral services to families with children with autism spectrum disorder (ASD) and other disabilities. This systematic review provides an update on current research pertaining to the use of telehealth to provide behavior analytic-based services and train caregivers in implementing behavioral procedures. This review also describes information on reported training components and caregivers’ procedural fidelity. Empirical studies were collected from five databases. Overall, the studies provide evidence of the utility of telehealth as a service delivery model for providing behavior analytic-based services and for training caregivers to implement behavioral assessments and procedures. The authors discuss potential considerations for developing training packages and training caregivers via telehealth. Future research should use experimental methods to determine effective components for training individuals via telehealth to use behavioral procedures with good fidelity as well as to detect other factors that may influence procedural fidelity.

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References

*Indicates studies included in the review

  • *Alnemary, F. M., Wallace, M., Symon, J. B. G., & Barry, L. M. (2015). Using international videoconferencing to provide staff training on functional behavioral assessment. Behavioral Interventions,30, 73–86.

    Article  Google Scholar 

  • *Barkaia, A., Stokes, T. F., & Mikiashvili, T. (2017). Intercontinental telehealth coaching of therapists to improve verbalizations by children with autism. Journal of Applied Behavior Analysis,50, 582–589.

    Article  PubMed  Google Scholar 

  • Barretto, A., Wacker, D. P., Harding, J., Lee, J., & Berg, W. K. (2006). Using telemedicine to conduct behavioral assessments. Journal of Applied Behavior Analysis,39, 333–340.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Benson, S. S., Dimian, A. F., Elmquist, M., Simacek, J., McComas, J. J., & Symons, F. J. (2018). Coaching parents to assess and treat self-injurious behaviour via telehealth. Journal of Intellectual Disability Research,62, 1114–1123.

    Article  PubMed  Google Scholar 

  • Boisvert, M., Lang, R., Andrianopoulos, M., & Boscardin, M.-L. (2010). Telepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic review. Developmental Neurorehabilitation,13, 423–432.

    Article  PubMed  Google Scholar 

  • Bulgren, J. A. (2002). The educational context and outcomes for high school students with disabilities: The perceptions of parents of students with disabilities. Research Report. Retrieved from https://files.eric.ed.gov/fulltext/ED469288.pdf.

  • *Dimian, A. F., Elmquist, M., Reichle, J., & Simacek, J. (2018). Teaching communicative responses with a speech-generating device via telehealth coaching. Advances in Neurodevelopmental Disorders,2, 86–99.

    Article  Google Scholar 

  • Ferguson, J., Craig, E. A., & Dounavi, K. (2019). Telehealth as a model for providing behaviour analytic interventions to individuals with Autism Spectrum Disorder: A systematic review. Journal of Autism and Developmental Disorders,49, 582–616.

    Article  PubMed  Google Scholar 

  • *Fischer, A. J., Dart, E. H., Radley, K. C., Richardson, D., Clark, R., & Wimberly, J. (2017). An evaluation of the effectiveness and acceptability of teleconsultation. Journal of Educational and Psychological Consultation,27, 437–458.

    Article  Google Scholar 

  • *Fisher, W. W., Luczynski, K. C., Hood, S. A., Lesser, A. D., Machado, M. A., & Piazza, C. C. (2014). Preliminary findings of a randomized clinical trial of a virtual training program for applied behavior analysis technicians. Research in Autism Spectrum Disorders,8, 1044–1054.

    Article  Google Scholar 

  • *Gibson, J. L., Pennington, R. C., Stenhoff, D. M., & Hopper, J. S. (2010). Using desktop videoconferencing to deliver interventions to a preschool student with autism. Topics in Early Childhood Special Education,29, 214–225.

    Article  Google Scholar 

  • *Hay-Hansson, A. W., & Eldevik, S. (2013). Training discrete trials teaching skills using videoconference. Research in Autism Spectrum Disorders,7, 1300–1309.

    Article  Google Scholar 

  • *Heitzman-Powell, L. S., Buzhardt, J., Rusinko, L. C., & Miller, T. M. (2014). Formative evaluation of an ABA outreach training program for parents of children with autism in remote areas. Focus on Autism and Other Developmental Disabilities,29, 23–38.

    Article  Google Scholar 

  • *Higgins, W. J., Luczynski, K. C., Carroll, R. A., Fisher, W. W., & Mudford, O. C. (2017). Evaluation of a telehealth training package to remotely train staff to conduct a preference assessment. Journal of Applied Behavior Analysis,50, 238–251.

    Article  PubMed  Google Scholar 

  • *Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent mediated intervention for children with ASD: A pilot RCT. Journal of Autism and Developmental Disorders,46, 2275–2284.

    Article  PubMed  Google Scholar 

  • *Knowles, C., Massar, M., Raulston, T.-J., & Machalicek, W. (2017). Telehealth consultation in a self-contained classroom for behavior: A pilot study. Preventing School Failure,61, 28–38.

    Article  Google Scholar 

  • Knutsen, J., Wolfe, A., Burke, B. L., Hepburn, S., Lindgren, S., & Coury, D. (2016). A systematic review of telemedicine in autism spectrum disorders. Review Journal of Autism And Developmental Disorders,3, 330–344.

    Article  Google Scholar 

  • Lindgren, S., Wacker, D. P., Suess, A., Schieltz, K., Pelzel, K., Kopelman, T., et al. (2016). Telehealth and autism: Treating challenging behavior at a lower cost. Pediatrics,137(2), 167–175.

    Article  Google Scholar 

  • *Machalicek, W., Lequia, J., Pinkelman, S., Knowles, C., Raulston, T., Davis, T., et al. (2016). Behavioral telehealth consultation with families of children with autism spectrum disorder. Behavioral Interventions,31, 223–250.

    Article  Google Scholar 

  • *Machalicek, W., O’Reilly, M., Chan, J. M., Lang, R., Mandy, R., Tonya, D., et al. (2009a). Using videoconferencing to conduct functional analysis of challenging behavior and develop classroom behavioral support plans for students with autism. Education and Training in Developmental Disabilities,44(207), 217.

    Google Scholar 

  • *Machalicek, W., O’Reilly, M., Chan, J. M., Rispoli, M., Lang, R., Davis, T., et al. (2009b). Using videoconferencing to support teachers to conduct preference assessments with students with autism and developmental disabilities. Research in Autism Spectrum Disorders,3, 32–41.

    Article  Google Scholar 

  • *Machalicek, W., O’Reilly, M. F., Rispoli, M., Davis, T., Lang, R., Franco, J. H., et al. (2010). Training teachers to assess the challenging behaviors of students with autism using video teleconferencing. Education and Training in Autism and Developmental Disabilities,45, 203–215.

    Google Scholar 

  • *Martens, B. K., Baxter, E. L., McComas, J. J., Sallade, S. J., Kester, J. S., Caamano, M., Dimian, A., Simacek, J., & Pennington, B. (2019). Agreement between structured descriptive assessments and functional analyses conducted over a telehealth system. Behavior Analysis: Research and Practice,19, 343–356.

    Google Scholar 

  • *Meadan, H., Snodgrass, M. R., Meyer, L. E., Fisher, K. W., Chung, M. Y., & Halle, J. W. (2016). Internet-based parent-implemented intervention for young children with autism: A pilot study. Journal of Early Intervention,38, 3–23.

    Article  Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med,6, e1000097. https://doi.org/10.1371/journal.pmed1000097.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, M. A., & Ruble, L. A. (2012). A comparative study of rurality and urbanicity on access to and satisfaction with services for children with autism spectrum disorders. Rural Special Education Quarterly,31(3), 3–11.

    Article  Google Scholar 

  • Neely, L., Rispoli, M., Gerow, S., Hong, E. R., & Hagan-Burke, S. (2017). Fidelity outcomes for autism-focused interventionists coached via telepractice: A systematic literature review. Journal of Developmental & Physical Disabilities,29, 849–874. https://doi.org/10.1007/s10882-017-9550-4.

    Article  Google Scholar 

  • Puskin, D., Johnston, B., & Speedie S. (2006). Telemedicine, telehealth, and health information technology: An APA issue paper [.doc file]. Retrieved June 22, 2019, from https://www.who.int/goe/policies/countries/usa_support_tele.pdf.

  • Reichow, B., Volkmar, F. R., & Cicchetti, D. V. (2008). Development of the evaluative method for evaluating and determining evidence- based practices in autism. Journal of Autism and Developmental Disorders,38, 1311–1319.

    Article  PubMed  Google Scholar 

  • Salomone, E., Besterah, K., Derbyshire, K., McCloy, C., Hastings, R. P., Howlin, P., et al. (2014). Emotional and behavioural problems in children and young people with autism spectrum disorder in specialist autism schools. Research in Autism Spectrum Disorders,8, 661–668.

    Article  Google Scholar 

  • *Schieltz, K. M., Romani, P. W., Wacker, D. P., Suess, A. N., Huang, P., Berg, W. K., et al. (2018). Single-case analysis to determine reasons for failure of behavioral treatment via telehealth. Remedial and Special Education,39(95), 105.

    Google Scholar 

  • Sutherland, R., Trembath, D., & Roberts, J. (2018). Telehealth and autism: A systematic search and review of the literature. International Journal of Speech-Language Pathology,20, 324–336.

    Article  PubMed  Google Scholar 

  • *Simacek, J., Dimian, A. F., & McComas, J. J. (2017). Communication intervention for young children with severe neurodevelopmental disabilities via telehealth. Journal of Autism and Developmental Disorders,47, 744–767.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Suess, A. N., Romani, P. W., Wacker, D. P., Dyson, S. M., Kuhle, J. L., Lee, J. F., et al. (2014). Evaluating the treatment fidelity of parents who conduct in-home functional communication training with coaching via telehealth. Journal of Behavioral Education,23, 34–59.

    Article  Google Scholar 

  • *Suess, A. N., Wacker, D. P., Schwartz, J. E., Lustig, N., & Detrick, J. (2016). Preliminary evidence on the use of telehealth in an outpatient behavior clinic. Journal of Applied Behavior Analysis,49, 686–692.

    Article  PubMed  Google Scholar 

  • *Sump, L. A., Richman, D. M., Schaefer, A. M., Grubb, L. M., & Brewer, A. T. (2018). Telehealth and in-person training outcomes for novice discrete trial training therapists. Journal of Applied Behavior Analysis,51, 466–481.

    Article  PubMed  Google Scholar 

  • Tomlinson, S. R. L., Gore, N., & McGill, P. (2018). Training individuals to implement applied behavior analytic procedures via telehealth: A systematic review of the literature. Journal of Behavioral Education,27, 172–222.

    Article  Google Scholar 

  • *Vismara, L. A., McCormick, Carolyn E. B., Wagner, A. L., Monlux, Katernia, Nadhan, Anna, & Young, Gregory S. (2018). Telehealth parent training in the early start Denver model: Results from a randomized controlled study. Focus on Autism and Other Developmental Disabilities,33, 67–79.

    Article  Google Scholar 

  • *Vismara, L. A., McCormick, C., Young, G. S., Nadhan, A., & Monlux, K. (2013). Preliminary findings of a telehealth approach to parent training in autism. Journal of Autism and Developmental Disorders,43, 2953–2969.

    Article  PubMed  Google Scholar 

  • *Vismara, L. A., Young, G. S., & Rogers, S. J. (2012). Telehealth for expanding the reach of early autism training to parents. Autism Research and Treatment,2012, 12.

    Google Scholar 

  • *Wacker, D. P., Lee, J. F., Dalmau, Y. C. P., Kopelman, T. G., Lindgren, S. D., Kuhle, J., et al. (2013a). Conducting functional analyses of problem behavior via telehealth. Journal of Applied Behavior Analysis,46, 31–46.

    Article  PubMed  Google Scholar 

  • *Wacker, D. P., Lee, J. F., Dalmau, Y. C. P., Kopelman, T. G., Lindgren, S. D., Kuhle, J., et al. (2013b). Conducting functional communication training via telehealth to reduce the problem behavior of young children with autism. Journal of Developmental and Physical Disabilities,25, 35–48.

    Article  PubMed  Google Scholar 

  • *Wainer, A. L., & Ingersoll, B. R. (2015). Increasing access to an ASD imitation intervention via a telehealth parent training program. Journal of Autism and Developmental Disorders,45, 3877–3890.

    Article  PubMed  Google Scholar 

  • *Wilczynski, S. M., Labrie, A., Baloski, A., Kaake, A., Marchi, N., & Zoder-Martell, K. (2017). Web-based teacher training and coaching/feedback: A case study. Psychology in the Schools,54, 433–445.

    Article  Google Scholar 

  • Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, Suzanne, et al. (2015). Evidence-Based Practices for Children, Youth, and Young Adults with Autism Spectrum Disorder: A Comprehensive Review. Journal of Autism and Developmental Disorders,45, 1951–1966.

    Article  PubMed  Google Scholar 

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Funding

This study was funded by grant number 1R21DC015021.

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Authors and Affiliations

  1. Department of Educational Psychology, University of Minnesota, 56 E River Rd, Minneapolis, MN, 55455, USA

    Emily Unholz-Bowden, Jennifer J. McComas, Kristen L. McMaster, Shawn N. Girtler, Rebecca L. Kolb & Alefyah Shipchandler

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  1. Emily Unholz-Bowden
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  2. Jennifer J. McComas
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  3. Kristen L. McMaster
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  4. Shawn N. Girtler
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  5. Rebecca L. Kolb
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Correspondence to Emily Unholz-Bowden.

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Unholz-Bowden, E., McComas, J.J., McMaster, K.L. et al. Caregiver Training Via Telehealth on Behavioral Procedures: A Systematic Review. J Behav Educ 29, 246–281 (2020). https://doi.org/10.1007/s10864-020-09381-7

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