Abstract
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.
Similar content being viewed by others
References
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. https://doi.org/10.1002/jaba.391.
Copeland, J. N. (2018). What Is Autism Spectrum Disorder? Retrieved March 30, 2020, from https://www.psychiatry.org/patients-families/autism/what-is-autism-spectrum-disorder.
Eaves, L. C., & Ho, H. H. (2008). Young adult outcome of autism spectrum disorders. Journal of Autism and Developmental Disorders,38, 739–747. https://doi.org/10.1007/s10803-007-0441-x.
Eikeseth, S., & Klintwall, L. (2014). Educational interventions for young children with autism spectrum disorders. In V. Patel, V. Preedy, & C. Martin (Eds.), Comprehensive guide to autism (pp. 2101–2123). Berlin: Springer. https://doi.org/10.1007/978-1-4614-4788-7_128.
Feldman, E. K., & Matos, R. (2013). Training paraprofessionals to facilitate social interactions between children with autism and their typically developing peers. Journal of Positive Behavior Interventions,15, 169–179. https://doi.org/10.1177/1098300712457421.
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. https://doi.org/10.1007/s10803-018-3724-5.
Gianoumis, S., Seiverling, L., & Sturmey, P. (2012). The effects of behavior skills training on correct teacher implementation of natural language paradigm teaching skills and child behavior. Behavioral Interventions,27, 57–74. https://doi.org/10.1002/bin.1334.
Huskens, B., Reijers, H., & Didden, R. (2012). Staff training effective in increasing learning opportunities for school-aged children with autism spectrum disorders. Developmental Neurorehabilitation,15(6), 435–447. https://doi.org/10.3109/17518423.2012.705910.
Jezewski, M. A. (1990). Culture brokering in migrant farmworker health care. Western Journal of Nursing Research,12, 497–513. https://doi.org/10.1177/019394599001200406.
Johnson, C. P. (2008). Recognition of autism before age 2 years. Pediatrics in Review,29, 86. https://doi.org/10.1542/pir.29-3-86.
Kelly, J. T., Reidlinger, D. P., Hoffmann, T. C., & Campbell, K. L. (2016). Telehealth methods to deliver dietary interventions in adults with chronic disease: A systematic review and meta-analysis. American Journal of Clinical Nutrition,104, 1693–1702. https://doi.org/10.3945/ajcn.116.136333.
Kratochwill, T. R., Hitchcock, J., Horner, R. H., Levin, J. R., Odom, S. L., Rindskopf, D. M., & Shadish, W. R. (2010). Single-case designs technical documentation. Retrieved March 30, 2020, from What Works Clearinghouse https://ies.ed.gov/ncee/wwc/Docs/ReferenceResources/wwc_scd.pdf
Lee, J. F., Schieltz, K. M., Suess, A. N., Wacker, D. P., Romani, P. W., Lindgren, S. D., et al. (2015). Guidelines for developing telehealth services and troubleshooting problems with telehealth technology when coaching parents to conduct functional analyses and functional communication training in their homes. Behavior Analysis in Practice,8, 190–200. https://doi.org/10.1007/s40617-014-0031-2.
Lindgren, S., Wacker, D., Suess, A., Schieltz, K., Pelzel, K., Kopelman, T., et al. (2016). Telehealth and autism: Treating challenging behavior at lower cost. Pediatrics,137, S167–S175. https://doi.org/10.1542/peds.2015-2851O.
Neely, L., Rispoli, M., Boles, M., Morin, K., Gregori, E., Ninci, J., et al. (2018). Interventionist acquisition of incidental teaching using pyramidal training via telehealth. Behavior Modification. https://doi.org/10.1177/0145445518781770.
Neely, L., Rispoli, M., Gerow, S., & Hong, E. R. (2016). Preparing interventionists via telepractice in incidental teaching for children with autism. Journal of Behavioral Education,25, 393–416. https://doi.org/10.1007/s10864-016-9250-7.
Peterson, K. M., Piazza, C. C., Luczynski, K. C., & Fisher, W. W. (2017). Virtual-care delivery of applied-behavior-analysis services to children with autism spectrum disorder and related conditions. Behavior Analysis: Research and Practice,17, 286–297. https://doi.org/10.1037/bar0000030.
Powers, M. D. (2010). Autism spectrum disorders in infants and toddlers: Diagnosis, assessment, and treatment. New York: Guilford Press.
Rees, C. S., & Maclaine, E. (2015). A systematic review of videoconference-delivered psychological treatment for anxiety disorders. Australian Psychologist,50, 259–264. https://doi.org/10.1111/ap.12122.
Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders,45, 2411–2428. https://doi.org/10.1007/s10803-015-2407-8.
Shukla-Mehta, S., Miller, T., & Callahan, K. J. (2010). Evaluating the effectiveness of video instruction on social and communication skills training for children with autism spectrum disorders: A review of the literature. Focus on Autism and Other Developmental Disabilities,25, 23–36. https://doi.org/10.1177/1088357609352901.
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. https://doi.org/10.1080/17549507.2018.1465123.
Tsami, L., Lerman, D., & Toper-Korkmaz, O. (2019). Effectiveness and acceptability of parent training via telehealth among families around the world. Journal of Applied Behavior Analysis,52, 1113–1129. https://doi.org/10.1002/jaba.645.
Wacker, D. P., Lee, J. F., Padilla Dalmau, Y. C., Kopelman, T. G., Lindgren, S. D., Kuhle, J., et al. (2013a). Conducting functional communication training via telehealth to reduce the problem behavior of young children with autism. Journal of Developmental and Physical Disabilities,25(1), 35–48. https://doi.org/10.1007/s10882-012-9314-0.
Wacker, D. P., Lee, J. F., Padilla Dalmau, Y. C., 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. https://doi.org/10.1007/s10882-012-9314-0.
Wacker, D. P., Lee, J. F., Padilla Dalmau, Y. C., Kopelman, T. G., Lindgren, S. D., Kuhle, J., et al. (2013c). Conducting functional analyses of problem behavior via telehealth. Journal of Applied Behavior Analysis,46, 31–46. https://doi.org/10.1002/jaba.29.
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. https://doi.org/10.1007/s10803-014-2186-7.
Wang, P., & Michaels, C. A. (2009). Chinese families of children with severe disabilities: Family needs and available support. Research and Practice for Persons with Severe Disabilities,34, 21–32. https://doi.org/10.2511/rpsd.34.2.21.
Yurovsky, D., Boyer, T. W., Smith, L. B., & Yu, C. (2013). Probabilistic cue combination: Less is more. Developmental Science,16, 149–158. https://doi.org/10.1111/desc.12011.
Funding
This research was not funded.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
This article complies with all ethical requirements and was approved by The University of Texas at San Antonio Institutional Review Board #16-216.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Neely, L., Hong, E.R., Kawamini, S. et al. Intercontinental Telehealth to Train Japanese Interventionists in Incidental Teaching for Children with Autism. J Behav Educ 29, 433–448 (2020). https://doi.org/10.1007/s10864-020-09377-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10864-020-09377-3