Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.

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47th Annual Convention; Online; 2021

All times listed are Eastern time (GMT-4 at the time of the convention in May).

Event Details

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Symposium #388
CE Offered: BACB
Integrating Telehealth into Behavior Analytic Practice
Monday, May 31, 2021
10:00 AM–10:50 AM
Online
Area: TBA/AUT; Domain: Applied Research
Chair: Claudia Campos (Florida Institute of Technology)
CE Instructor: Claudia Campos, Ph.D.
Abstract: The demand for medical and behavioral health services using modalities that minimize physical contact has increased exponentially due to the COVID-19 pandemic. Telehealth is a treatment modality that is efficacious and convenient, however, many practitioners who have been tasked with adopting this modality are underprepared for the task at hand. Presenters will offer recent research on using telehealth to train parents/caregivers to implement behavioral procedures in the home and reduce hospital readmission. Implications of the research projects on informing practice will be discussed.
Instruction Level: Intermediate
Keyword(s): caregiver training, staff training, Telehealth, video modeling
Target Audience: Intermediate - some knowledge on parent and caregiver training.
Learning Objectives: 1. Participants will learn about the use of Telehealth to provide caregiver/parent training 2. Participants will learn about the use of Telehealth to reduce hospital readmissions 3. Participants will learn about recent research on the use of telehealth to train parents/caregivers to implement behavioral procedures
 
Teaching Parents to Implement Pre-Session Pairing via Telehealth
LIZAHN ZIMMERMANN (Florida Institute of Technology), Ashley Marie Lugo (Florida Institute of Technology ), Claudia Campos (Florida Institute of Technology), Nancy Lajara (Florida Institute of Technology )
Abstract: Research has demonstrated that the generalization of behavioral treatments depends on the extent to which individuals in the natural environment implement the intervention procedures with fidelity. Therefore, parent/caregiver training is an essential component of treatment. Due to the current pandemic, the training of caregivers and parents in the natural environment has become increasingly difficult. The use of telehealth may help reduce the current barriers and help increase the long-lasting effects of effective treatments. To date, there is a paucity of research on the training of caregivers/parents using telehealth. Thus, the purpose of the current study was to teach parents/caregivers to implement pre-session pairing skills via telehealth. Three parent-child dyads participated in this study. All parents learned to implement the procedures with high procedural fidelity.
 
Reducing Psychiatric Readmissions Using Telehealth to Perform Cross-Site Training
MYCHAL MACHADO (University of Alaska Anchorage), Felicia Glaser (University of Alaska Anchorage), Makenzie Heatherly (University of Alaska Anchorage), Bethany Munden (University of Alaska Anchorage), Tamara Russell (Providence Medical Group)
Abstract: The staff and clinicians at acute inpatient facilities provide emergency psychiatric services to support and treat individuals diagnosed with a variety of mental health disorders, developmental disabilities, or some combination of these barriers to adaptive functioning. A critical feature of these facilities is referral to an appropriate level of care following stabilization. Proximally located providers can engage in direct communication and cross-training, which has benefits. However, these in-person trainings become impractical when individuals are discharged to rural locations. In Alaska, many individuals are discharged to rural locations, and, of the 1,200 Alaskans served by acute inpatient facilities, on average, 30% are readmitted within 6 months following discharge. The current study used a multiple-probe design to determine whether cross-training provided via telehealth would improve the probability of three high-utilization patients remaining in the community following discharge from an inpatient facility. Training for community providers was conducted entirely via telehealth. Data on challenging behavior, treatment integrity, and the number of days each individual remained in the community following discharge were obtained. Results suggested training via telehealth was successful, and that two of three individuals had not been readmitted to the hospital 6 months following discharge.
 

Training Staff to Conduct Caregiver Training Through Telehealth Using Video Modeling With Voiceover Instructions

REGINA A. CARROLL (University of Nebraska Medical Center Munroe-Meyer Institute, Autism Care for Toddlers Clinic), Elizabeth J. Preas (University of Nebraska Center’s Munroe-Meyer Institute, Autism Care for Toddlers Clinic), Gabriella Rachal Van Den Elzen (University of Nebraska Medical Center's Munroe-Meyer Institute, Autism Care for Toddlers Clinic), Megan Marie Harper (University of Nebraska Medical Center Munroe-Meyer Institute, Autism Care for Toddlers Clinic), Mary Halbur (University of Nebraska Medical Center's Munroe-Meyer Institute, Autism Care for Toddlers Clinic)
Abstract:

Researchers have demonstrated that incorporating caregivers into the provision of early intensive behavioral interventions can improve outcomes for children with autism. Despite the importance of caregiver training, there are a number of barriers that can prevent frequent face-to-face caregiver training, including the recent coronavirus pandemic. Few studies have evaluated procedures for teaching therapists to conduct caregiver training through telehealth. The purpose of the current study was to evaluate the use of video modeling with voiceover instructions to teach therapists to implement caregiver training via telehealth. We used a multiple-baseline across participants design to evaluate the use of video modeling to train four therapists to teach a confederate caregiver to implement the guided-compliance procedure with a confederate child via telehealth. We assessed therapists’ accuracy with implementing 11 component skills of caregiver training through telehealth during scripted role-plays before and after video modeling. We also assessed the extent to which therapists’ skills generalized to providing caregiver training to a confederate caregiver implementing an activities of daily living skills teaching procedure for hand-washing with a confederate child via telehealth. All therapists learned to implement caregiver training through telehealth and the skills generalized to novel training protocols. The results of the current study suggest that video modeling may be an efficacious and efficient method to train therapists to deliver caregiver training through telehealth.

 

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