|Overcoming Barriers Through the Application of Telehealth Service Delivery Models
|Sunday, May 29, 2022
|9:00 AM–10:50 AM
|Meeting Level 2; Room 258A
|Area: AUT/TBA; Domain: Service Delivery
|Chair: KALLY M LUCK (University of Houston - Clear Lake)
|Discussant: Stephanie M. Peterson (Western Michigan University)
|CE Instructor: KALLY M LUCK, M.A.
|Abstract: There are many barriers that can prevent an individual with autism and/or other related disorders from receiving high-quality Applied Behavior Analysis (ABA) services. The use of telehealth as a service-delivery model is one recent advancement in the field of Behavior Analysis that has expanded the availability of services for families across the world. This symposium will highlight the utility of telehealth services through teacher and caregiver training, toilet training, and providing direct services to teach manding. All of the presenters demonstrate the efficacy of utilizing telehealth in different training contexts.
|Instruction Level: Intermediate
|Keyword(s): ASD, DTI, mand training, telehealth
|Target Audience: Board Certified Behavior Analysts
|Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) describe recent advancements in the telehealth service delivery model; (2) analyze the effectiveness of telehealth-based trainings; (3) describe methods of improving ongoing telehealth-based services
Implementing Direct Telehealth Services for Children With Autism Spectrum Disorder
|DIANA SABRINA MEREDITH (Marquette University), Maria Clara Cordeiro (Marquette University), Tiffany Kodak (Marquette University), Sharon Song (Marquette University )
Many individuals were unable to receive medical services as due to the coronavirius-19 pandemic. The present study sought to determine a method to deliver behavior-analytic instruction directly to children diagnosed with autism spectrum disorder via an online format. Treatment was conducted initially in a clinical setting and consisted of mand training and discrete-trial instruction delivered at various distances (next to the participant, 3ft, 7ft, and outside the participants room). Participants were provided with a tablet through which instruction was delivered while the experimenter shared their screen or presented instructions on camera (i.e., virtually). During mand training, a preferred video was played, paused, and the client manded for the continuation of the video. Discrete-trial instruction was comprised of the presentation of skills in training interspersed with mastered tasks. Results suggest that training in a clinical setting across varying distances was effective to establish telehealth as a modality for therapists to deliver treatment directly to clients.
Supporting Caregivers via Telehealth to Implement Toilet Training Protocol
|Hope Dabney (Auburn University), Corina Jimenez-Gomez (Auburn University)
Children with Autism Spectrum Disorder (ASD) often exhibit deficits in daily living skills, including toileting skills. Previous studies have evaluated components of common toilet training practices, including differential reinforcement, sit schedules, fluid loading, underwear, and wet alarms. The purpose of this study was to evaluate whether it would be possible to coach caregivers via telehealth to implement the toilet training treatment package as described by Perez et al. (2020) with high integrity and whether this would result in positive outcomes for children. Three caregiver-child dyads participated in this study. A researcher coached caregivers on the implementation of the protocol using a modified behavioral skills training approach via telehealth. Caregivers submitted data daily and weekly audio recordings for treatment integrity checks. The sit schedule fading was individualized to meet the needs and preferences of each family. All caregivers implemented the protocol with high integrity. Two participants met the mastery criteria at the 90-min sit schedule and maintained performance at the 1- and 6-week maintenance follow up probes. The third participant had interruption of treatment due to family circumstances. The utility of telehealth coaching and adaptations to meet the individual needs of clients will be discussed.
|Adaptation of the Research Units in Behavioral Intervention Caregiver Training Program for Telehealth Delivery During COVID-19
|LYDIA LINDSEY (Auburn University), Lauren Ashley Nordberg (Glenwood), Carolyn Syzonenko (Auburn University), Hope Dabney (Auburn University), Jordan DeVries (Auburn University), Corina Jimenez-Gomez (Auburn University)
|Abstract: Caregiver training is an integral component of behavioral interventions for children with autism spectrum disorder (ASD). The barriers to conducting caregiver training, such as limited availability of services and conflicting schedules, were exacerbated during the closures resulting from the COVID-19 pandemic, which required many service providers to rapidly pivot to telehealth service delivery. Caregivers of children with ASD who have been trained with the program developed by the Research Unit on Behavioral Interventions (RUBI) Autism Network have reported decreases in disruptive behavior in their children. Although previous researchers have evaluated delivery of RUBI training via telehealth or in group format, no previous studies have evaluated the delivery via telehealth in a group format, which was important to address emerging needs during the COVID-19 pandemic. Participants were recruited to participate in weekly group didactic sessions and individual consultations via telehealth. Participants reported decreases in challenging behavior and demonstrated an increase in their knowledge of applied
behavior analysis (ABA), supporting the feasibility of telehealth delivery of RUBI training in a group format.
Using Telehealth Technologies to Train Education Professionals in Taiwan to Implement Discrete-Trial Training
|NING CHEN (University of Houston - Clear Lake), Dorothea C. Lerman (University of Houston-Clear Lake)
The number of individuals who are diagnosed with autism spectrum disorder (ASD) in Taiwan has been increasing (Ministry of Health and Welfare, 2019), but education professionals in this country lack the resources and training necessary to serve this population effectively. Telehealth is a promising modality for disseminating this training worldwide. To promote the dissemination of applied behavior analysis (ABA) in Taiwan, three teachers from a private school in Taiwan were first trained to implement discrete trial teaching (DTT) with their students and then were trained to teach another educator at their school. The experimenter conducted behavioral skill training (BST) through telehealth to evaluate the effectiveness and acceptability of this training modality. Results indicated that the training was effective and that the participants successfully implemented the procedures across multiple students in their classrooms. These findings replicate and extend the current literature suggesting that the use of telehealth is an effective and socially valid method for disseminating ABA to countries with limited resources.