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Telehealth and Autism: Treating Challenging Behavior at Lower Cost
(Lindgren et al, 2016)
Part of Soiléir's Curiosity Corner Series
Behavior Analyst Certification Board Type 2 CE (1 CEU)
This Paper Review focuses on the paper published in 2016 titled Telehealth and Autism: Treating Challenging Behavior at Lower Cost' by Scott Lingren and his colleagues. It was originally published in Paediatrics Vol. 137 (); Pp. 167-175
Simply read the paper by downloading it from the link below and answer the quiz that follows correctly. When you have answered all questions correctly and achieved 100%, press the 'submit' button. Your certificate will then be e-mailed to you.
Be sure to edit your profile so your display name (in blue on the profile page at the top) includes your BCBA/BCaBA number. Otherwise it won't print on the certificate.
Participants who successfully complete the quiz will be awarded one Type 2 CEU that can be used as part of the requirements for the BACB certification cycle.
OBJECTIVE: To determine whether challenging behavior in young children with autism and other developmental disabilities can be treated successfully at lower cost by using telehealth to train parents to implement applied behavior analysis (ABA).
METHODS: We compared data on the outcomes and costs for implementing evidence-based ABA procedures to reduce problem behavior by using 3 service delivery models: in-home therapy, clinic-based telehealth, and home-based telehealth. Participants were 107 young children diagnosed with autism or other neurodevelopmental disorders, and data analysis focused on the 94 children who completed treatment.
RESULTS: All 3 service delivery models demonstrated successful reduction of problem behavior by training parents to conduct functional analysis and functional communication training. The mean percentage reduction in problem behavior was >90% in all 3 groups after treatment, and treatment acceptability based on parent ratings was high for all groups. Total costs for implementing treatment were lowest for home telehealth, but both telehealth models were significantly less costly than in-home therapy.
CONCLUSIONS: This research demonstrated that parents can use ABA procedures to successfully treat behavior problems associated with autism spectrum disorders regardless of whether treatment is directed by behavior consultants in person or via remote video coaching. Because ABA telehealth can achieve similar outcomes at lower cost compared with in-home therapy, geographic barriers to providing access to ABA for treating problem behavior can be minimized. These findings support the potential for using telehealth to provide research-based behavioral treatment to any family that has access to the Internet
The paper is accessible through PubMed Central (PMC), which is a free archive of biomedical and life sciences journal literature at the U.S. National Institutes of Health's National Library of Medicine (NIH/NLM) provided there courtesy of Association for Behavior Analysis International. Please see the link below.
About the Course Instructor
Gillian Martin is a Chartered Psychologist and Board Certified Behaviour Analyst with over 20 years of experience supporting people using behaviour science in Ireland, the United Kingdom and the USA. As well as clinical work, she have always had a strong interest in staff well-being, training, development and supporting teams to think through new concepts and find solutions.The values that drive her work include respect, curiosity, equality and integrity.
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