Scott Lindgren1, David Wacker2, Alyssa Suess2, Kelly Schieltz3, Kelly Pelzel4, Todd Kopelman5, John Lee4, Patrick Romani6, Debra Waldron7. 1. Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine; Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, Iowa; scott-lindgren@uiowa.edu. 2. Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine; Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, Iowa; 3. College of Education, University of Missouri, Columbia, Missouri; 4. Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, Iowa; 5. Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, Iowa; 6. Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, Nebraska. 7. Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine;
Abstract
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.
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.
Authors: David P Wacker; Jay W Harding; Wendy K Berg; John F Lee; Kelly M Schieltz; Yaniz C Padilla; John A Nevin; Timothy A Shahan Journal: J Exp Anal Behav Date: 2011-09 Impact factor: 2.468
Authors: David P Wacker; John F Lee; Yaniz C Padilla Dalmau; Todd G Kopelman; Scott D Lindgren; Jennifer Kuhle; Kelly E Pelzel; Shannon Dyson; Kelly M Schieltz; Debra B Waldron Journal: J Dev Phys Disabil Date: 2012-11-11
Authors: Karen Bearss; T Lindsey Burrell; Saankari A Challa; Valentina Postorino; Scott E Gillespie; Courtney Crooks; Lawrence Scahill Journal: J Autism Dev Disord Date: 2018-04