Evaluating an Applied Behavior Analysis Telehealth Training Package for Caregivers of Children With Autism in the Czech and Slovak Regions

Abstract

In places where in-person applied behavior analysis (ABA) services are not available to those in need, distance approaches may be needed. However, in the Czech Republic and surrounding countries, ABA and telehealth practices are just emerging. Therefore, minimal systems are guiding ABA-based telehealth for children with autism and their caregivers. To develop a model of low-cost, high-efficacy, family-centered, and fidelity-driven ABA telehealth services in Central Europe, this study piloted a systematic remote training package to teach caregivers to build foundational skills with their children with autism. Using a multiple baseline across behaviors design, practitioners followed scripts to collaboratively select targets and use behavioral skills training procedures with caregivers. Based on caregiver needs, their skill acquisition was evaluated in the skill sets of pairing, responding to challenging behaviors, and/or language building. Results demonstrated that the program was socially valid, contributed to skill gains, and increased quality of life.

Keywords

telepractice autism applied behavior analysis European Union behavioral skills training scripted instruction

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References

Antill

(2020). Family-centered applied behavior analysis for children with autism spectrum disorder. Intervention in School and Clinic, 55(3), 185–191. https://doi.org/10.1177/1053451219842240

Bearss

Johnson

C. R.

Handen

B. L.

Butter

Lecavalier

Smith

Scahill

(2018). Parent training for disruptive behavior: The RUBI autism network. Oxford University Press.

Boutain

A. R.

Sheldon

J. B.

Sherman

J. A.

(2020). Evaluation of a telehealth parent training program in teaching self-care skills to children with autism. Journal of Applied Behavior Analysis, 53(3), 1259–1275. https://doi.org/10.1002/jaba.743

Carnett

Hansen

Tullis

Machalicek

(2021). Using behavioural skills training via telehealth to increase teachers use of communication interventions and increase student use of speech-generating devices in a high school functional skills classroom. Journal of Intellectual Disability Research, 65(2), 133–148. https://doi.org/10.1111/jir.12794

Cooper

J. O.

Heron

T. E.

Heward

W. L.

(2020). Applied behavior analysis. Pearson.

Dai

Y. G.

Brennan

Como

Hughes-Lika

Dumont-Mathieu

Rathwell

I. C.

Minxhozi

Aliaj

Fein

D. A.

(2018). A video parent-training program for families of children with autism spectrum disorder in Albania. Research in Autism Spectrum Disorders, 56, 36–49. https://doi.org/10.1016/j.rasd.2018.08.008

DeSouza

A. A.

Konrad

M. H.

(2021). Behavior analysis and the delivery of services in Austria: A call for dissemination. Behavior and Social Issues, 30, 280–294. https://doi.org/10.1007/s42822-021-00050-6

Drifke

Tiger

J. H.

Wierzba

B. C.

(2017). Using behavioral skills training to teach parents to implement three-step prompting: A component analysis and generalization assessment. Learning and Motivation, 57(1), 1–14. https://doi.org/10.1016/j.lmot.2016.12.001

Elliott

S. N.

Treuting

M. V. B.

(1991). The Behavior Intervention Rating Scale: Development and validation of a pretreatment acceptability and effectiveness measure. Journal of School Psychology, 29(1), 43–51. https://doi.org/10.1016/0022-4405(91)90014-I

10.

Ferguson

Dounavi

Craig

E. A.

(2022). The impact of a telehealth platform on ABA-based parent training targeting social communication in children with autism spectrum disorder. Journal of Developmental and Physical Disabilities, 34(6), 1089–1120. https://doi.org/10.1007/s10882-022-09839-8

11.

Ferguson

J. L.

Majeski

M. J.

McEachin

Leaf

Cihon

J. H.

Leaf

J. B.

(2020). Evaluating discrete trial teaching with instructive feedback delivered in a dyad arrangement via telehealth. Journal of Applied Behavior Analysis, 53(4), 1876–1888. https://doi.org/10.1002/jaba.773

12.

Gauert

Rittenhouse-Cea

Rittenhouse-Shaw

(2023). Parent implementation of DTT following telehealth instruction. Journal of Autism and Developmental Disorders, 53, 3980–3986. https://doi.org/10.1007/s10803-022-05693-x

13.

Keenan

Dillenburger

(2018). How “fake news” affects autism policy. Societies, 8(2), 29. https://doi.org/10.3390/soc8020029

14.

Keenan

Dillenburger

Röttgers

H. R.

Dounavi

Jónsdóttir

S. L.

Moderato

Schenk

J. J.

Virués-Ortega

Roll-Pettersson

Martin

(2015). Autism and ABA: The gulf between North America and Europe. Review Journal of Autism and Developmental Disorders, 2(2), 167–183. https://doi.org/10.1007/s40489-014-0045-2

15.

Kingsdorf

Pancocha

(2020). A survey of the use of applied behavior analysis for children with autism in the Czech Republic. European Journal of Special Needs Education, 35(5), 722–733. https://doi.org/10.1080/08856257.2020.1726092

16.

Kingsdorf

Pancocha

(2021). Looking at Europe’s recent behavioral telehealth practices for children and families impacted by neurodevelopmental disabilities. International Journal of Developmental Disabilities, 69(2), 147–162. https://doi.org/10.1080/20473869.2021.1925403

17.

Kingsdorf

Pancocha

Vadurova

Dosedel

(2024). Piloting an e-learning course in an applied behavior analysis course for caregivers of children with autism in the Czech Republic. Journal of Behavioral Education, 33(2), 421–452. https://doi.org/10.1007/s10864-022-09493-2

18.

Kirkpatrick

Akers

Rivera

(2019). Use of behavioral skills training with teachers: A systematic review. Journal of Behavioral Education, 28(3), 344–361. https://doi.org/10.1007/s10864-019-09322-z

19.

Marino

Chila

Failla

Crimi

Minutoli

Puglisi

Arnao

A. A.

Tartarisco

Ruta

Vagni

Pioggia

(2020). Tele-assisted behavioral intervention for families with children with autism spectrum disorders: A randomized control trial. Brain Sciences, 10, 649. https://doi.org/10.3390/brainsci10090649

20.

Neely

Hong

E. R.

Kawamini

Umana

Kurz

(2020). Intercontinental telehealth to train Japanese interventionists in incidental teaching for children with autism. Journal of Behavioral Education, 29, 1–16. https://doi.org/10.1007/s10864-020-09377-3

21.

Pancocha

Vadurova

(2022). Rozvoj aplikované behaviorální analýzy v České republice [Development of applied behavior analysis in the Czech Republic]. In Markova

Cibulkova

(Eds.), Užití prvků aplikované behaviorální analýzy ve školním prostřed [Using elements of applied behavior analysis in school settings]. (pp. 25–32). Národní Pedagogický Institut České Republiky.

22.

Parker

R. I.

Vannest

(2009). An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy, 40(4), 357–367.

23.

Parker

R. I.

Vannest

K. J.

Davis

J. L.

Sauber

S. B.

(2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42(2), 284–299.

24.

Pollard

J. S.

LeBlanc

L. A.

Griffin

C. A.

Baker

J. M.

(2021). The effects of transition to technician-delivered telehealth ABA treatment during the COVID-19 crisis: A preliminary analysis. Journal of Applied Behavior Analysis, 54(1), 87–102. https://doi.org/10.1002/jaba.803

25.

Rispoli

Machalicek

(2020). Advances in telehealth and behavioral assessment and intervention in education: Introduction to the special issue. Journal of Behavioral Education, 29(2), 189–194. https://doi.org/10.1007/s10864-020-09383-5

26.

Schaefer

J. M.

Andzik

N. R.

(2020). Evaluating behavioral skills training as an evidence-based practice when training parents to intervene with their children. Behavior Modification, 45(6), 1–24. https://doi.org/10.1177/0145445520923996

27.

Stockard

Wood

T. W.

Coughlin

Rasplica Khoury

(2018). The effectiveness of direct instruction curricula: A meta-analysis of a half century of research. Review of Educational Research, 88(4), 479–507. https://doi.org/10.3102/0034654317751919

28.

Taylor

B. A.

LeBlanc

L. A.

Nosik

M. R.

(2019). Compassionate care in behavior analytic treatment: Can outcomes be enhanced by attending to relationships with caregivers? Behavior Analysis in Practice, 12(3), 654–666. https://doi.org/10.1007/s40617-018-00289-3

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(12), 3877–3890. https://doi.org/10.1007/s10803-014-2186-7

30.

Ward-Horner

Sturmey

(2012). Component analysis of behavior skills training in functional analysis. Behavioral Interventions, 27, 75–92. https://doi.org/10.1002/bin.1339

31.

Weinkauf

S. M.

Zeug

N. M.

Anderson

C. T.

Ala’i-Rosales

(2011). Evaluating the effectiveness of a comprehensive staff training package for behavioral interventions for children with autism. Research in Autism Spectrum Disorders, 5(2), 864–871. https://doi.org/10.1016/j.rasd.2010.10.001

32.

What Works Clearinghouse. (2020). What Works Clearinghouse standards handbook (Version 4.1). National Center for Education Evaluation and Regional Assistance, Institute of Education Sciences, U.S. Department of Education. https://ies.ed.gov/ncee/wwc/handbooks

33.

Dixon

M. R.

(2021). Developing and enhancing adherence to a telehealth ABA parent training curriculum for caregivers of children with autism. Behavior Analysis in Practice, 14(1), 58–74. https://doi.org/10.1007/s40617-020-00464-5