Feasibility of Parent Training via Telehealth for Children with Autism Spectrum Disorder and Disruptive Behavior: A Demonstration Pilot

Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a feasibility trial of parent training with children ages 3–8 with ASD and disruptive behavior from rural communities. Fourteen children (mean ag...

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Vydáno v:Journal of autism and developmental disorders Ročník 48; číslo 4; s. 1020 - 1030
Hlavní autoři: Bearss, Karen, Burrell, T. Lindsey, Challa, Saankari A., Postorino, Valentina, Gillespie, Scott E., Crooks, Courtney, Scahill, Lawrence
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Springer US 01.04.2018
Springer
Springer Nature B.V
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ISSN:0162-3257, 1573-3432, 1573-3432
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Abstract Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a feasibility trial of parent training with children ages 3–8 with ASD and disruptive behavior from rural communities. Fourteen children (mean age 5.8 ± 1.7) from four telehealth sites enrolled. Thirteen families (92.9%) completed treatment, with 91.6% of core sessions attended. Therapists attained 98% fidelity to the manual and 93% of expected outcome measures were collected at week 24. Eleven of 14 (78.6%) participants were rated as much/very much improved. Parent training via telehealth was acceptable to parents and treatment could be delivered reliably by therapists. Preliminary efficacy findings suggests further study is justified.
AbstractList Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a feasibility trial of parent training with children ages 3-8 with ASD and disruptive behavior from rural communities. Fourteen children (mean age 5.8 ± 1.7) from four telehealth sites enrolled. Thirteen families (92.9%) completed treatment, with 91.6% of core sessions attended. Therapists attained 98% fidelity to the manual and 93% of expected outcome measures were collected at week 24. Eleven of 14 (78.6%) participants were rated as much/very much improved. Parent training via telehealth was acceptable to parents and treatment could be delivered reliably by therapists. Preliminary efficacy findings suggests further study is justified.
Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a feasibility trial of parent training with children ages 3-8 with ASD and disruptive behavior from rural communities. Fourteen children (mean age 5.8 ± 1.7) from four telehealth sites enrolled. Thirteen families (92.9%) completed treatment, with 91.6% of core sessions attended. Therapists attained 98% fidelity to the manual and 93% of expected outcome measures were collected at week 24. Eleven of 14 (78.6%) participants were rated as much/very much improved. Parent training via telehealth was acceptable to parents and treatment could be delivered reliably by therapists. Preliminary efficacy findings suggests further study is justified.Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a feasibility trial of parent training with children ages 3-8 with ASD and disruptive behavior from rural communities. Fourteen children (mean age 5.8 ± 1.7) from four telehealth sites enrolled. Thirteen families (92.9%) completed treatment, with 91.6% of core sessions attended. Therapists attained 98% fidelity to the manual and 93% of expected outcome measures were collected at week 24. Eleven of 14 (78.6%) participants were rated as much/very much improved. Parent training via telehealth was acceptable to parents and treatment could be delivered reliably by therapists. Preliminary efficacy findings suggests further study is justified.
Audience Adult Education
Academic
Author Bearss, Karen
Postorino, Valentina
Challa, Saankari A.
Gillespie, Scott E.
Scahill, Lawrence
Burrell, T. Lindsey
Crooks, Courtney
Author_xml – sequence: 1
  givenname: Karen
  surname: Bearss
  fullname: Bearss, Karen
  email: kbearss@uw.edu
  organization: Department of Psychiatry and Behavioral Sciences, Seattle Children’s Autism Center, University of Washington
– sequence: 2
  givenname: T. Lindsey
  surname: Burrell
  fullname: Burrell, T. Lindsey
  organization: Department of Pediatrics, Emory University School of Medicine, Marcus Autism Center
– sequence: 3
  givenname: Saankari A.
  surname: Challa
  fullname: Challa, Saankari A.
  organization: University of Missouri-Saint-Louis
– sequence: 4
  givenname: Valentina
  surname: Postorino
  fullname: Postorino, Valentina
  organization: Department of Pediatrics, Emory University School of Medicine, Marcus Autism Center
– sequence: 5
  givenname: Scott E.
  surname: Gillespie
  fullname: Gillespie, Scott E.
  organization: Department of Pediatrics, Emory University School of Medicine
– sequence: 6
  givenname: Courtney
  surname: Crooks
  fullname: Crooks, Courtney
  organization: Georgia Tech Research Institute
– sequence: 7
  givenname: Lawrence
  surname: Scahill
  fullname: Scahill, Lawrence
  organization: Department of Pediatrics, Emory University School of Medicine, Marcus Autism Center
BackLink http://eric.ed.gov/ERICWebPortal/detail?accno=EJ1173373$$DView record in ERIC
https://www.ncbi.nlm.nih.gov/pubmed/29170938$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Springer Science+Business Media, LLC 2017
COPYRIGHT 2018 Springer
Journal of Autism and Developmental Disorders is a copyright of Springer, (2017). All Rights Reserved.
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Issue 4
Keywords Disruptive behavior
Parent training
Telehealth
Autism spectrum disorder
Language English
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PublicationTitle Journal of autism and developmental disorders
PublicationTitleAbbrev J Autism Dev Disord
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References WackerDPLeeJFDalmauYCKopelmanTGLindgrenSDKuhleJConducting functional analyses of problem behavior via telehealthJournal of Applied Behavior Analysis201346314610.1002/jaba.29241140835361405
Centers for Disease Control and Prevention (CDC)Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2010Morbidity and Mortality Weekly Report. Surveillance Summary201463121
BearssKJohnsonCSmithTLecavalierLSwiezyNAmanMEffect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trialJAMA: The Journal of the American Medical Association2015313151524153310.1001/jama.2015.315025898050
SparrowSSCiccettiDVBallaDAVineland II: Vineland adaptive behavior Scales, Second Edition, survey forms manual2005Circle Pines, MNAGS Publishing
GuyWECDEU assessment manual for psychopharmacology: publication ADM 76–3381976Washington, DCUS Department of Health, Education, and Welfare218222
RutterMBaileyALordCThe social communication questionnaire2003Los Angeles, CAWestern Psychological Services
Research Units on Pediatric Psychopharmacology Autism NetworkRisperidone in children with autism and serious behavioral problemsThe New England Journal of Medicine200234731432110.1056/NEJMoa013171
VismaraLAYoungGSRogersSJTelehealth for expanding the reach of early autism training to parentsAutism Research and Treatment2012232273343512210
LeeJFSchieltzKMSuessANWackerDPRomaniPWLindgrenSDKopelmanTGPadilla-DalmauYCGuidelines for developing telehealth services and troubleshooting problems with telehealth technology when coaching parents to conduct functional analyses and functional communication training in their homesBehavior Analysis in Practice20158219020010.1007/s40617-014-0031-227703918
ZablotskyBBlackLIMaennerMJSchieveLABlumbergSJEstimated Prevalence of Autism and Other Developmental Disabilities Following Questionnaire Changes in the 2014 National Health Interview SurveyNational Health Statistics Reports201587121
HartleySLSikoraDMMcCoyRPrevalence and risk factors of maladaptive behavior in young children with autistic disorderJournal of Intellectual Disability Research20085281982910.1111/j.1365-2788.2008.01065.x184449892838711
SuessANWackerDPSchwartzJELustigNDetrickJPreliminary evidence on the use of telehealth in an outpatient behavior clinicJournal of Applied Behavior Analysis201649368669210.1002/jaba.30527001117
HayesSAWatsonSLThe impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorderJournal of Autism and Developmental Disorders20134362964210.1007/s10803-012-1604-y22790429
LordCRutterMDi LavorePCRisiSAutism diagnostic observation schedule manual2008Los AngelesWestern Psychological Service
IngersollBBergerNIParent engagement with a telehealth-based parent-mediated intervention program for children with autism spectrum disorders: Predictors of program use and parent outcomesJournal of Medical Internet and Research20151710e22710.2196/jmir.4913
DorseyRETopolEJState of telehealthNew England Journal of Medicine201637515416110.1056/NEJMra160170527410924
KaatJJLecavalierLAmanMGValidity of the aberrant behavior checklist in children with autism spectrum disorderJournal of Autism and Developmental Disabilties2014441103110610.1007/s10803-013-1970-0
Research Units on Pediatric Psychopharmacology Autism NetworkA pilot study of parent management training in children with pervasive developmental disorderBehavioral Interventions20072217919910.1002/bin.236
World Health Organization (2007). Global resources for persons with intellectual disabilities. Retrieved 22 October 2012 http://who.int/metnal_health/evidence/atlas_id_2007.pdf.
WainerALIngersollBRIncreasing access to an ASD imitation intervention via a telehealth parent training programJournal of Autism and Developmental Disorders201545123877389010.1007/s10803-014-2186-725035089
MaskeyMWarnelFParrJRLe CouterAMcConachieHEmotional and behavioural problems in children with autism spectrum disorderJournal of Autism and Developmental Disorders20134385185910.1007/s10803-012-1622-922895777
MullenEJMullen scales of early learning1995Bloomington, MNPearson Assessments
WeersingVRBenchmarking the effectiveness of psychotherapy: Program evaluation as a component of evidence-based practiceJournal of the American Academy of Child & Adolescent Psychiatry2005441058110610.1097/01.chi.0000172682.71384.80
American Psychiatric AssociationDiagnostic and statistical manual of mental disorders: DSM-520135Washington, DCAmerican Psychiatric Association10.1176/appi.books.9780890425596
AmanMGMcDougleCJScahillLHandenBArnoldLEJohnsonCMedication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trialJournal of the American Academy of Child and Adolescent Psychiatry2009481143115410.1097/CHI.0b013e3181bfd66919858761
Corsello, C., Leventhal, B., & Cook, L. (2003). A screening instrument for autism spectrum disorders. Poster session presented at the biennial meeting of the Society for Research in Child Development, Tampa Bay, FL.
VismaraLAMcCormickCYoungGSNadhanAMonluxKPreliminary findings of a telehealth approach to parent training in autismJournal of Autism and Developmental Disorders201343122953296910.1007/s10803-013-1841-823677382
ChowdhuryMAmanMGLecavalierLSmithTJohnsonCSwiezyNFactor structure and psychometric properties of the Home Situations Questionnaire for autism spectrum disorder: The Home Situations Questionnaire—Autism Spectrum DisorderAutism: The International Journal of Research and Practice201620552853710.1177/1362361315593941
SuessANRomaniPWWackerDPDysonSMKuhleJLLeeJFEvaluating the treatment fidelity of parents who conduct in-home functional communication training with coaching via telehealthJournal of Behavioral Education201423345910.1007/s10864-013-9183-3
CorselloCHusVPicklesARisiSCookEHLeventhalBLLordCBetween a ROC and a hard place: Decision making and making decisions about using the SCQJournal of Child Psychology and Psychiatry200749993294010.1111/j.1469-7610.2007.01762.x
DuddingCCDigital videoconferencing applications across the disciplinesCommunication Disorders Quarterly20093017818210.1177/1525740108327449
LindgrenSWackerDSuessASchieltzKPelzelKKopelmanTTelehealth and autism: Treating challenging behavior at lower costPediatrics2016137Suppl 2S167S17510.1542/peds.2015-2851O269084724727312
AmanMGSinghNNAberrant behavior checklist (ABC-2)20172East Aurora, NYSlosson Publishing
ElsabbaughMDivanGKohYJKimYSKauchaliSMarcínCGlobal prevalence of autism and other pervasive developmental disordersAutism Research20125316017910.1002/aur.239
IngersollBWainerALBergerNIPickardKEBonterNComparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCTJournal of Autism and Developmental Disorders20164672275228410.1007/s10803-016-2755-z26922192
BelferMLSaxenaSWHO Child Atlas ProjectLancet200636755155210.1016/S0140-6736(06)68199-316488783
MazurekMOKanneSMWodkaELPhysical aggression in children and adolescents with autism spectrum disordersResearch in Autism Spectrum Disorders2013745546510.1016/j.rasd.2012.11.004
ScahillLBearssKLecavalierLSmithTSwiezyNAmanMEffect of parent training on adaptive behavior in children with autism spectrum disorder and disruptive behavior: Results of a randomized trialJournal of the American Academy of Child and Adolescent Psychiatry201655760260910.1016/j.jaac.2016.05.00127343887
BoisvertMLangRAndrianopoulosMBocardinMLTelepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic reviewDevelopmental Neurorehabilitation20101342343210.3109/17518423.2010.49988920887200
WackerDPLeeJFDalmauYCPKopelmanTGLindgrenSDKuhleJConducting functional communication training via telehealth to reduce the problem behavior of young children with autismJournal of Developmental and Physical Disabilities2013251354810.1007/s10882-012-9314-023543855
LordCRutterMDi LavorePCRisiSGothamKADOS-2: autism diagnostic observation schedule2012Los AngelesWestern Psychological Service
PickardKEWainerALBaileyKMIngersollBRA mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with autism spectrum disorderAutism: The International Journal of Research and Practice201620784585510.1177/1362361315614496
ArnoldLEVitielloBMcDougleCScahillLShahBGonzalezNMParent-defined target symptoms respond to risperidone in RUPP autism study: Customer approach to clinical trialsJournal of the American Academy of Child and Adolescent Psychiatry2003421214431445010.1097/00004583-200312000-0001114627879
RoidGStanford-Binet intelligence scales: Fifth Edition (SB-5)2003Los Angeles, CAWestern Psychological Services
LecavalierLLeoneSWiltzJThe impact of behavior problems on caregiver stress in young people with autism spectrum disordersJournal of Intellectual Disability Research20065017218310.1111/j.1365-2788.2005.00732.x16430729
Research Units on Pediatric Psychopharmacology Autism Network (3363_CR103) 2002; 347
3363_CR11
AN Suess (3363_CR104) 2014; 23
B Zablotsky (3363_CR42) 2015; 87
K Bearss (3363_CR5) 2015; 313
LE Arnold (3363_CR4) 2003; 42
M Elsabbaugh (3363_CR14) 2012; 5
AN Suess (3363_CR34) 2016; 49
SA Hayes (3363_CR17) 2013; 43
MO Mazurek (3363_CR26) 2013; 7
M Boisvert (3363_CR7) 2010; 13
C Lord (3363_CR24) 2012
M Chowdhury (3363_CR9) 2016; 20
Research Units on Pediatric Psychopharmacology Autism Network (3363_CR29) 2007; 22
B Ingersoll (3363_CR18) 2015; 17
RE Dorsey (3363_CR12) 2016; 375
DP Wacker (3363_CR38) 2013; 46
LA Vismara (3363_CR36) 2012
SL Hartley (3363_CR16) 2008; 52
SS Sparrow (3363_CR33) 2005
MG Aman (3363_CR1) 2009; 48
C Lord (3363_CR23) 2008
ML Belfer (3363_CR6) 2006; 367
JJ Kaat (3363_CR102) 2014; 44
C Corsello (3363_CR10) 2007; 49
M Rutter (3363_CR31) 2003
VR Weersing (3363_CR40) 2005; 44
G Roid (3363_CR30) 2003
B Ingersoll (3363_CR19) 2016; 46
L Lecavalier (3363_CR20) 2006; 50
LA Vismara (3363_CR35) 2013; 43
CC Dudding (3363_CR13) 2009; 30
DP Wacker (3363_CR37) 2013; 25
AL Wainer (3363_CR39) 2015; 45
Centers for Disease Control and Prevention (CDC) (3363_CR8) 2014; 63
EJ Mullen (3363_CR27) 1995
L Scahill (3363_CR32) 2016; 55
JF Lee (3363_CR21) 2015; 8
KE Pickard (3363_CR28) 2016; 20
American Psychiatric Association (3363_CR3) 2013
MG Aman (3363_CR101) 2017
S Lindgren (3363_CR22) 2016; 137
W Guy (3363_CR15) 1976
M Maskey (3363_CR25) 2013; 43
3363_CR41
References_xml – reference: AmanMGSinghNNAberrant behavior checklist (ABC-2)20172East Aurora, NYSlosson Publishing
– reference: LordCRutterMDi LavorePCRisiSGothamKADOS-2: autism diagnostic observation schedule2012Los AngelesWestern Psychological Service
– reference: GuyWECDEU assessment manual for psychopharmacology: publication ADM 76–3381976Washington, DCUS Department of Health, Education, and Welfare218222
– reference: DuddingCCDigital videoconferencing applications across the disciplinesCommunication Disorders Quarterly20093017818210.1177/1525740108327449
– reference: LordCRutterMDi LavorePCRisiSAutism diagnostic observation schedule manual2008Los AngelesWestern Psychological Service
– reference: VismaraLAMcCormickCYoungGSNadhanAMonluxKPreliminary findings of a telehealth approach to parent training in autismJournal of Autism and Developmental Disorders201343122953296910.1007/s10803-013-1841-823677382
– reference: BelferMLSaxenaSWHO Child Atlas ProjectLancet200636755155210.1016/S0140-6736(06)68199-316488783
– reference: SparrowSSCiccettiDVBallaDAVineland II: Vineland adaptive behavior Scales, Second Edition, survey forms manual2005Circle Pines, MNAGS Publishing
– reference: ArnoldLEVitielloBMcDougleCScahillLShahBGonzalezNMParent-defined target symptoms respond to risperidone in RUPP autism study: Customer approach to clinical trialsJournal of the American Academy of Child and Adolescent Psychiatry2003421214431445010.1097/00004583-200312000-0001114627879
– reference: LindgrenSWackerDSuessASchieltzKPelzelKKopelmanTTelehealth and autism: Treating challenging behavior at lower costPediatrics2016137Suppl 2S167S17510.1542/peds.2015-2851O269084724727312
– reference: Research Units on Pediatric Psychopharmacology Autism NetworkRisperidone in children with autism and serious behavioral problemsThe New England Journal of Medicine200234731432110.1056/NEJMoa013171
– reference: BoisvertMLangRAndrianopoulosMBocardinMLTelepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic reviewDevelopmental Neurorehabilitation20101342343210.3109/17518423.2010.49988920887200
– reference: WackerDPLeeJFDalmauYCKopelmanTGLindgrenSDKuhleJConducting functional analyses of problem behavior via telehealthJournal of Applied Behavior Analysis201346314610.1002/jaba.29241140835361405
– reference: BearssKJohnsonCSmithTLecavalierLSwiezyNAmanMEffect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trialJAMA: The Journal of the American Medical Association2015313151524153310.1001/jama.2015.315025898050
– reference: HayesSAWatsonSLThe impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorderJournal of Autism and Developmental Disorders20134362964210.1007/s10803-012-1604-y22790429
– reference: RoidGStanford-Binet intelligence scales: Fifth Edition (SB-5)2003Los Angeles, CAWestern Psychological Services
– reference: Corsello, C., Leventhal, B., & Cook, L. (2003). A screening instrument for autism spectrum disorders. Poster session presented at the biennial meeting of the Society for Research in Child Development, Tampa Bay, FL.
– reference: LecavalierLLeoneSWiltzJThe impact of behavior problems on caregiver stress in young people with autism spectrum disordersJournal of Intellectual Disability Research20065017218310.1111/j.1365-2788.2005.00732.x16430729
– reference: LeeJFSchieltzKMSuessANWackerDPRomaniPWLindgrenSDKopelmanTGPadilla-DalmauYCGuidelines for developing telehealth services and troubleshooting problems with telehealth technology when coaching parents to conduct functional analyses and functional communication training in their homesBehavior Analysis in Practice20158219020010.1007/s40617-014-0031-227703918
– reference: PickardKEWainerALBaileyKMIngersollBRA mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with autism spectrum disorderAutism: The International Journal of Research and Practice201620784585510.1177/1362361315614496
– reference: HartleySLSikoraDMMcCoyRPrevalence and risk factors of maladaptive behavior in young children with autistic disorderJournal of Intellectual Disability Research20085281982910.1111/j.1365-2788.2008.01065.x184449892838711
– reference: VismaraLAYoungGSRogersSJTelehealth for expanding the reach of early autism training to parentsAutism Research and Treatment2012232273343512210
– reference: RutterMBaileyALordCThe social communication questionnaire2003Los Angeles, CAWestern Psychological Services
– reference: WainerALIngersollBRIncreasing access to an ASD imitation intervention via a telehealth parent training programJournal of Autism and Developmental Disorders201545123877389010.1007/s10803-014-2186-725035089
– reference: MazurekMOKanneSMWodkaELPhysical aggression in children and adolescents with autism spectrum disordersResearch in Autism Spectrum Disorders2013745546510.1016/j.rasd.2012.11.004
– reference: Centers for Disease Control and Prevention (CDC)Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2010Morbidity and Mortality Weekly Report. Surveillance Summary201463121
– reference: American Psychiatric AssociationDiagnostic and statistical manual of mental disorders: DSM-520135Washington, DCAmerican Psychiatric Association10.1176/appi.books.9780890425596
– reference: MaskeyMWarnelFParrJRLe CouterAMcConachieHEmotional and behavioural problems in children with autism spectrum disorderJournal of Autism and Developmental Disorders20134385185910.1007/s10803-012-1622-922895777
– reference: IngersollBWainerALBergerNIPickardKEBonterNComparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCTJournal of Autism and Developmental Disorders20164672275228410.1007/s10803-016-2755-z26922192
– reference: SuessANRomaniPWWackerDPDysonSMKuhleJLLeeJFEvaluating the treatment fidelity of parents who conduct in-home functional communication training with coaching via telehealthJournal of Behavioral Education201423345910.1007/s10864-013-9183-3
– reference: ZablotskyBBlackLIMaennerMJSchieveLABlumbergSJEstimated Prevalence of Autism and Other Developmental Disabilities Following Questionnaire Changes in the 2014 National Health Interview SurveyNational Health Statistics Reports201587121
– reference: ChowdhuryMAmanMGLecavalierLSmithTJohnsonCSwiezyNFactor structure and psychometric properties of the Home Situations Questionnaire for autism spectrum disorder: The Home Situations Questionnaire—Autism Spectrum DisorderAutism: The International Journal of Research and Practice201620552853710.1177/1362361315593941
– reference: WeersingVRBenchmarking the effectiveness of psychotherapy: Program evaluation as a component of evidence-based practiceJournal of the American Academy of Child & Adolescent Psychiatry2005441058110610.1097/01.chi.0000172682.71384.80
– reference: DorseyRETopolEJState of telehealthNew England Journal of Medicine201637515416110.1056/NEJMra160170527410924
– reference: MullenEJMullen scales of early learning1995Bloomington, MNPearson Assessments
– reference: CorselloCHusVPicklesARisiSCookEHLeventhalBLLordCBetween a ROC and a hard place: Decision making and making decisions about using the SCQJournal of Child Psychology and Psychiatry200749993294010.1111/j.1469-7610.2007.01762.x
– reference: IngersollBBergerNIParent engagement with a telehealth-based parent-mediated intervention program for children with autism spectrum disorders: Predictors of program use and parent outcomesJournal of Medical Internet and Research20151710e22710.2196/jmir.4913
– reference: SuessANWackerDPSchwartzJELustigNDetrickJPreliminary evidence on the use of telehealth in an outpatient behavior clinicJournal of Applied Behavior Analysis201649368669210.1002/jaba.30527001117
– reference: KaatJJLecavalierLAmanMGValidity of the aberrant behavior checklist in children with autism spectrum disorderJournal of Autism and Developmental Disabilties2014441103110610.1007/s10803-013-1970-0
– reference: ScahillLBearssKLecavalierLSmithTSwiezyNAmanMEffect of parent training on adaptive behavior in children with autism spectrum disorder and disruptive behavior: Results of a randomized trialJournal of the American Academy of Child and Adolescent Psychiatry201655760260910.1016/j.jaac.2016.05.00127343887
– reference: World Health Organization (2007). Global resources for persons with intellectual disabilities. Retrieved 22 October 2012 http://who.int/metnal_health/evidence/atlas_id_2007.pdf.
– reference: Research Units on Pediatric Psychopharmacology Autism NetworkA pilot study of parent management training in children with pervasive developmental disorderBehavioral Interventions20072217919910.1002/bin.236
– reference: WackerDPLeeJFDalmauYCPKopelmanTGLindgrenSDKuhleJConducting functional communication training via telehealth to reduce the problem behavior of young children with autismJournal of Developmental and Physical Disabilities2013251354810.1007/s10882-012-9314-023543855
– reference: AmanMGMcDougleCJScahillLHandenBArnoldLEJohnsonCMedication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trialJournal of the American Academy of Child and Adolescent Psychiatry2009481143115410.1097/CHI.0b013e3181bfd66919858761
– reference: ElsabbaughMDivanGKohYJKimYSKauchaliSMarcínCGlobal prevalence of autism and other pervasive developmental disordersAutism Research20125316017910.1002/aur.239
– volume: 13
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  publication-title: Autism: The International Journal of Research and Practice
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  publication-title: JAMA: The Journal of the American Medical Association
  doi: 10.1001/jama.2015.3150
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  ident: 3363_CR10
  publication-title: Journal of Child Psychology and Psychiatry
  doi: 10.1111/j.1469-7610.2007.01762.x
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  ident: 3363_CR103
  publication-title: The New England Journal of Medicine
  doi: 10.1056/NEJMoa013171
– volume: 367
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  publication-title: Lancet
  doi: 10.1016/S0140-6736(06)68199-3
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  publication-title: Journal of Autism and Developmental Disorders
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  ident: 3363_CR4
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Snippet Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a...
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SubjectTerms Access to Health Care
Allied Health Personnel
Analysis
Applied Behavior Analysis
Autism
Autism Spectrum Disorders
Autistic children
Behavior Problems
Behavior Rating Scales
Behavioral Science and Psychology
Behavioral Sciences
Benchmarking
Care and treatment
Caregivers
Child and School Psychology
Child Health
Children
Cost Effectiveness
Daily Living Skills
Disruptive behaviour
Efficacy
Family (Sociological Unit)
Feasibility
Feasibility Studies
Fidelity
Health care services accessibility
Health Services
Influence of Technology
Medical technology
Meta Analysis
Neurosciences
Outcome Measures
Outcomes of Treatment
Parent Education
Parent training
Parent-child relations
Parenthood education
Parents
Parents & parenting
Pediatrics
Pervasive Developmental Disorders
Pilot Projects
Psychological Patterns
Psychological research
Psychology
Public Health
Rural Areas
Rural communities
S.I. : Parenting Children with ASD
Specialized services
Student Behavior
Telecommunications
Telemedicine
Therapists
Therapy
Training
Videoconferencing
World Problems
Young Children
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Title Feasibility of Parent Training via Telehealth for Children with Autism Spectrum Disorder and Disruptive Behavior: A Demonstration Pilot
URI https://link.springer.com/article/10.1007/s10803-017-3363-2
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https://www.proquest.com/docview/1968442263
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