Randomized Controlled Trial of Telehealth-Enabled Versus In-Person Parent-Mediated Behavioral Treatment for Challenging Behaviors in Autism Spectrum Disorder
Abstract
The overarching goal of this research is to address disparities in access to critically needed healthcare for families of children diagnosed with autism spectrum disorder (ASD), particularly those in rural and medically underserved communities. Our project will directly address whether remote delivery of parent-mediated behavioral therapy, based on the principles of applied behavior analysis (ABA), is more efficient and results in less stress on the family compared to traditional in-person parent mediated behavioral therapy for the treatment of challenging behavior in children with ASD. In the first year of the project, we conducted interviews with 10 caregivers, 10 providers and 5 payers to identify the priorities and barriers associated with receiving/providing ABA services both via telehealth and in-person. Caregivers reported experiencing significant barriers to accessing ABA services for their child. These barriers included their child's behavioral challenges, difficulties accessing ABA services due to delays and staff turnover, drawbacks and benefits of receiving ABA services via telehealth, and the costs associated with receiving ABA services. Results support the need for randomized controlled trials comparing telehealth enabled versus in-person parent-mediated behavioral treatment for challenging behaviors in children with ASD. In the next reporting period, we will enroll families for the randomized controlled trial.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 01, 2023
- Accession Number
- AD1207381
Entities
People
- Joy S. Pollard
- Scott S. Hall
Organizations
- Stanford University