|Efficacy and Acceptability of Telehealth Training and Coaching Across Caregivers and Professionals
|Saturday, May 23, 2020
|10:00 AM–10:50 AM
|Walter E. Washington Convention Center, Level 1, Room 103
|Area: DDA/EDC; Domain: Applied Research
|Chair: Elizabeth Anne Horton (Hope College)
|CE Instructor: Elizabeth Anne Horton, Ph.D.
Efficient and effective training on evidence-based practices including applied behavior analysis (ABA) based interventions may not be accessible to caregivers and professionals implementing interventions. In order for caregivers and professionals to effectively implement ABA-based interventions, training and ongoing coaching are critical. However, numerous training barriers associated with traditional didactic models exist (e.g., time, costs, scheduling, shortage of qualified individuals). Telehealth is a model that can address these barriers and support individuals as they learn to implement ABA-based interventions. Telehealth is the use of online and communication technologies to deliver explicit training and ongoing coaching from a distance. This presentation aims to address the need for efficient and effective training on ABA-based interventions through the use of telehealth. The results of four single-case design studies in which caregivers and professionals (e.g., teachers, early intervention providers, and parents) were taught and coached via telehealth to implement ABA-based interventions are presented. Data regarding implementation fidelity, child outcomes, and social validity are shared.
|Instruction Level: Basic
|Keyword(s): coaching, early childhood, telehealth, telepractice
|Inclusive Preschool Practitioners’ Implementation of Naturalistic Developmental Behavioral Intervention Using Telehealth Training
|SOPHIA R D'AGOSTINO (Hope College), Sarah Douglas (Michigan State University), Elizabeth Anne Horton (Hope College)
|Abstract: This single-case investigation was designed to evaluate the effects of telehealth training on practitioner implementation of a naturalistic developmental behavioral intervention (NDBI). Six general education preschool practitioners engaged in an intervention with six children with varying disabilities in inclusive classroom settings. The telehealth training package included a collaborative approach to intervention planning, online training module, video self-evaluation, and performance feedback via videoconferencing. Following telehealth training, practitioners reached criteria for implementation fidelity and increased communication opportunities. Additionally, child participants increased communication behaviors above baseline levels. All behaviors generalized to a different activity context and maintained over time. Social validity was measured and results suggest high levels of acceptability for the telehealth training package.
|The Cascading Coaching Model: Supporting Service Providers, Caregivers, and Children via Telepractice
|HEDDA MEADAN (University of Illinois at Urbana-Champaign), Moon Chung (Stonehill College), Michelle Sands (University of Illinois), Melinda Snodgrass (Illinois State University)
|Abstract: Teaching caregivers to support their young children’s language development is recommended as an effective early language intervention, and caregiver-implemented interventions are recognized as evidence-based. However, as the natural change agents for training and coaching caregivers, early intervention (EI) service providers are in need of professional development to effectively coach caregivers to use interventions with their child. The purpose of this study was to examine the Coaching Caregivers Professional Development program (CoCare PD) in which researchers train and coach EI service providers via telepractice in caregiver coaching, a set of skills useful in nurturing partnerships with families to support caregivers’ use of evidence-based practices with their young children with disabilities. A single-case research study across four EI service providers was conducted and findings support a functional relation between training and coaching EI service providers via telepractice and providers’ use of coaching practices with families on their caseload.
The Efficacy and Acceptability of Telehealth for Parents and Professionals Using Behaviour Analysis With Children
|KATERINA DOUNAVI (Queen's University Belfast), Janet Ferguson (Queen's University Belfast), Emma Craig (Queen's University, Belfast)
Applied Behaviour Analysis is the basis of the most effective interventions for the treatment of Autism Spectrum Disorders. However, there is a significant shortage in appropriately qualified individuals (i.e., Board Certified Behavior Analysts; BCBA®) that can design and oversee the implementation of individually-tailored interventions that meet service-recipients needs. To address this gap in professional training and service provision, telehealth has emerged as a model that makes use of technology to increase treatment efficiency and accessibility by providing remote training and supervision of behaviour analytic treatment. Given existing research on the use of telehealth presents important methodological flaws, rigorous experiments are warranted before telehealth can be classified as evidence-based practice. Our work has focused on the creation and experimental testing of two parent and professional training packages that use instruction and live coaching to teach skills that promote communication and independent living skills. In this presentation, we will share data on efficacy in terms of parent/professional skill acquisition and child outcomes, fidelity of implementation and social validity.