Department of Experimental, Clinical and Health Psychology, Ghent University, Belgium.
Tendrils Centre for Autism Research and Intervention, India.
J Appl Behav Anal. 2020 Sep;53(4):1838-1855. doi: 10.1002/jaba.763. Epub 2020 Sep 20.
With telehealth gaining acceptance as a service delivery method, behavior analysts are now providing services to individuals worldwide. This review highlights the cultural adaptations used in ABA-based telehealth treatments for individuals with ASD outside of the United States. Nine studies met our inclusion criteria and the data were synthesized narratively. All studies reported some type of cultural adaptation, with most studies reporting changes made to the service delivery method. This included using translated materials; training in the language of the client; and matching the trainer in birthplace, ethnicity, or gender with the participants. The adaptations described in published research can serve as a resource for behavior analysts who have interest in global telehealth services. However, given the emerging nature of this area of research, it is challenging to know which adaptations are necessary to achieve optimal outcomes. The review concludes with ideas for research development in this area.
随着远程医疗作为一种服务提供方式逐渐被接受，行为分析师现在正在为世界各地的个人提供服务。本综述强调了美国以外的基于 ABA 的远程医疗治疗自闭症谱系障碍患者中使用的文化适应性。九项研究符合我们的纳入标准，数据以叙述性方式进行综合。所有研究都报告了某种类型的文化适应性，大多数研究报告了对服务提供方式的改变。这包括使用翻译材料；在客户的语言方面进行培训；并使培训师的出生地、种族或性别与参与者相匹配。已发表的研究中描述的适应性可以为有兴趣提供全球远程医疗服务的行为分析师提供资源。然而，鉴于该研究领域的新兴性质，很难知道需要进行哪些适应性调整才能实现最佳效果。该综述最后提出了该领域研究发展的思路。
