Frederick Janice K, Rogers Valerie R, Raabe Ginger R
The ABRITE Organization, 749 37th Ave, Santa Cruz, CA 95062 USA.
Behav Anal Pract. 2021 Apr 15;15(1):347-369. doi: 10.1007/s40617-020-00550-8. eCollection 2022 Mar.
Access to clinically recommended applied behavior analysis (ABA) services has been significantly impacted for many consumers in light of the global COVID-19 pandemic. Local shelter-in-place orders and safety concerns have resulted in a movement toward telepractice models across educational and medically necessary ABA services, including at the level of the behavior technician. With this novel mode of technician-level intervention, practitioners have faced many learner, caregiver, and setting variables that have served as barriers to accessing telepractice intervention. Given the novelty of and limited empirical investigations on technician-level telepractice, solutions for common barriers are urgently needed. The current discussion article, therefore, describes the necessity of evaluating the efficacy of telepractice at the level of the technician, puts forth the position that telepractice should be considered a safeguard to accessing ABA intervention given evolving crises such as the pandemic, and provides a detailed description of employed training models and materials, problem-resolution strategies aimed at overcoming specific barriers, and initial outcomes across educational and medically necessary intervention models with the intent to support practitioners in identifying and overcoming barriers such that consumers can access needed intervention.
The online version contains supplementary material available at 10.1007/s40617-020-00550-8.
鉴于全球新冠疫情,许多消费者获得临床推荐的应用行为分析(ABA)服务受到了重大影响。当地的居家令和安全担忧导致教育和医疗必需的ABA服务,包括行为技术员层面的服务,都转向了远程实践模式。随着这种技术员层面干预的新模式出现,从业者面临着许多学习者、照顾者和环境变量,这些都成为了获得远程实践干预的障碍。鉴于技术员层面远程实践的新颖性和有限的实证研究,迫切需要解决常见障碍的方法。因此,当前的讨论文章描述了在技术员层面评估远程实践效果的必要性,提出鉴于诸如疫情等不断演变的危机,远程实践应被视为获得ABA干预的一种保障的观点,并详细描述了所采用的培训模式和材料、旨在克服特定障碍的问题解决策略,以及教育和医疗必需干预模式的初步成果,旨在支持从业者识别和克服障碍,以便消费者能够获得所需的干预。
在线版本包含可在10.1007/s40617-020-00550-8获取的补充材料。