The University of Iowa, Iowa City, USA.
Behav Modif. 2023 Jan;47(1):154-184. doi: 10.1177/01454455221106127. Epub 2022 Jun 22.
Research on the delivery of behavioral assessment and treatment via telehealth has focused largely on child outcomes and parent procedural fidelity. By contrast, the behavior of the therapists coaching parents to conduct assessment and treatment has garnered little research consideration. In this study, we conducted a retrospective analysis of behavior therapists' coaching behaviors when directing parents to conduct functional analysis (FA) and functional communication training (FCT) with their young children with autism via telehealth. Coaching behaviors for five experienced behavior therapists across seven parent-child dyads were scored using a combination of standardized and novel behavior codes. Therapists displayed more social engagement behaviors than any other type of behavior throughout the study, and rates of antecedent and consequence behaviors shifted across the FA and FCT phases. Results are discussed in relation to therapists' goals during behavioral assessment and treatment and the implications for training behavioral therapists to coach parents via telehealth.
通过远程医疗进行行为评估和治疗的研究主要集中在儿童的结果和家长的程序保真度上。相比之下,对指导家长进行评估和治疗的治疗师的行为关注较少。在这项研究中,我们对行为治疗师在通过远程医疗指导家长对其患有自闭症的幼儿进行功能分析(FA)和功能沟通训练(FCT)时的指导行为进行了回顾性分析。对五名经验丰富的行为治疗师在七个亲子对子中的指导行为使用标准化和新颖的行为代码进行了评分。在整个研究过程中,治疗师表现出的社会参与行为多于任何其他类型的行为,并且在 FA 和 FCT 阶段,前因和后果行为的比率发生了变化。结果与治疗师在行为评估和治疗过程中的目标以及培训行为治疗师通过远程医疗指导家长的意义有关。