Unholz-Bowden Emily, McComas Jennifer J, McMaster Kristen L, Girtler Shawn N, Kolb Rebecca L, Shipchandler Alefyah
Department of Educational Psychology, University of Minnesota, 56 E River Rd, Minneapolis, MN 55455, USA.
J Behav Educ. 2020 Jun;29(2):246-281. doi: 10.1007/s10864-020-09381-7. Epub 2020 Apr 2.
Telehealth has been utilized to provide behavioral services to families with children with autism spectrum disorder (ASD) and other disabilities. This systematic review provides an update on current research pertaining to the use of telehealth to provide behavior analytic-based services and train caregivers in implementing behavioral procedures. This review also describes information on reported training components and caregivers' procedural fidelity. Empirical studies were collected from five databases. Overall, the studies provide evidence of the utility of telehealth as a service delivery model for providing behavior analytic-based services and for training caregivers to implement behavioral assessments and procedures. The authors discuss potential considerations for developing training packages and training caregivers via telehealth. Future research should use experimental methods to determine effective components for training individuals via telehealth to use behavioral procedures with good fidelity as well as to detect other factors that may influence procedural fidelity.
远程医疗已被用于为患有自闭症谱系障碍（ASD）和其他残疾的儿童家庭提供行为服务。本系统综述提供了有关使用远程医疗提供基于行为分析的服务以及培训护理人员实施行为程序的当前研究的最新情况。本综述还描述了有关报告的培训内容和护理人员程序保真度的信息。从五个数据库收集了实证研究。总体而言，这些研究提供了证据，证明远程医疗作为一种服务提供模式，在提供基于行为分析的服务以及培训护理人员实施行为评估和程序方面具有实用性。作者讨论了通过远程医疗开发培训包和培训护理人员的潜在考虑因素。未来的研究应使用实验方法来确定通过远程医疗培训个人以高保真度使用行为程序的有效组成部分，以及检测可能影响程序保真度的其他因素。
