Olcay Seray, Karabulut Elif, Saral Dincer
Special Education Department, Hacettepe University, Ankara, Turkey.
Tohum Autism Foundation School, Istanbul, Turkey.
Int J Dev Disabil. 2023 Mar 22;70(8):1478-1489. doi: 10.1080/20473869.2023.2190988. eCollection 2024.
Telehealth is a broad term that describes the use of communication technologies to deliver diagnoses and educational services. Recent guidelines for practicing telehealth indicate that interventions directly delivered to individuals with autism spectrum disorder (ASD) via telehealth may be appropriate and effective. However, as few studies have directly delivered interventions to individuals diagnosed with a disability via telehealth, more research is needed. This study examined the effects of telehealth-delivered simultaneous prompting combined with observational learning in young children with ASD. Two children aged 5 years who were diagnosed with ASD participated in this study. The students and implementers were located in different physical settings. A multiple-probe design across behaviors replicated across participants was used to examine the effects of the procedure. The students acquired the target and observational responses. Importantly, both students maintained the acquired responses one, two, and six weeks after the intervention and generalized them across different conditions. The students' teachers had positive opinions regarding the procedures and outcomes. The findings of this single-subject study have important implications for delivering interventions directly to young children with ASD via telehealth. The study's limitations and implications for future research are also discussed.
远程医疗是一个广义术语,描述了利用通信技术提供诊断和教育服务的情况。最近关于实施远程医疗的指南表明,通过远程医疗直接为自闭症谱系障碍(ASD)患者提供干预可能是合适且有效的。然而,由于很少有研究通过远程医疗直接为残疾患者提供干预,因此需要更多的研究。本研究考察了通过远程医疗提供的同步提示与观察学习相结合对患有ASD的幼儿的影响。两名5岁被诊断患有ASD的儿童参与了本研究。学生和实施者身处不同的物理环境。采用跨参与者重复的行为多探针设计来考察该程序的效果。学生们学会了目标反应和观察反应。重要的是,两名学生在干预后1周、2周和6周都保持了所学反应,并在不同条件下进行了泛化。学生的教师对这些程序和结果持积极看法。这项单受试者研究的结果对于通过远程医疗直接为患有ASD的幼儿提供干预具有重要意义。还讨论了该研究的局限性以及对未来研究的启示。