A systematic review of cultural adaptations in the global application of <scp>ABA</scp>‐based telehealth services

Sivaraman, Maithri; Fahmie, Tara A.

doi:10.1002/jaba.763

Cited by 37 publications

(24 citation statements)

References 48 publications

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“…We also found that men who used a firearm for suicide tended to be over-represented in the less-diagnosed class. This is consistent with past findings [14] and may reflect that firearm suicide deaths may be characterized by a greater degree of impulsivity [20]. Because firearms are the most lethal means of inflicting self-injury [21], a person who impulsively attempts suicide with a firearm is much more likely to die as a result of the attempt than if they had made the attempt using any other method.…”

Section: Sexsupporting

confidence: 91%

Suicide typologies among Medicaid beneficiaries, North Carolina 2014–2017

et al. 2022

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Background There is a well-established need for population-based screening strategies to identify people at risk of suicide. Because only about half of suicide decedents are ever diagnosed with a behavioral health condition, it may be necessary for providers to consider life circumstances that may also put individuals at risk. This study described the alignment of medical diagnoses with life circumstances by identifying suicide typologies among decedents. Demographics, stressful life events, suicidal behavior, perceived and diagnosed health problems, and suicide method contributed to the typologies. Methods This study linked North Carolina Medicaid and North Carolina Violent Death Reporting System (NC-VDRS) data for analysis in 2020. For suicide decedents from 2014 to 2017 aged 25–54 years, we analyzed 12 indicators of life circumstances from NC-VDRS and 6 indicators from Medicaid claims, using a latent class model. Separate models were developed for men and women. Results Most decedents were White (88.3%), with a median age of 41, and over 70% had a health care visit in the 90 days prior to suicide. Two typologies were identified in both males (n = 175) and females (n = 153). Both typologies had similar profiles of life circumstances, but one had high probabilities of diagnosed behavioral health conditions (45% of men, 71% of women), compared to low probabilities in the other (55% of men, 29% of women). Black beneficiaries and men who died by firearm were over-represented in the less-diagnosed class, though estimates were imprecise (odds ratio for Black men: 3.1, 95% confidence interval: 0.8, 12.4; odds ratio for Black women: 5.0, 95% confidence interval: 0.9, 31.2; odds ratio for male firearm decedents: 1.6, 95% confidence interval: 0.7, 3.4). Conclusions Nearly half of suicide decedents have a typology characterized by low probability of diagnosis of behavioral health conditions. Suicide screening could likely be enhanced using improved indicators of lived experience and behavioral health.

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Section: Sexsupporting

confidence: 91%

Suicide typologies among Medicaid beneficiaries, North Carolina 2014–2017

et al. 2022

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“…Whilst these US-based international studies are vital and welcomed additions to the literature, there is a dearth of research being produced by global researchers (i.e., studies in which neither researcher nor participants are located within the US). This has been highlighted in a recent review (Sivaraman & Fahmie, 2020 ). Emerging research, although limited, has indicted international replications are possible (e.g., Craig et al 2021 ) but to date and to the best of our knowledge there have been no studies published by researchers outside of the US investigating solely a telehealth platform to provide training to parents in naturalistic interventions.…”

mentioning

confidence: 86%

The impact of a telehealth platform on ABA-based parent training targeting social communication in children with autism spectrum disorder

2022

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Interventions based upon applied behaviour analysis (ABA) have been shown to be best practice for children with autism spectrum disorder. However, in many parts of the world there is a shortage of appropriately trained behaviour analysts. Telehealth is a potential solution to increasing access to ABA. Our study assessed the use of telehealth to provide parent training in naturalistic teaching strategies designed to increase child communication skills. Five parent child dyads took part in the training, utilising didactic training and synchronous coaching. Parents could be trained to a high level of fidelity and viewed the training favourably. Children showed variable gains in communication and improved positive affect. The project was cost effective in comparison with traditional training models.

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“…The cultural appropriateness and acceptability of telehealth consultations and development of cultural frameworks to guide telehealth use should be considered more broadly, particularly if services are being delivered transnationally. 69 , 70 …”

Section: Discussionmentioning

confidence: 99%

Using telehealth consultations for healthcare provision to patients from non-Indigenous racial/ethnic minorities: a systematic review

Truong

Yeganeh

Cook

et al. 2022

Journal of the American Medical Informatics Association

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Objective The COVID-19 pandemic has seen a rapid adoption of telehealth consultations, potentially creating new barriers to healthcare access for racial/ethnic minorities. This systematic review explored the use of telehealth consultations for people from racial/ethnic minority populations in relation to health outcomes, access to care, implementation facilitators and barriers, and satisfaction with care. Materials and Methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and the Joanna Briggs Institute Manual for Evidence Synthesis. Five major databases were searched to identify relevant studies. Screening, full-text review, quality appraisal, and data extraction were all completed independently and in duplicate. A convergent integrated approach to data synthesis was applied with findings reported narratively. Results A total of 28 studies met the inclusion criteria. Telehealth-delivered interventions were mostly effective for the treatment/management of physical and mental health conditions including depression, diabetes, and hypertension. In several studies, telehealth improved access to care by providing financial and time benefits to patients. Technological difficulties were the main barriers to effective telehealth consultation, although overall satisfaction with telehealth-delivered care was high. Discussion Telehealth-delivered care for racial/ethnic minorities offers promise across a range of conditions and outcomes, particularly when delivered in the patient’s preferred language. However, telehealth may be problematic for some due to cost and limited digital and health literacy. Conclusion The development and implementation of guidelines, policies, and practices in relation to telehealth consultations for racial/ethnic minorities should consider the barriers and facilitators identified in this review to ensure existing health disparities are not exacerbated.

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A systematic review of cultural adaptations in the global application of ABA‐based telehealth services

Cited by 37 publications

References 48 publications

Suicide typologies among Medicaid beneficiaries, North Carolina 2014–2017

Suicide typologies among Medicaid beneficiaries, North Carolina 2014–2017

The impact of a telehealth platform on ABA-based parent training targeting social communication in children with autism spectrum disorder

Using telehealth consultations for healthcare provision to patients from non-Indigenous racial/ethnic minorities: a systematic review

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