Telepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic review

Boisvert, Michelle; Lang, Russell; Andrianopoulos, Mary; Boscardin, Mary Lynn

doi:10.3109/17518423.2010.499889

Cited by 182 publications

(174 citation statements)

References 27 publications

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“…The articles included in this review were most commonly rated as "Weak" or "Borderline Adequate" on the Evaluative Method, indicating that they lacked key indicators of methodological quality. This finding replicates earlier findings by Boisvert et al (2010) who similarly found that research relating to telehealth support for people with ASD had key methodological flaws. Only five studies in the current review were rated as "Adequate" (one relating to trainee outcomes: Knowles et al 2017; four relating to client outcomes: Lindgren et al 2016;Machalicek et al 2009b;Neely et al 2016;Wacker et al 2013a), and one as "Strong" (relating to client outcomes: Gibson et al 2010).…”

Section: Methodsological Quality Of Evidence Basesupporting

confidence: 90%

“…There is currently no known review focusing solely on behavior analytic research, with previous reviews focusing on other fields (e.g., psychotherapy Gros et al 2013; palliative care, Kidd et al 2010; speech pathology, Mashima and Doarn 2008), or more broad training interventions for parents of children with disabilities (e.g., Meadan and Daczewitz 2015). Boisvert et al (2010) recently reviewed literature relating to the use of telehealth for providing support to individuals with an Autism Spectrum Disorder (ASD), including five studies focusing solely on ABA techniques. The review included articles where support was provided in relation to behavior and educational goals to teaching staff and parents, or psychological support provided directly to individuals with ASD.…”

Section: Introductionmentioning

confidence: 99%

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Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

2018

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The purpose of this article is to summarize literature relating to training individuals to implement applied behavior analytic procedures via telehealth and identify any gaps in the evidence base for this type of support. A systematic literature search revealed 20 articles focusing on training individuals to implement specific ABA techniques via telehealth. The Evaluative Method (Reichow et al. in J Austism Dev Disord 38:1311-1319; Reichow, in: Reichow, Doehring, Cicchetti, Volkmar (eds) Evidence-based practices and treatments for children with autism, Springer, New York, Reichow 2011) was used to assess the methodological quality of included articles. Results indicated that individuals were trained to implement a range of techniques, including assessments, targeted interventions, and specific teaching techniques. Socially significant outcomes were reported for clients in the form of reduced challenging behavior and increased skills. Trainee fidelity following training via telehealth was variable, and barriers related to the use of telehealth were highlighted. Where evaluated, cost and travel burdens were considerably lower than support provided in-person. The emerging literature is promising and suggests that telehealth may be an effective means of training individuals in ABA techniques; however, wider issues and practical implications related to the use of telehealth should be considered and are discussed as it relates to ABA providers.

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Section: Methodsological Quality Of Evidence Basesupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

2018

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“…A signifi cant history of the use of technology to provide healthcare and therapeutic assessment and intervention exists to provide successful models for practitioners to adapt to their communities and organisations (Behl, Houston, Guthrie, & Guthrie, 2010;Boisvert, Lang, Andrianopoulos, & Boscardin, 2010). Early pioneers in healthcare and rehabilitation services identifi ed ethical and legal issues, including the professional responsibilities necessary for quality teleintervention services (Cohn & Cason, 2012).…”

Section: A Preview Of the Teleintervention Modelmentioning

confidence: 99%

Feasibility of Orientation and Mobility Services for Young Children with Vision Impairment using Teleintervention

Dewald

Smyth

2013

International Journal of Orientation &Amp; Mobility

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“…[12][13][14][15] The ADOS is a critical part of ASD assessment in adults, but there is a lack of available clinical expertise to meet need, 16 especially in poorly served areas. A possible solution is the use of technology for remote assessment.…”

mentioning

confidence: 99%

Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4

Schutte

McCue

Parmanto

et al. 2015

Telemedicine and e-Health

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Introduction: The Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). Materials and Methods: VISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey. Results: Participant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient = 0.92). Nonagreement may have been due to outside factors or practice effect despite a washout period. Conclusions: The results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability.

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Telepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic review

Abstract: Results suggests telepractice is a promising service delivery approach in the treatment of individuals with ASD that warrants additional research. Guidelines for practitioners and potential directions for future research are discussed.

Cited by 182 publications

References 27 publications

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

Feasibility of Orientation and Mobility Services for Young Children with Vision Impairment using Teleintervention

Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4

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