Service Delivery

A randomized clinical trial of a virtual‐training program for teaching applied‐behavior‐analysis skills to parents of children with autism spectrum disorder

Fisher et al. (2020) · Journal of Applied Behavior Analysis 2020
★ The Verdict

Parents can master ABA skills through a short, game-like online course that needs no in-person travel.

✓ Read this if BCBAs who run parent-training programs or serve rural families.
✗ Skip if Clinicians who only work one-to-one with clients and never coach caregivers.

01Research in Context

01

What this study did

Fisher’s team built a fully online parent-training course. Parents logged in through a VPN. They watched short lessons, then practiced each skill with a scripted role-play partner on screen.

Kids with autism stayed home. Researchers randomly split families into two groups. One group started the course right away. The other waited.

02

What they found

Parents who took the virtual course used ABA skills far better than the wait-list group. Gains were large and easy to see.

Parents also said they liked the program. They felt confident and wanted to keep using the skills.

03

How this fits with other research

Older studies already showed moms and dads can run ABA at home. Irvin et al. (1998) and Bromley et al. (1998) used in-person coaching and saw big IQ and language jumps. Fisher keeps the parent-power idea but drops the in-person visits.

A 2011 survey by R et al. sounded a warning: many parents stop using the tactics after class ends. Fisher’s new course may dodge that drop-off by adding fun, repeatable role-plays that build confidence.

Two VR job-training trials, Lemons et al. (2015) and Hamama et al. (2021), prove autistic learners respond well to rehearsing skills inside a screen. Fisher moves the same idea to parent education and gets the same strong result.

04

Why it matters

You no longer need to drive to homes or clinics to train parents well. A laptop, headset, and a clear script do the job. Try adding Fisher’s VPN modules to your parent-training plan next week. Track which families log in and praise them when they post a great role-play clip.

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Send each parent a two-minute demo video and schedule a live Zoom role-play; score their first trial with the same checklist Fisher used.

02At a glance

Intervention
parent training
Design
randomized controlled trial
Population
autism spectrum disorder
Finding
strongly positive
Magnitude
large

03Original abstract

Parents play an important role in the treatment of their children's symptoms of autism spectrum disorder (ASD); thus, developing effective, efficient, socially acceptable, and accessible procedures for training parents to implement applied-behavior-analysis (ABA) interventions is critically important. One potential approach involves delivering training via a virtual private network (VPN) over the internet (Fisher et al., 2014). In this study, we conducted a randomized clinical trial to evaluate a virtual parent-training program with e-learning modules and scripted role-play via a VPN. We evaluated parent implementation of ABA skills using direct-observation measures in structured-work and play-based training contexts. Parents in the treatment group showed large, statistically significant improvements on all dependent measures; those in the waitlist-control group did not. Parents rated the training as highly socially acceptable. Results add to the growing literature on the efficacy and acceptability of virtually delivered training in ABA.

Journal of Applied Behavior Analysis, 2020 · doi:10.1002/jaba.778