Service Delivery

Feasibility of Parent Training via Telehealth for Children with Autism Spectrum Disorder and Disruptive Behavior: A Demonstration Pilot.

Bearss et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Telehealth parent training is doable and liked, but newer studies give stronger tools for bigger behavior change.

✓ Read this if BCBAs running rural or home-based programs for young kids with autism.
✗ Skip if Clinicians already using full FCT telehealth protocols.

01Research in Context

01

What this study did

Bearss et al. (2018) tested if parents could learn autism behavior tools through video calls.

They worked with rural families who had preschoolers with autism and daily tantrums.

Parents met a trainer on Zoom each week for ten lessons and homework checks.

02

What they found

Almost every family finished the course and said they liked it.

Parents used the new skills at home and 79% of kids were rated much or very much improved.

03

How this fits with other research

Lindgren et al. (2020) later ran a full RCT with the same age group and cut problem behavior by 98%.

Schieltz et al. (2022) repeated the model with 199 families around the world and still saw strong gains.

These newer studies keep the telehealth idea but add tighter controls and bigger samples, so they now set the gold standard.

04

Why it matters

Karen et al. proved telehealth parent training can work in small towns. Later papers show the same method can slash severe behavior when you add functional communication steps. If you coach parents on Zoom, start with Karen’s simple lessons, then layer in FCT tools from Lindgren or Schieltz for bigger impact.

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Schedule a 30-minute Zoom teach with parents on giving clear instructions and praise, then email a short video model.

02At a glance

Intervention
parent training
Design
pre post no control
Sample size
14
Population
autism spectrum disorder
Finding
positive

03Original abstract

Telehealth is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD) in rural areas. We conducted a feasibility trial of parent training with children ages 3-8 with ASD and disruptive behavior from rural communities. Fourteen children (mean age 5.8 ± 1.7) from four telehealth sites enrolled. Thirteen families (92.9%) completed treatment, with 91.6% of core sessions attended. Therapists attained 98% fidelity to the manual and 93% of expected outcome measures were collected at week 24. Eleven of 14 (78.6%) participants were rated as much/very much improved. Parent training via telehealth was acceptable to parents and treatment could be delivered reliably by therapists. Preliminary efficacy findings suggests further study is justified.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3363-2