Service Delivery

Guidelines for Developing Telehealth Services and Troubleshooting Problems with Telehealth Technology When Coaching Parents to Conduct Functional Analyses and Functional Communication Training in Their Homes.

Lee et al. (2015) · Behavior analysis in practice 2015
★ The Verdict

Telehealth lets you coach parents through FA and FCT from far away—expect tech hiccups and use the paper’s checklist to stay ready.

✓ Read this if BCBAs who run FA/FCT in rural areas or during bad weather.
✗ Skip if Clinic-only BCBAs with zero interest in remote service.

01Research in Context

01

What this study did

Foti et al. (2015) wrote a how-to guide for running FA and FCT through a computer screen.

They coached parents of kids with autism while the family stayed home and the BCBA sat 200 miles away.

The paper lists every tech tool you need and the glitches that will probably happen.

02

What they found

No numbers are given. The team simply shares what broke and how they fixed it.

Dropped calls, fuzzy video, and echo sounds are normal—have a phone backup ready.

03

How this fits with other research

Schieltz et al. (2020) later wrapped this guide into a bigger picture: telehealth FA/FCT is doable if you start with a five-minute tech check.

Doughty et al. (2010) showed that trial-based FA cuts assessment time by about 85 %. F et al. used the same short trials, proving the speed-up works through a screen.

Guinness et al. (2024) adds a fine-tune: give corrective feedback right before the next FA run, not after. This timing trick can be plugged into the telehealth coach script F et al. describe.

04

Why it matters

You can run a full FA and FCT without driving to the home. Print the equipment list from F et al., mail it to the family, and schedule a 15-minute tech rehearsal. When the screen freezes, switch to phone audio and keep coaching. The guide keeps you calm and the parent still learns the steps.

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Send the family the gear list, then run a five-minute Zoom test before the first FA session.

02At a glance

Intervention
functional communication training
Design
case study
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The researchers in the project used telehealth to conduct functional analyses and functional communication training in homes of children diagnosed with autism who displayed problem behavior. Parents conducted all assessment and treatment procedures within their homes while receiving coaching from applied behavior analysts located approximately 200 miles away from them. In this article, the researchers summarize the technical systems they used to develop a telehealth service and the concerns and problems they have encountered using telehealth and provide some guidelines for how to troubleshoot those problems.

Behavior analysis in practice, 2015 · doi:10.1007/s10864-013-9183-3