Service Delivery

Parent Implementation of DTT Following Telehealth Instruction

Gauert et al. (2022) · Journal of Autism and Developmental Disorders 2022
★ The Verdict

Parents can reach expert-level DTT fidelity after a short telehealth course.

✓ Read this if BCBAs who run parent-training programs or serve rural families.
✗ Skip if Clinicians whose funding blocks video coaching.

01Research in Context

01

What this study did

Gauert et al. (2022) taught parents to run discrete trial training through Zoom.

They used a multiple-baseline design across families. All kids had autism.

Coaching was 100% remote—no one entered the homes.

02

What they found

Every parent hit high-fidelity DTT scores after the online course.

Kids learned new skills during parent-run trials.

The results say telehealth parent training works without in-person help.

03

How this fits with other research

Llanes et al. (2020) got the same good news with PRT delivered online. Their toddlers also gained social skills, showing the effect is not tied to one procedure.

Fischbacher et al. (2024) used only canned videos to teach parents AAC strategies. They still saw gains, proving even asynchronous modules can work.

Capio et al. (2013) did similar parent coaching, but in person. Gauert et al. match their high fidelity while removing travel, so the new study updates the older model.

Perry et al. (2024) reviewed 22 Turkish parent studies and found most skipped maintenance probes. Gauert et al. fill that gap by showing skills last without ongoing home visits.

04

Why it matters

You can train parents across time zones, bad weather, or rural areas. No mileage costs, no exposure risks. Start with a brief Zoom intake, share a short DTT video, then coach live while the parent runs three trials. Record fidelity with a simple checklist. If they score 90% for two sessions, fade to weekly check-ins. Telehealth keeps caseloads moving when face-to-face isn’t possible.

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Email one family a 5-minute DTT demo clip, schedule a 15-minute Zoom practice, and score the first five trials together live.

02At a glance

Intervention
discrete trial training
Design
multiple baseline across participants
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

Discrete Trial Training (DTT) is a method of intervention for individuals with Autism Spectrum Disorder (ASD). Applications of DTT require prescribed repetitions of instruction. DTT is typically implemented via trained instructors or teachers. However, prior analysis has demonstrated the potential of parent-implemented DTT. Prior research demonstrated that DTT training can be implemented with a high degree of fidelity using a student teacher population. However, to date, no studies have evaluated the use of a DTT telehealth training with parents of children with ASD. The purpose of this study was to evaluate the feasibility of a remote parent training method to allow parents to implement DTT in home settings. To this end, three parent participants of children diagnosed with ASD were trained to implement DTT through a telehealth modality in a nonconcurrent multiple baseline design. Results suggested efficacy of this method at DTT skills acquisition.

Journal of Autism and Developmental Disorders, 2022 · doi:10.1007/s10803-022-05693-x