Preliminary findings of a telehealth approach to parent training in autism.
Telehealth parent training can work, but you need live coaching and fidelity checks to match the pilot gains.
01Research in Context
What this study did
Eight families tried parent training through a computer. They got live video calls plus a website with lessons.
Kids had autism. Parents learned to boost talking and shared looking. No one had to drive to a clinic.
What they found
Parents used the new skills. Kids spoke more and looked at faces longer.
The team called the results good enough to test again with more families.
How this fits with other research
Ingersoll et al. (2016) ran a small RCT and beat the pilot. They added a live coach and saw bigger gains in parent fidelity and child social skills.
Hao et al. (2021) went head-to-head: telehealth matched in-person parent training for language gains. That tells us the screen itself is not a barrier.
Yi et al. (2021) looked inside real-world public sessions and found low coaching fidelity. Their audit warns us that lab success can melt once the same model hits busy public clinics.
Why it matters
You can start parent coaching today without waiting for office space. Use secure video plus a shared site for handouts and short clips. Track parent fidelity each week; if it stalls, add live in-vivo feedback just like Brooke did. Watch for drift once the model leaves your pilot caseload—Yi shows us real systems need staff booster training.
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02At a glance
03Original abstract
Telehealth or online communication technologies may lessen the gap between intervention requirements for children with autism spectrum disorders (ASDs) and the available resources to provide these services. This study used a video conferencing and self-guided website to provide parent training in the homes of children with ASD. The first eight families to complete the 12-week online intervention and three-month follow up period served as pilot data. Parents' intervention skills and engagement with the website, as well as children's verbal language and joint attention skills were assessed. Preliminary research suggests telehealth may support parental learning and improve child behaviors for some families. This initial assessment of new technologies for making parent training resources available to families with ASD merits further, in-depth study.
Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-013-1841-8