Service Delivery

Telehealth for Family Guidance: Acceptance and Commitment Therapy, Parent-Focused Preference Assessment, and Activity-Based Instruction for the Support of Children with Autism Spectrum Disorder and Their Families

Cameron et al. (2021) · Behavior Analysis in Practice 2021
★ The Verdict

Use a five-step telehealth script—values game, parent activity pick, child goal link, live coaching—to keep remote parent sessions tight and meaningful.

✓ Read this if BCBAs running parent training through Zoom or Teams.
✗ Skip if Clinicians who only see families in person.

01Research in Context

01

What this study did

Cameron et al. (2021) wrote a how-to paper. They give a five-step script for running telehealth sessions with families who have a child with autism.

Step one is a short Acceptance and Commitment Therapy values game with parents. Step two asks parents what daily activities they already enjoy. Step three turns those activities into child goals. Steps four and five coach the parent to use those activities to teach the child.

The paper tells you what to say, what buttons to click, and how long each part takes. No kids were tested, so there are no outcome numbers.

02

What they found

The authors did not collect data, so they report no results. The paper is a road map, not a scoreboard.

03

How this fits with other research

Bloomfield et al. (2019) used a similar telehealth parent-coach style. They showed a single child with food refusal ate new foods when parents followed a step-up plan on Zoom. Their data prove the remote format can work.

Perez et al. (2015) did the same kind of parent coaching, but in person. Parents learned the Prevent-Teach-Reinforce plan at home and every child’s problem behavior dropped. Cameron keeps the parent-power idea and simply moves it to the screen.

Cosbey et al. (2017) also coached parents at home, but only for feeding. All three kids ate more foods and screamed less. Cameron’s script is broader—you can plug in any goal, not just meals.

04

Why it matters

You now have a ready-made Zoom agenda. Open with the values game so parents feel heard. Ask what they love doing—gardening, baking, race cars—and write goals inside those moments. Coach live while they try it. No extra travel, no lost sessions, just a clear five-step loop you can run tomorrow.

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→ Action — try this Monday

Email your next family a Zoom link and open with the 5-minute ACT values card sort before you talk goals.

02At a glance

Intervention
telehealth parent training
Design
methodology paper
Population
autism spectrum disorder
Finding
not reported

03Original abstract

A 5-stage protocol was used to support Board Certified Behavior Analysts providing telehealth support for children with autism spectrum disorder and their families. Stage 1 of the protocol involves 2 acceptance and commitment therapy exercises. Specifically, the Valued Living Questionnaire is used to identify a family member’s values, and the Bull’s-Eye Values Survey is employed to determine the extent to which a family member is living in accordance with stated values. Stage 2 of the protocol involves administering an adult version of the Meaningful Activity Participation Assessment to identify preferred activities of parents of a child with autism spectrum disorder. During Stage 3 of the protocol, the goals and objectives of a child with autism spectrum disorder are yoked to the preferred activities of a family member in order to promote child–parent engagement. Stage 4 of the protocol is focused on parent-implemented interventions, and Stage 5 of the protocol is designed as a primer for comprehensive support within an acceptance and commitment therapy model. The 5-stage protocol provides guidelines for Board Certified Behavior Analysts interested in structuring telehealth sessions and optimizing engagement between a family member and a child with autism spectrum disorder.

Behavior Analysis in Practice, 2021 · doi:10.1007/s40617-020-00443-w