Service Delivery

Telehealth to train interventionists teaching functional living skills to children with autism spectrum disorder

A. Craig et al. (2021) · Journal of Applied Behavior Analysis 2021
★ The Verdict

Zoom coaching trains distant staff to mastery and quickly boosts kids’ daily living skills.

✓ Read this if BCBAs who train staff or parents across counties, states, or countries.
✗ Skip if Clinicians who only see clients in one brick-and-mortar clinic with no travel issues.

01Research in Context

01

What this study did

The team used Zoom to train four professionals who work with kids with autism. They taught the adults how to coach functional living skills like brushing teeth or making a sandwich.

Each professional worked with one child. The study used a multiple-baseline design across participants to show that changes came from the training, not something else.

02

What they found

All four adults hit 100% fidelity on the coaching checklist after the telehealth sessions. The kids also gained independence; they needed fewer prompts to finish daily tasks.

Skills kept up two weeks later, showing the training stuck.

03

How this fits with other research

Lindgren et al. (2020) and Tsami et al. (2019) already showed parents can run FCT via telehealth with big behavior drops. Craig’s team moves the remote coaching idea from parents to paid staff, and from FCT to daily living skills.

Spackman et al. (2025) later used the same coaching model for functional analysis. They got 80% behavior reduction, proving the Zoom approach works across very different ABA goals.

Sump et al. (2018) found telehealth BST equals in-person training for teaching DTI to college students. Craig’s study echoes that result in a real-world autism classroom setting.

04

Why it matters

You no longer need to drive to site to train staff. A short Zoom series can bring distant teachers or therapists to mastery and still give kids clear skill gains. Use Craig’s checklist, schedule live practice, and watch independence grow while you sit at your desk.

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→ Action — try this Monday

Email a distant teacher a 30-minute Zoom coaching slot and the study’s fidelity checklist; practice one living-skill routine live.

02At a glance

Intervention
caregiver coaching
Design
multiple baseline across participants
Sample size
4
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

The number of Board Certified Behavior Analysts® (BCBA®s) available outside of the United States is significantly lower than the number of individuals with a diagnosis of autism spectrum disorder (ASD) requiring services. Research on alternative delivery platforms, such as telehealth, to disseminate interventions to those in need is of paramount importance. The current study evaluated the effectiveness of training professionals working with individuals with ASD in behavior-analytic procedures through telehealth. Four professional-child dyads took part. Data were collected on the professionals' treatment fidelity and number of independent steps performed by the children for 3 functional daily living skills. The study employed a multiple probe design across participants and included a cost analysis. All 4 professionals met the mastery criterion and all 4 children demonstrated increases in independence.

Journal of Applied Behavior Analysis, 2021 · doi:10.1002/jaba.834