Service Delivery

The effects of transition to technician‐delivered telehealth ABA treatment during the <scp>COVID</scp>‐19 crisis: A preliminary analysis

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

Kids with autism can keep their skills when ABA shifts from clinic to Zoom run by the same tech and same dose.

✓ Read this if BCBAs running center-based programs for autistic learners who may face sudden service gaps.
✗ Skip if Clinics already using parent-led telehealth models with high fidelity.

01Research in Context

01

What this study did

Pollard’s team switched 17 kids with autism from clinic ABA to Zoom ABA run by the same technicians.

They kept the same hours, same goals, and same data sheets. The only change was the screen.

Before and after scores on mastered tasks were compared—no extra control group.

02

What they found

Correct answers stayed the same or rose a little after the move to Zoom.

Dosage did not drop; families logged on for every planned hour.

No child lost skills during the first weeks of lock-down.

03

How this fits with other research

Ferguson et al. (2022) also saw gains when telehealth moved the coaching role from technician to parent. Their kids improved social words while Pollard’s kept mastered tasks—same medium, different teacher.

Sivaraman et al. (2020) reviewed nine global studies and found language translation and matched trainers were key. Pollard’s team skipped those steps because families already knew the staff, showing culture fit can be built in advance.

Sureshkumar et al. (2024) got big, lasting jumps in first-aid skills with short video clips. Pollard saw only steady maintenance, not huge gains. The difference: video prompting targets brand-new skills, while Pollard aimed to keep old ones—no contradiction, just different goals.

04

Why it matters

You can keep a child’s program alive during staff shortages, weather events, or illness by moving sessions to Zoom without cutting hours. Keep the same technician, goals, and data sheets; skills hold steady. Start with mastered tasks, then slowly add new ones once the routine feels normal to the family.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Schedule one mastered-skills Zoom session this week with the usual tech and graph the data—if it holds, you have a backup plan ready.

02At a glance

Intervention
comprehensive aba program
Design
pre post no control
Sample size
17
Population
autism spectrum disorder
Finding
positive
Magnitude
small

03Original abstract

Telehealth delivery of applied behavior analysis treatment has focused on supervision or staff and parent training, rather than the direct delivery of treatment to clients. The novel coronavirus (COVID‐19) crisis had the potential to significantly disrupt access to direct treatment for individuals with autism. We report a sample of 17 cases that transitioned from in‐person to telehealth delivery of treatment when shelter‐in‐place orders were issued. Of these cases, 76% of participants transitioned to technician‐delivered telehealth services whereas the rest transitioned to a caregiver‐implemented telehealth model. Participants continued to access a similar dosage of treatment hours per week in spite of the treatment model transition (in‐person M = 12; telehealth M = 11) and maintained or improved correct independent responding across all targets from in‐person treatment (M = 75%) to telehealth treatment (M = 80%). These findings provide initial evidence that some clients with autism benefit from technician‐delivered telehealth services.

Journal of Applied Behavior Analysis, 2021 · doi:10.1002/jaba.803