Service Delivery

The impact of a telehealth platform on ABA-based parent training targeting social communication in children with autism spectrum disorder

Ferguson et al. (2022) · Journal of Developmental and Physical Disabilities 2022
★ The Verdict

Zoom coaching lets parents master naturalistic teaching tricks and nudges their autistic kids to talk and smile more.

✓ Read this if BCBAs running parent training for autistic clients in rural or busy homes.
✗ Skip if Clinicians who already have in-home staff delivering full ABA hours.

01Research in Context

01

What this study did

Ferguson and team coached six parents of autistic kids through Zoom. Parents learned naturalistic teaching tricks like waiting, modeling, and giving small rewards.

Each family got one live coaching hour a week for eight weeks. The researchers scored how well parents used the tricks and tracked child talking and smiling.

02

What they found

All six parents hit 90 % fidelity by week four and kept it. Kids showed small jumps in words or signs, plus more happy faces during play.

Gains were steady but modest. One child added five new words; another began waving bye-bye.

03

How this fits with other research

Sivaraman et al. (2020) reviewed nine global studies and found the same pattern: telehealth parent training works when you translate handouts and match families with coaches who speak their language.

Howard et al. (2023) used the same Zoom-plus-feedback setup to teach girls with Rett syndrome to tap AAC buttons for requests. Both studies hit high parent fidelity, showing the method travels across diagnoses.

Ganz et al. (2009) did parent PECS training in person back when webcams were rare. Their kids also learned new requests, proving parent power is not new—telehealth just removes the drive-time barrier.

04

Why it matters

You can run parent coaching from your office and still see solid fidelity. Schedule a weekly Zoom, use a simple checklist, and give live praise and corrections. Expect small but real communication gains plus happier kids. Start with one family on your wait-list this month and track fidelity after four sessions—if they hit 90 %, roll it out to more.

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→ Action — try this Monday

Pick one parent, send a Zoom link, and coach them through a five-minute play routine using wait-model-reward.

02At a glance

Intervention
parent training
Design
single case other
Sample size
5
Population
autism spectrum disorder
Finding
positive

03Original abstract

Interventions based upon applied behaviour analysis (ABA) have been shown to be best practice for children with autism spectrum disorder. However, in many parts of the world there is a shortage of appropriately trained behaviour analysts. Telehealth is a potential solution to increasing access to ABA. Our study assessed the use of telehealth to provide parent training in naturalistic teaching strategies designed to increase child communication skills. Five parent child dyads took part in the training, utilising didactic training and synchronous coaching. Parents could be trained to a high level of fidelity and viewed the training favourably. Children showed variable gains in communication and improved positive affect. The project was cost effective in comparison with traditional training models.

Journal of Developmental and Physical Disabilities, 2022 · doi:10.1007/s10882-022-09839-8