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Gepubliceerd in: Journal of Autism and Developmental Disorders 12/2020

16-04-2020 | Original Paper

A Randomized Controlled Trial of Functional Communication Training via Telehealth for Young Children with Autism Spectrum Disorder

Auteurs: Scott Lindgren, David Wacker, Kelly Schieltz, Alyssa Suess, Kelly Pelzel, Todd Kopelman, John Lee, Patrick Romani, Matthew O’Brien

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2020

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Abstract

Many children with autism spectrum disorder (ASD) have problem behaviors that interfere with learning and social interaction. This randomized controlled trial compared treatment with functional communication training (FCT) to “treatment as usual” for young children with ASD (n = 38, ages 21–84 months). FCT was conducted by parents with training and real-time coaching provided by behavioral consultants using telehealth. FCT treatment via telehealth achieved a mean reduction in problem behavior of 98% compared to limited behavioral improvement in children receiving “treatment as usual” during a 12-week period. Social communication and task completion also improved. For children with ASD and moderate to severe behavior problems, parent-implemented FCT using telehealth significantly reduced problem behavior while ongoing interventions typically did not.

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Literatuur
go back to reference Ahearn, W. H., & Tiger, J. H. (2013). Behavioral approaches to the treatment of autism. In G. Madden (Ed.), APA handbook of behavior analysis. Volume 2: Translating principles into practice (pp. 301–327). Washington DC: American Psychological Association. CrossRef Ahearn, W. H., & Tiger, J. H. (2013). Behavioral approaches to the treatment of autism. In G. Madden (Ed.), APA handbook of behavior analysis. Volume 2: Translating principles into practice (pp. 301–327). Washington DC: American Psychological Association. CrossRef
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2014). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (2014). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
go back to reference Carr, E. G. (1988). Functional equivalence as a mechanism of response generalization. In R. Horner, R. Koegel, & G. Dunlap (Eds.), Generalization and maintenance: Lifestyle changes in applied settings. Baltimore, MD: Paul H. Brookes. Carr, E. G. (1988). Functional equivalence as a mechanism of response generalization. In R. Horner, R. Koegel, & G. Dunlap (Eds.), Generalization and maintenance: Lifestyle changes in applied settings. Baltimore, MD: Paul H. Brookes.
go back to reference Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126. CrossRef Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126. CrossRef
go back to reference Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–23. CrossRef Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–23. CrossRef
go back to reference Durand, V. M., & Carr, E. G. (1985). Self-injurious behavior: Motivating conditions and guidelines for treatment. School Psychology Review, 14, 171–176. CrossRef Durand, V. M., & Carr, E. G. (1985). Self-injurious behavior: Motivating conditions and guidelines for treatment. School Psychology Review, 14, 171–176. CrossRef
go back to reference Fuhrman, A. M., Fisher, W. W., & Greer, B. D. (2016). A preliminary investigation on improving functional communication training by mitigating resurgence of destructive behavior. Journal of Applied Behavior Analysis, 49, 884–899. CrossRef Fuhrman, A. M., Fisher, W. W., & Greer, B. D. (2016). A preliminary investigation on improving functional communication training by mitigating resurgence of destructive behavior. Journal of Applied Behavior Analysis, 49, 884–899. CrossRef
go back to reference Harding, J. W., Wacker, D. P., Berg, W. K., Lee, J. F., & Dolezal, D. (2009). Conducting functional communication training in home settings: A case study and recommendations for practitioners. Behavior Analysis in Practice, 2, 21–33. CrossRef Harding, J. W., Wacker, D. P., Berg, W. K., Lee, J. F., & Dolezal, D. (2009). Conducting functional communication training in home settings: A case study and recommendations for practitioners. Behavior Analysis in Practice, 2, 21–33. CrossRef
go back to reference Heitzman-Powell, L. S., Buzhardt, J., Rusinko, L., & Miller, T. (2013). Formative evaluation of an ABA outreach program for parents of children with autism in remote areas. Focus on Autism and Other Developmental Disabilities, 20, 1–16. Heitzman-Powell, L. S., Buzhardt, J., Rusinko, L., & Miller, T. (2013). Formative evaluation of an ABA outreach program for parents of children with autism in remote areas. Focus on Autism and Other Developmental Disabilities, 20, 1–16.
go back to reference Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32(5), 423–446. CrossRef Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32(5), 423–446. CrossRef
go back to reference Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209. CrossRef Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209. CrossRef
go back to reference Kazdin, A. E. (2010). Single-case research designs: Methods for clinical and applied settings (2nd ed.). New York: Oxford University Press. Kazdin, A. E. (2010). Single-case research designs: Methods for clinical and applied settings (2nd ed.). New York: Oxford University Press.
go back to reference Koegel, R. L., & Koegel, L. K. (1988). Generalized responsivity and pivotal behavior. In R. Horner, R. Koegel, & G. Dunlap (Eds.), Generalization and maintenance: Lifestyle changes in applied settings. Baltimore, MD: Paul H Brookes. Koegel, R. L., & Koegel, L. K. (1988). Generalized responsivity and pivotal behavior. In R. Horner, R. Koegel, & G. Dunlap (Eds.), Generalization and maintenance: Lifestyle changes in applied settings. Baltimore, MD: Paul H Brookes.
go back to reference Lindgren, S., & Wacker, D. (2015). Comparing behavioral assessments using telehealth for children with autism. U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health. Grant R01MH104363. Lindgren, S., & Wacker, D. (2015). Comparing behavioral assessments using telehealth for children with autism. U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health. Grant R01MH104363.
go back to reference Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism diagnostic observation schedule (ADOS). Los Angeles, CA: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism diagnostic observation schedule (ADOS). Los Angeles, CA: Western Psychological Services.
go back to reference Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9. CrossRef Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9. CrossRef
go back to reference Machalicek, W., O’Reilly, M. F., Rispoli, M., Davis, T., Lang, R., Hetlinger Franco, J., et al. (2010). Training teachers to assess the challenging behaviors of students with autism using video tele-conferencing. Education and Training in Autism and Developmental Disabilities, 45, 203–215. Machalicek, W., O’Reilly, M. F., Rispoli, M., Davis, T., Lang, R., Hetlinger Franco, J., et al. (2010). Training teachers to assess the challenging behaviors of students with autism using video tele-conferencing. Education and Training in Autism and Developmental Disabilities, 45, 203–215.
go back to reference Mullen, E. (1995). Mullen scales of early learning. Bloomington, MN: Pearson Assessments. Mullen, E. (1995). Mullen scales of early learning. Bloomington, MN: Pearson Assessments.
go back to reference Reichle, J., & Wacker, D. (2017). Functional communication training for problem behavior. New York: Guilford Press. Reichle, J., & Wacker, D. (2017). Functional communication training for problem behavior. New York: Guilford Press.
go back to reference Reimers, T., Wacker, D., & Cooper, L. (1991). Evaluation of the acceptability of treatments for children’s behavioral difficulties: Ratings by parents receiving services in an outpatient clinic. Child & Family Behavior Therapy, 13, 53–71. CrossRef Reimers, T., Wacker, D., & Cooper, L. (1991). Evaluation of the acceptability of treatments for children’s behavioral difficulties: Ratings by parents receiving services in an outpatient clinic. Child & Family Behavior Therapy, 13, 53–71. CrossRef
go back to reference Roane, H., Vollmer, T., Ringdahl, J., & Marcus, B. (1998). Evaluation of a brief stimulus preference assessment. Journal of Applied Behavior Analysis, 31, 605–620. CrossRef Roane, H., Vollmer, T., Ringdahl, J., & Marcus, B. (1998). Evaluation of a brief stimulus preference assessment. Journal of Applied Behavior Analysis, 31, 605–620. CrossRef
go back to reference Ruble, L. A., McGrew, J. H., Toland, M. D., Dalrymple, N. J., & Jung, L. A. (2013). A randomized controlled trial of COMPASS web-based and face-to-face teacher coaching in autism. Journal of Consulting and Clinical Psychology, 81(3), 566–572. CrossRef Ruble, L. A., McGrew, J. H., Toland, M. D., Dalrymple, N. J., & Jung, L. A. (2013). A randomized controlled trial of COMPASS web-based and face-to-face teacher coaching in autism. Journal of Consulting and Clinical Psychology, 81(3), 566–572. CrossRef
go back to reference Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Services. Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Services.
go back to reference Smith, T. (2012). Evolution of research on interventions for individuals with autism spectrum disorder: Implications for behavior analysts. The Behavior Analyst, 35(1), 101–113. CrossRef Smith, T. (2012). Evolution of research on interventions for individuals with autism spectrum disorder: Implications for behavior analysts. The Behavior Analyst, 35(1), 101–113. CrossRef
go back to reference Sparrow, S. S., Cicchetti, D. V., & Ballo, D. A. (2005). Vineland adaptive behavior scales—Second Edition (Vineland-II). Bloomington, MN: Pearson Assessments. Sparrow, S. S., Cicchetti, D. V., & Ballo, D. A. (2005). Vineland adaptive behavior scales—Second Edition (Vineland-II). Bloomington, MN: Pearson Assessments.
go back to reference Suess, A. N., Romani, P. W., Wacker, D. P., Dyson, S. M., Kuhle, J. L., Lee, J. F., et al. (2014). Evaluating the treatment fidelity of parents who conduct in-home functional communication training with coaching via telehealth. Journal of Behavioral Education, 23(1), 34–59. CrossRef Suess, A. N., Romani, P. W., Wacker, D. P., Dyson, S. M., Kuhle, J. L., Lee, J. F., et al. (2014). Evaluating the treatment fidelity of parents who conduct in-home functional communication training with coaching via telehealth. Journal of Behavioral Education, 23(1), 34–59. CrossRef
go back to reference Tiger, J. H., Hanley, G. P., & Bruzek, J. (2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1, 16–23. CrossRef Tiger, J. H., Hanley, G. P., & Bruzek, J. (2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1, 16–23. CrossRef
go back to reference Vismara, L. A., Colombi, C., & Rogers, S. J. (2009a). Can one hour per week of therapy lead to lasting changes in young children with autism? Autism, 13, 93–115. CrossRef Vismara, L. A., Colombi, C., & Rogers, S. J. (2009a). Can one hour per week of therapy lead to lasting changes in young children with autism? Autism, 13, 93–115. CrossRef
go back to reference Vismara, L. A., Young, G., Stahmer, A., Griffith, E., & Rogers, S. (2009b). Dissemination of evidence-based practice: Can we train therapists from a distance? Journal of Autism and Developmental Disorders, 39(12), 1636–1651. CrossRef Vismara, L. A., Young, G., Stahmer, A., Griffith, E., & Rogers, S. (2009b). Dissemination of evidence-based practice: Can we train therapists from a distance? Journal of Autism and Developmental Disorders, 39(12), 1636–1651. CrossRef
go back to reference Wacker, D. P., Berg, W. K., Harding, J. W., Derby, K. M., Asmus, J. M., & Healy, A. (1998). Evaluation and long-term treatment of aberrant behavior displayed by young children with disabilities. Journal of Developmental and Behavioral Pediatrics, 19, 260–266. CrossRef Wacker, D. P., Berg, W. K., Harding, J. W., Derby, K. M., Asmus, J. M., & Healy, A. (1998). Evaluation and long-term treatment of aberrant behavior displayed by young children with disabilities. Journal of Developmental and Behavioral Pediatrics, 19, 260–266. CrossRef
go back to reference Wacker, D. P., Harding, J. W., & Berg, W. K. (2011). An evaluation of persistence of treatment effects during long-term treatment of destructive behavior. Journal of the Experimental Analysis of Behavior, 96, 261–282. CrossRef Wacker, D. P., Harding, J. W., & Berg, W. K. (2011). An evaluation of persistence of treatment effects during long-term treatment of destructive behavior. Journal of the Experimental Analysis of Behavior, 96, 261–282. CrossRef
Metagegevens
Titel
A Randomized Controlled Trial of Functional Communication Training via Telehealth for Young Children with Autism Spectrum Disorder
Auteurs
Scott Lindgren
David Wacker
Kelly Schieltz
Alyssa Suess
Kelly Pelzel
Todd Kopelman
John Lee
Patrick Romani
Matthew O’Brien
Publicatiedatum
16-04-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 12/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-020-04451-1