Skip to main content
Log in

Fidelity Outcomes for Autism-Focused Interventionists Coached via Telepractice: a Systematic Literature Review

  • REVIEW ARTICLE
  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

The purpose of this review was to synthesize fidelity features in telepractice studies focused on parent-, educator-, and therapist-directed treatments for individuals with autism spectrum disorder (ASD). A systematic search identified 19 studies for inclusion. Studies were summarized according to participant characteristics, dependent variables, training procedures, implementation fidelity of the intervention, intervention fidelity for the participants, outcomes for the individuals with ASD, generalization and maintenance of fidelity outcomes, study design, and social validity. Results indicate a variety of assessments and interventions were targeted for coaching with a variety of coaching procedures. All of the studies reported that participants were able to implement the assessment or intervention with increased fidelity following the training program. However, results were mixed in four studies in which some participants needed additional training beyond the intervention to meet the authors’ preset performance standards. Implementation fidelity of the training procedures was not well reported. Overall, this developing literature base is best described as limited due to the small number of studies and the variability in procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

*Indicates studies included in literature review

  • *Alnemary, F. M., Wallace, M., Symon, J. B. G., & Barry, L. M. (2015). Using international videoconferencing to provide staff training on functional behavioral assessment. Behavioral Interventions, 30, 73–86. doi:10.1002/bin.1403.

    Article  Google Scholar 

  • Augestad, K. M., & Lindsetmo, R. O. (2009). Overcoming distance: Video-conferencing as a clinical and educational tool among surgeons. World Journal of Surgery, 33, 1356–1365. doi:10.1007/s00268-009-0036-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barton, E. E., & Fettig, A. (2013). Parent-implemented interventions for young children with disabilities: A review of fidelity features. Journal of Early Intervention, 35, 194–219. doi:10.1177/1053815113504625.

    Article  Google Scholar 

  • Boisvert, M., Lang, R., Andrianopoulos, M., & Boscardin, M. L. (2010). Telepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic review. Developmental Neurorehabilitation, 13, 423–432. doi:10.3109/17518423.2010.499889.

    Article  PubMed  Google Scholar 

  • Brock, M. E., & Carter, E. W. (2016). A meta-analysis of educator training to improve implementation of interventions for students with disabilities (pp. 1–14). Online First: Remedial and Special Education. doi:10.1177/0741932516653477.

    Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2007). Prevalence of autism spectrum disorders-Autism and Developmental Disabilities Monitoring Network, 14 Sites, United States, 2002. Retrieved from: http://www.cdc.gov

  • Centers for Disease Control and Prevention (CDC). (2014). Prevalence of autism spectrum disorders-Autism and Developmental Disabilities Monitoring Network, 14 Sites, United States, 2010. Retrieved from: http://www.cdc.gov

  • Elford, R., White, H., Bowering, R., Ghandi, A., Maddiggan, B., St. John, K., et al. (2000). A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing. Journal of Telemedicine and Telecare, 6, 73–82. doi:10.1258/1357633001935086.

    Article  PubMed  Google Scholar 

  • *Fisher, W., Luczynski, K. C., Hood, S. A., Lesser, A. D., Machado, M. A., & Piazza, C. (2014). Preliminary findings of a randomized clinical trial of a virtual training program for applied behavior analysis technicians. Research in Autism Spectrum Disorder, 8, 1044–1054. doi:10.1016/j.rasd.2014.05.002.

    Article  Google Scholar 

  • Gianoumis, S., & Sturmey, P. (2012). Generalization procedures in training interventionists for individuals with developmental disabilities. Behavior Modification, 36, 619–629. doi:10.1177/0145445511432920.

    Article  PubMed  Google Scholar 

  • *Gibson, J. L., Pennington, R. C., Stenhoff, D. M., & Hopper, J. S. (2010). Using desktop videoconferencing to deliver interventions to a preschool student with autism. Topics in Early Childhood Special Education, 29, 214–225. doi:10.1177/0271121409352873.

    Article  Google Scholar 

  • *Hay-Hansson, A. W., & Eldevik, S. (2013). Training discrete trials teaching skills using videoconference. Research in Autism Spectrum Disorders, 7, 1300–1309. doi:10.1016/j.rasd.2013.07.022.

    Article  Google Scholar 

  • *Heitzman-Powell, L. S., Buzhardt, J., Rusinko, L. C., & Miller, T. M. (2014). Formative evaluation of an ABA outreach training program for parents of children with autism in remote areas. Focus on Autism and Other Developmental Disabilities, 29(1), 23–28. doi:10.1177/1088357613504992.

    Article  Google Scholar 

  • Ingersoll, B., & Berger, N. I. (2015). Parent engagement with a telehealth-based parent-mediated intervention program for children with autism spectrum disorders: Predictors of program use and parent outcomes. Journal of Medical Internet Research, 17, 227–245. doi:10.2196/jmir.4913.

    Article  Google Scholar 

  • *Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCT. Journal of Autism and Developmental Disabilities, 46, 2275–2284. doi:10.1007/s10803-016-2755-z.

    Article  Google Scholar 

  • Kuppens, S., & Onghena, P. (2012). Sequential meta-analysis to determine the sufficiency of cumulative knowledge: The single-case of early intensive behavioral intervention for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 6, 168–176. doi:10.1016/j.rasd.2011.04.002.

    Article  Google Scholar 

  • Lindgren, S., Wacker, D., Suess, A., Schieltz, K., Pelzel, K., Kopelman, T., et al. (2015). Telehealth and autism: Treating challenging behavior at lower cost. Pediatrics, 137, S167–S175. doi:10.1542/peds.2015-2851O.

    Article  Google Scholar 

  • *Machalicek, W., O'Reilly, M., Chan, J., Rispoli, M., Lang, R., Davis, T., et al. (2009). Using videoconferencing to support teachers to conduct preference assessments with students with autism and developmental disabilities. Research in Autism Spectrum Disorders, 3, 32–41. doi:10.1016/j.rasd.2008.03.004.

    Article  Google Scholar 

  • *Machalicek, W., O’Reilly, M. F., Rispoli, M., Davis, T., Lang, R., Hetlinger-Franco, J., & Chan, J. (2010). Training teachers to assess the challenging behaviors of students with autism using video tele-conferencing. Education and Training in Developmental Disabilities, 45, 203–215.

    Google Scholar 

  • *Machalicek, W., Lequia, J., Pickelman, S., Knowles, C., Raulston, T., Davis, T., & Alresheed, F. (2016). Behavioral telehealth consultation with families of children with autism spectrum disorder. Behavioral Interventions, 31, 223–250. doi:10.1002/bin.1450.

    Article  Google Scholar 

  • Makrygianni, M. K., & Reed, P. (2010). A meta-analytic review of the effectiveness of behavioural early intervention programs for children with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 4, 577–593. doi:10.1016/j.rasd.2010.01.014.

    Article  Google Scholar 

  • McDonald, M. E., Pace, D., Blue, E., & Schwartz, D. (2012). Critical issues in causation and treatment of autism: Why fads continue to flourish. Child and Family Behavior Therapy, 34, 290–304. doi:10.1080/07317107.2012.732849.

    Article  Google Scholar 

  • McDuffie, A., Machalicek, W., Oakes, A., Haebig, E., Weismer, S. E., & Abbeduto, L. (2013). Distance video-teleconferencing in early intervention: Pilot study of a naturalistic parent-implemented language intervention. Topics in Early Childhood Special Education, 33, 172–185. doi:10.1177/0271121413476348.

    Article  Google Scholar 

  • Meadan, H., & Daczewitz, M. (2015). Internet-based intervention training for parents of young children with disabilities: A promising service-delivery model. Early Child Development and Care, 185, 155–169. doi:10.1080/03004430.2014.908866.

    Article  Google Scholar 

  • *Meadan, H., Snodgrass, M. R., Meyer, L. E., Fisher, K. W., Chung, M. Y., & Halle, J. W. (2016). Internet-based parent-implemented intervention for young children with autism: A pilot study. Journal of Early Intervention, 38, 3–23. doi:10.1177/1053815116630327.

    Article  Google Scholar 

  • National Research Council. (2001). Educating children with autism (C. Lord, & J. McGee, Eds.). Washington DC: National Academy Press.

  • *Neely, L., Rispoli, M., Gerow, S., & Hong, E. R. (2016). Preparing interventionists via telepractice in incidental teaching for children with autism. Journal of Behavioral Education, 25, 393–416. doi:10.1007/s10864-016-9250-7.

    Article  Google Scholar 

  • Nelson, E., & Palsbo, S. (2006). Challenges in telemedicine equivalence studies. Evaluation and Program Planning, 29, 419-425. doi::10.1016/j.evalprogplan.2006.02.00110.

  • Rispoli, M., Neely, L., Lang, R., & Ganz, J. (2011). Training paraprofessional to implement interventions for people with autism spectrum disorder: A systematic review. Developmental Neurorehabilitation, 14, 378–388. doi:10.3109/17518423.2011.620577.

    Article  PubMed  Google Scholar 

  • Stokes, T. F., & Baer, D. M. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10, 349–367. doi:10.1901/jaba.1977.10-349.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Suess, A. N., Romaini, 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, 34–59. doi:10.1007/s10864-013-9183-3.

    Article  Google Scholar 

  • Symon, J. B. (2001). Parent education of autism: Issues in providing services at a distance. Journal of Positive Behavior Interventions, 3, 160–174. doi:10.1177/109830070100300304.

    Article  Google Scholar 

  • *Vismara, L. A., Young, G. S., Stahmer, A. C., Griffith, E. M., & Rogers, S. J. (2009). Dissemination of evidence-based practice: Can we train therapists from a distance? Journal of Autism and Developmental Disorders, 39, 1636–1651. doi:10.1007/s10803-009-0796-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Vismara, L. A., Young, G. S., & Rogers, S. J. (2012). Telehealth for expanding the reach of early autism training to parents. Autism Research and Treatment, 1–12. doi:10.1155/2012/121878.

  • *Vismara, L. A., McCormick, C., Young, G. S., Nadhan, A., & Monlux, K. (2013). Preliminary findings of a telehealth approach to parent training in autism. Journal of Autism and Developmental Disorders, 43, 2953–2969. doi:10.1007/s10803-013-1841-8.

    Article  PubMed  Google Scholar 

  • *Vismara, L.A., McCormick, C., Wagner, A. L., Monlux, K., Nadhan, A., & Young, G. (2016). Telehealth parent training in the Early Start Denver Model: Results from a randomized controlled study. Focus on Autism and Other Developmental Disabilities, Online First, 1–13. doi:10.1177/1088357616651064.

  • *Wacker, D. P., Lee, J. F., Padilla Dalmau, Y. C., Kopelman, T. G., Lindgren, S. D., Kuhle, J., et al. (2013a). Conducting functional analyses of problem behavior via telehealth. Journal of Applied Behavior Analysis, 46, 31–46. doi:10.1002/jaba.29.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wacker, D. P., Lee, J. F., Padilla Dalmau, Y. C., Kopelman, T. G., Lindgren, S. D., Kuhle, J., et al. (2013b). Conducting functional communication training via telehealth to reduce the problem behavior of young children with autism. Journal of Developmental and Physical Disabilities, 25, 35–48. doi:10.1007/s10882-012-9314-0.

    Article  PubMed  Google Scholar 

  • *Wainer, A. L., & Ingersoll, B. R. (2013). Disseminating ASD interventions: A pilot study of a distance learning program for parents and professionals. Journal of Autism and Developmental Disorders, 43, 11–24. doi:10.1007/s10803-012-1538-4.

    Article  PubMed  Google Scholar 

  • *Wainer, A. L., & Ingersoll, B. R. (2014). Increasing access to an ASD imitation intervention via a telehealth parent training program. Journal of Autism and Developmental Disorders. Advance online publication. doi:10.1007/s10803-014-2186-7.

    Google Scholar 

  • Ward-Horner, J., & Sturmey, P. (2012). Component analysis of behavioral skills training in functional analysis. Behavioral Interventions, 27, 75–92. doi:10.1002/bin.1339.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Leslie Neely.

Ethics declarations

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

This article does not contain any studies with human participants or animals performed by any of the authors.

Conflict of Interest

The authors declare no potential conflicts of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Neely, L., Rispoli, M., Gerow, S. et al. Fidelity Outcomes for Autism-Focused Interventionists Coached via Telepractice: a Systematic Literature Review. J Dev Phys Disabil 29, 849–874 (2017). https://doi.org/10.1007/s10882-017-9550-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10882-017-9550-4

Keywords

Navigation