Journal article
Telehealth and Autism: Treating Challenging Behavior at Lower Cost
Pediatrics (Evanston), Vol.137 Suppl 2(Supplement), pp.S167-S175
02/2016
DOI: 10.1542/peds.2015-2851O
PMCID: PMC4727312
PMID: 26908472
Abstract
To determine whether challenging behavior in young children with autism and other developmental disabilities can be treated successfully at lower cost by using telehealth to train parents to implement applied behavior analysis (ABA).
We compared data on the outcomes and costs for implementing evidence-based ABA procedures to reduce problem behavior by using 3 service delivery models: in-home therapy, clinic-based telehealth, and home-based telehealth. Participants were 107 young children diagnosed with autism or other neurodevelopmental disorders, and data analysis focused on the 94 children who completed treatment.
All 3 service delivery models demonstrated successful reduction of problem behavior by training parents to conduct functional analysis and functional communication training. The mean percentage reduction in problem behavior was >90% in all 3 groups after treatment, and treatment acceptability based on parent ratings was high for all groups. Total costs for implementing treatment were lowest for home telehealth, but both telehealth models were significantly less costly than in-home therapy.
This research demonstrated that parents can use ABA procedures to successfully treat behavior problems associated with autism spectrum disorders regardless of whether treatment is directed by behavior consultants in person or via remote video coaching. Because ABA telehealth can achieve similar outcomes at lower cost compared with in-home therapy, geographic barriers to providing access to ABA for treating problem behavior can be minimized. These findings support the potential for using telehealth to provide research-based behavioral treatment to any family that has access to the Internet.
Details
- Title: Subtitle
- Telehealth and Autism: Treating Challenging Behavior at Lower Cost
- Creators
- Scott Lindgren - Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine; Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, Iowa; scott-lindgren@uiowa.eduDavid Wacker - Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine; Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, IowaAlyssa Suess - Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine; Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, IowaKelly Schieltz - College of Education, University of Missouri, Columbia, MissouriKelly Pelzel - Center for Disabilities and Development, University of Iowa Children's Hospital, Iowa City, IowaTodd Kopelman - Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IowaJohn F Lee - University of IowaPatrick Romani - Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NebraskaDebra Waldron - Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.137 Suppl 2(Supplement), pp.S167-S175
- DOI
- 10.1542/peds.2015-2851O
- PMID
- 26908472
- PMCID
- PMC4727312
- NLM abbreviation
- Pediatrics
- ISSN
- 1098-4275
- eISSN
- 1098-4275
- Publisher
- American Academy of Pediatrics; United States
- Grant note
- R01 HD029402 / NICHD NIH HHS R01 MH089607 / NIMH NIH HHS
- Language
- English
- Date published
- 02/2016
- Academic Unit
- Psychiatry; Pediatric Psychology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Psychological and Quantitative Foundations
- Record Identifier
- 9983993343302771
Metrics
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