1. A Randomized Controlled Trial of Functional Communication Training via Telehealth for Young Children with Autism Spectrum Disorder
- Author
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David P. Wacker, Alyssa N. Suess, Scott D. Lindgren, Kelly E. Pelzel, Matthew J. O’Brien, Kelly M. Schieltz, Patrick W. Romani, Todd G. Kopelman, and John F. Lee
- Subjects
Male ,Parents ,medicine.medical_specialty ,Waiting Lists ,Autism Spectrum Disorder ,education ,Psychological intervention ,Telehealth ,Coaching ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Developmental and Educational Psychology ,medicine ,Humans ,0501 psychology and cognitive sciences ,Child ,Problem Behavior ,business.industry ,Communication ,05 social sciences ,Infant ,Mentoring ,medicine.disease ,Social relation ,Telemedicine ,Autism spectrum disorder ,Functional Communication ,Child, Preschool ,Physical therapy ,Autism ,Female ,business ,Psychology ,030217 neurology & neurosurgery ,050104 developmental & child psychology ,Follow-Up Studies - Abstract
BACKGROUND: Many children with autism spectrum disorder (ASD) have problem behaviors that interfere with learning and social interaction. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
- Published
- 2020