Developing and Enhancing Adherence to a Telehealth ABA Parent Training Curriculum for Caregivers of Children with Autism
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RESEARCH ARTICLE
Developing and Enhancing Adherence to a Telehealth ABA Parent Training Curriculum for Caregivers of Children with Autism Zhihui Yi 1 & Mark R. Dixon 1
# Association for Behavior Analysis International 2020
Abstract The current COVID-19 pandemic poses unique challenges to the delivery of applied behavior analysis (ABA) services, and there has been a growing demand for evidence-based practices on how to develop a telehealth ABA service model. The current article provides a detailed technological guide on how to develop a telehealth ABA parent training curriculum. Our model also includes a series of brief acceptance and commitment training (ACT) protocols to enhance parental adherence. We provide the details for replicating our telehealth model and also demonstrate its effectiveness. To begin, a step-by-step guide on how to develop this curriculum is presented, as well as protocols used in a 60-day telehealth ABA parent training program. Afterward, we describe a randomized controlled trial design to examine the effectiveness of this protocol. Thirteen families from the southern Illinois region participated in the curriculum before the COVID-19 outbreak. Obtained data indicated training was effective to teach skills, and parents with supplemental ACT material made significantly more progress than those in the control group, t(11) = 2.36, p = .038. Halfway through the training, the outbreak of COVID-19 occurred, and parents in the ACT group were more likely to continue the program, whereas parents in the control group were significantly more likely to postpone their participation, χ2 = 6.96, p = .008. Social validity measures indicated that parents rated the curriculum favorably. Limitations and suggestions for practitioners are discussed. Keywords ABA . ACT . Parent training . Parental adherence . Telehealth
The recent pandemic of COVID-19 in the United States has caused significant disruption to people’s daily lives. As of April 14, 2020, there have been approximately 200,000 Portions of this research was funded by the State of Illinois's The Autism Program (TAP) awarded to the second author. Research was conducted at the Southern Illinois University. Editor’s Note This manuscript is being published on a highly expedited basis, as part of a series of emergency publications designed to help practitioners of applied behavior analysis take immediate action to adjust to and mitigate the COVID-19 crisis. This article was submitted on April 14, 2020, and received final acceptance on April 22, 2020. The journal would like to especially thank Dr. Amanda Kelly for her expeditious review of the manuscript. The views and strategies suggested by the articles in this series do not represent the positions of the Association for Behavior Analysis International or Springer Nature. * Mark R. Dixon [email protected] 1
Department of Disability and Human Development, College of Applied Health Science, University of Illinois at Chicago, Chicago, IL 60608, USA
confirmed cases of COVID-19 in the United States (Centers f
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