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

被引：91

作者：

Lindgren, Scott ^{[1
]}

Wacker, David ^{[1
]}

Schieltz, Kelly ^{[1
]}

Suess, Alyssa ^{[2
]}

Pelzel, Kelly ^{[3
]}

Kopelman, Todd ^{[3
]}

Lee, John ^{[4
]}

Romani, Patrick ^{[5
]}

O'Brien, Matthew ^{[1
]}

机构：

[1] Univ Iowa, Stead Family Dept Pediat, Coll Med, 100 Hawkins Dr, Iowa City, IA 52242 USA

[2] Chatter Pediat Therapy, Williston, ND USA

[3] Univ Iowa, Coll Med, Dept Psychiat, Iowa City, IA 52242 USA

[4] Telehlth Behav Consultat Serv, Sahuarita, AZ USA

[5] Univ Colorado, Sch Med, Childrens Hosp Colorado, Aurora, CO USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2020年 / 50卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Autism spectrum disorder; Problem behavior; Functional communication training; Telehealth; Randomized controlled trial; LONG-TERM TREATMENT; PROBLEM BEHAVIOR; PARENT; INTERVENTIONS; SETTINGS;

D O I：

10.1007/s10803-020-04451-1

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

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.

引用

页码：4449 / 4462

页数：14

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