A Retrospective Analysis of Therapists' Coaching Behavior When Directing Parents to Conduct Behavioral Assessments and Treatments Via Telehealth.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL Behavior Modification Pub Date : 2023-01-01 Epub Date: 2022-06-22 DOI:10.1177/01454455221106127

Alesia Larsen, Kelly M Schieltz, Amanda Barrett, Matthew J O'Brien

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Abstract

Research on the delivery of behavioral assessment and treatment via telehealth has focused largely on child outcomes and parent procedural fidelity. By contrast, the behavior of the therapists coaching parents to conduct assessment and treatment has garnered little research consideration. In this study, we conducted a retrospective analysis of behavior therapists' coaching behaviors when directing parents to conduct functional analysis (FA) and functional communication training (FCT) with their young children with autism via telehealth. Coaching behaviors for five experienced behavior therapists across seven parent-child dyads were scored using a combination of standardized and novel behavior codes. Therapists displayed more social engagement behaviors than any other type of behavior throughout the study, and rates of antecedent and consequence behaviors shifted across the FA and FCT phases. Results are discussed in relation to therapists' goals during behavioral assessment and treatment and the implications for training behavioral therapists to coach parents via telehealth.

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治疗师通过远程医疗指导家长进行行为评估和治疗时的指导行为回顾分析。

有关通过远程医疗提供行为评估和治疗的研究主要集中在儿童结果和家长程序的忠实性上。相比之下，治疗师指导家长进行评估和治疗的行为却很少得到研究的关注。在本研究中，我们对行为治疗师通过远程医疗指导家长对自闭症幼儿进行功能分析（FA）和功能性沟通训练（FCT）时的指导行为进行了回顾性分析。我们采用标准化行为代码和新行为代码对五位经验丰富的行为治疗师在七个亲子二人组中的指导行为进行了综合评分。在整个研究过程中，治疗师表现出的社会参与行为多于其他类型的行为，前因后果行为的发生率在FA和FCT阶段有所变化。研究结果与治疗师在行为评估和治疗过程中的目标以及培训行为治疗师通过远程医疗指导家长的意义进行了讨论。

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来源期刊

Behavior Modification PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.