A randomized clinical trial of a virtual-training program for teaching applied-behavior-analysis skills to parents of children with autism spectrum disorder
Wayne W. Fisher, Kevin C. Luczynski, Andrew P. Blowers, Megan E. Vosters, Maegan D. Pisman, Andy R. Craig, Stephanie A. Hood, Mychal A. Machado, Aaron D. Lesser, Cathleen C. Piazza
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引用次数: 28
Abstract
Parents play an important role in the treatment of their children's symptoms of autism spectrum disorder (ASD); thus, developing effective, efficient, socially acceptable, and accessible procedures for training parents to implement applied-behavior-analysis (ABA) interventions is critically important. One potential approach involves delivering training via a virtual private network (VPN) over the internet (Fisher et al., 2014). In this study, we conducted a randomized clinical trial to evaluate a virtual parent-training program with e-learning modules and scripted role-play via a VPN. We evaluated parent implementation of ABA skills using direct-observation measures in structured-work and play-based training contexts. Parents in the treatment group showed large, statistically significant improvements on all dependent measures; those in the waitlist-control group did not. Parents rated the training as highly socially acceptable. Results add to the growing literature on the efficacy and acceptability of virtually delivered training in ABA.
父母在儿童自闭症谱系障碍(ASD)症状的治疗中发挥着重要作用;因此,制定有效、高效、社会可接受和可访问的程序来培训父母实施应用行为分析(ABA)干预措施是至关重要的。一种潜在的方法是通过互联网上的虚拟专用网络(VPN)提供培训(Fisher et al., 2014)。在这项研究中,我们进行了一项随机临床试验,以评估通过VPN使用电子学习模块和脚本角色扮演的虚拟父母培训计划。我们在结构化工作和以游戏为基础的训练环境中使用直接观察措施来评估父母对ABA技能的实施。治疗组的父母在所有依赖指标上都有显著的改善;而那些在候补名单控制组的人则没有。家长们认为这种培训在社会上是高度可接受的。结果增加了越来越多的文献的有效性和可接受性的虚拟交付培训的ABA。