Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system.

Despite the clear efficacy and appeal of naturalistic developmental behavioral interventions for families of young children, they are often difficult for families to access due to the limited availability of trained service providers. In recent years, telehealth has emerged as an effective tool for...

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Publicado en:Autism: The International Journal of Research & Practice Vol. 29; no. 1; pp. 207 - 222
Autores principales: Simcoe, Kathleen, Stainbrook, J Alacia, Chazin, Kate T, Schnelle, Elaina, Wagner, Liliana, Hooper, Madison, Juárez, A Pablo, Warren, Zachary
Formato: forms research tables/charts Journal Article
Publicado: Sage Publications Inc. Jan2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2025
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        atl: Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system.
      aug:
        au:
          Simcoe, Kathleen
          Stainbrook, J Alacia
          Chazin, Kate T
          Schnelle, Elaina
          Wagner, Liliana
          Hooper, Madison
          Juárez, A Pablo
          Warren, Zachary
        affil: Vanderbilt University Medical Center, USA
      sug:
        subj:
          Telehealth
          Autism Spectrum Disorder
          Caregivers Education
          Behavior Therapy Education
          Family Education
          Early Intervention
          Health Services Accessibility
          Health Personnel
          Mentorship
          Rural Areas
          Models, Theoretical
          Human
          Surveys
          Descriptive Statistics
          Feedback
          Checklists
          Scales
          Medically Underserved
          Physicians
          Allied Health Personnel
          Social Skills Training
          Motivation
          Child Behavior
          Funding Source
      ab: Despite the clear efficacy and appeal of naturalistic developmental behavioral interventions for families of young children, they are often difficult for families to access due to the limited availability of trained service providers. In recent years, telehealth has emerged as an effective tool for overcoming issues related to access, especially in rural and underserved communities. However, while telehealth offers a strategy to connect with families, it does not address the limited availability of trained providers. In this article, we provide an overview of a statewide model developed to increase access to naturalistic developmental behavioral interventions for families while building the capacity of early intervention providers. Through this model, expert consultants connect to caregivers and providers via telehealth to provide information and coaching over a limited series of visits. Collectively, child, caregiver, and provider outcomes support the effectiveness, acceptability, and feasibility of this model while demonstrating that services can be provided successfully to diverse participants. Many families seek access to evidence-based therapy to support their child's learning. Naturalistic developmental behavioral intervention is a set of practices that use a child's natural motivation and interest to teach skills in everyday routines. Many families find naturalistic developmental behavioral interventions appealing and they have been proven to be effective. However, families may not be able to enroll in naturalistic developmental behavioral intervention–based programs due to the limited availability of trained service providers. Telehealth is the use of technology to engage with care providers, including doctors and therapists. Telehealth is an effective tool for improving access to services, especially for people in rural and underserved communities. Telehealth offers a way for providers to connect with families but it does not address the low numbers of trained providers. In this article, we share a statewide model developed to increase access to naturalistic developmental behavioral interventions for families while increasing training opportunities for early intervention providers. Through this model, expert consultants worked with caregivers and providers via telehealth for a brief series of visits. During these visits, consultants taught caregivers and providers strategies based in naturalistic developmental behavioral interventions. Feedback from caregivers and providers, along with improvement in child skills, show that this model was effective and acceptable.
      pubtype: Academic Journal
      doctype:
        forms
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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