ADDRESSING PROVIDER

SHORTAGES THROUGH PARENT

TRAINING: PARENT IMPLEMENTED TRAINING FOR

AUTISM THROUGH TELEMEDICINE

Lashanna Brunson, M.S., BCBAWest Virginia University

Center for Excellence in Disabilities

Purpose of PITA-T

• Provide access to Applied Behavior Analysis (ABA) therapy to families of children with Autism Spectrum Disorders in rural Appalachia

ABA and Autism

• Evidence based best practice• Structured learning environment• Break large skills into small

components• Individualized programming

based on needs• Data-based decision making

22

1

2

15

4

1

27 Board Certified Behavior Analysts

22

1

2

14

4

1

12 Potential Practitioners

1

Barriers to Service Delivery

• Technological Barriers• Less computer access in rural areas• Relatively poor internet connectivity• 45% of West Virginians use internet

connections with speeds below federal minimum broadband standards (Speed Matters Report, 2010)

Barriers to Service Delivery

• Economic Barriers• 17.5% of WV residents live in

poverty• Extremely expensive

Overcoming Barriers

• Teach parents to implement discrete trial training (DTT) techniques• Behavior analysts can reach a larger

geographical area

• Use asynchronous telecommunication to provide instructions and feedback• Eliminates need for high-speed

internet

Our Families

• Children under 5 years old with an Autism Spectrum Disorder• Live in:• West Virginia • Kentucky• Pennsylvania• Ohio• Virginia• Maryland

The Process

• Phone screening• Intake• Assessments• Materials• Video camera• Tripod• Memory cards• Postage paid envelopes

The Process

• Mail training materials

• Parents record sessions and mail to staff

• Staff review sessions and mail feedback

• Exit assessments

Challenges to Implementation

• Many children not diagnosed early• Expand eligibility age• Share autism fact sheet

• Parental adherence to taping procedure• Create weekly schedule• Reminder phone calls• Monthly drawing

Preliminary Findings

• Parents learning to implement DTT• Feedback is necessary

• Potential for child improvements not enough to maintain treatment efforts• Greater adherence when video

instructions and feedback were provided

THANK YOU!This study is supported by grant

R40MC20444 from the Maternal and Child Health Bureau (Combating Autism Act of 2006), Health Resources and Services Administration, Department of Health and Human Services

Collaboration between Center for Excellence in Disabilities & WVU Department of Psychology