Telehealth Ethics
What was one of the issues with UICH’s in-clinic service delivery model?
Clients traveled long distances, there are only 74 BCBAs in Iowa
Were the authors able to conduct an FA via telehealth with both Charlie and Daisy?
Yes
Once participants are taught how to implement DTT with a particular child, they were able to implement this newly acquired teaching skill to a new, different child. Thus proving their skills ____.
Generalized
Name 2 of the 4 criteria by which participants were selected in Suess' study involving training parents to conduct FCT
Diagnosis of ASD
Lived in the state of Iowa
Between the age of 18 months and 6 yrs. 11 mos.
Engaged in disruptive/destructive behavior
How did the authors address the ethical issues surrounding the use of Skype for telehealth?
Explained security issues to parent and had her sign consent form
What were one of the reasons that the authors gave for conducting an FA via telehealth?
cost effectiveness
save families travel time of having to go to the clinic
_____ can be used with a participant when teaching a skill to serve as an effective way of getting the participant to implement what was just shown to them.
Modeling
What were Jace and Lane's "safe spots"
A red circle and a manila envelope
Why did the behavior analyst select the living room as the treatment area for Eli?
Easiest room to block eloping (set up baby gates) so that behavior analyst could see client. Webcam could be plugged in directly to modem.
What is an important note that the authors made in regards to the team members being a part of the FA process?
Invested caretakers needed to be a part of it otherwise they may have not accepted the results
During videoconferencing (telehealth), what are some technical implications that one should account for?
connectivity issues, unstable internet, etc.
What were acceptable forms of mands that were given access to preferred items/activities for all participants?
"Play please" "Toys please"
Touching a picture card
Touching the microswitch
What ethical issue that was encountered during the case study falls under BACB Ethical and Professional Compliance Code 2.15: Interrupting or Discontinuing Services?
Family moved to a different home. Behavior analyst moved to a different state.
What findings did this research support in regards to conducting FA's?
Conducting FA's were not difficult to learn or conduct
Prior to beginning videoconferencing (telehealth) sessions, it is important to be prepared. What should you have prepared prior to beginning sessions?
materials, notes, data collection methods
What was used to track parent behavior?
Task analysis
What is one of the limitations of the current body of research on telehealth service delivery?
Needs more replication
Population range is only from 2-6 years old
Only populations w/ mild/moderate problem behaviors
Dosage of treatment
Increase
To avoid parents from loosing interest and ‘checking out’ during telehealth sessions, what can you, as a BCBA do to promote higher levels and consistent buy in/engagement?
Avoid lecturing parents, keep the meeting as interactive as possible, ask questions, have parents model skills/procedures, etc.
Describe and give an example of an omission and a commission error as described in the article
Varies:
Omission: Parent forgets a step/fails to provide reinforcer following a FCR, forgets to present a work card before transition to the table.
Commission: Parent provides reinforcer following problem behavior, delivering social praise for more than 5s following a mand, implementing steps on different reinforcement/prompt schedules.