University Of Iowa Study 

For the study, Lindgren, co-director of the UI Children’s Hospital Autism Center, and David Wacker, PhD, a professor of pediatrics in the Stead Family Department of Pediatrics at UI Carver College of Medicine, tracked the progress of 107 children between the ages of 21 months and 6 years who were treated for ASD or a similar developmental disability between 1996 and 2014. The children and their families were divided into three groups, with some treated by behavioral consultants in their home, some traveling to a clinic for treatment via a telehealth connection, and some trained at home via a telehealth connection.

"When we were starting to do this with telehealth a few years ago, a lot of people said there's no way to work with children with autism without seeing them in person," Lindgren, co-director of the UI Children’s Hospital Autism Center, recently told ScienceDaily. "Usually the way they had been managed was that the family would come to the hospital and see Dr. Wacker and he'd evaluate the children,” after which behavioral consultants would be sent to the family’s home.

While an online platform reduced travel costs and hardships and improved access for families in rural locations, it also enabled consultants to train parents to use ABA in certain situations, improving treatment at home and reducing stress among parents and their children.

"A lot of kids who are on the autism spectrum have significant problems with behavior," Lindgren toldScienceDaily. "These kids may have trouble following directions, or have problems when there are changes in their schedule or routine. They also don't always have good enough communication skills to be able to explain to someone why they're getting upset or having a meltdown."

"This coaching is more than having a casual talk with families," he added. "It's setting up a variety of situations in which problem behavior may occur, and helping parents find ways to address problems constructively, and to better understand why that behavior is occurring. For 90 percent of the kids we evaluate, we can find a social reason for what that child is doing."

Lindgren also noted that the state’s telehealth capabilities improved greatly during the course of the study. As the study progressed, 14 clinics around the state were equipped with videoconferencing capabilities so that families could visits with specialists there, instead of driving to the doctor’s office or a hospital. And from 2012-2014, some families were able to use telehealth platforms at home to connect with their specialists.

“There are a limited number of professionals with the training and expertise needed to work with these children, which means a lot of families can't get access to the services they need," he said. "That's the situation we have in Iowa."Type your paragraph here.

World-Wide Remote Consultation: Using A Video telehealth ModelABA Th

erapy                                             

  • Our BCBA's train, supervise, and monitor parents, teachers, and clinicians over our HIPAA compliant video system and coach the caregiver in the moment. 
  • Decrease reactivity effects on the learner by NOT having our consultant present. Reactivity effects result in the learner behaving differently than they typically would because of our consultants' presence. When assessing behavior in certain situations, it is MORE appropriate to observe the learner without a new person in the room.
  • With such a limited number of BCBA's in the world, our remote consultation services allow us to reach learners living in remote areas
  • Reduce prompt dependency. By coaching a parent or teacher on how to implement a behavior plan or skills training program, we can fade our support much more rapidly at times so that the learner does not depend on our presence.


Journal of Applied Behavior Analysis. 2006 Fall; 39(3): 333–340.
doi:  10.1901/jaba.2006.173-04

To arrange your remote training contact

Stefanie Perrin, BCBA at sperrin@brettdassociates.com or 856-237-4985    

To arrange your remote training contact

Stefanie Perrin, BCBA at sperrin@brettdassociates.com or 856-237-4985    

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