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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
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15
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27 Board Certified Behavior Analysts
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1
2
14
4
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12 Potential Practitioners
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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