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Agreement Between Structured Descriptive Assessments and Functional Analyses Conducted Over a Telehealth System.

Brian K Martens1, Emily L Baxter1, Jennifer J McComas2

  • 1Syracuse University.

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|January 8, 2020
PubMed
Summary
This summary is machine-generated.

Parent-led functional analyses (FAs) conducted via telehealth at home yielded differentiated results for children with developmental disabilities. Structured descriptive assessments (SDAs) identified fewer behavioral functions compared to FAs.

Keywords:
contingency space analysisfunctional analysisfunctional assessmentstructured descriptive assessmenttelehealth

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Area of Science:

  • Behavioral Science
  • Developmental Psychology
  • Telehealth Interventions

Background:

  • Functional analyses (FAs) are crucial for identifying the purpose of challenging behaviors in children with intellectual and developmental disabilities (IDDs).
  • Telehealth offers a promising avenue for delivering behavioral assessments and interventions remotely, increasing accessibility.
  • Parent implementation of behavioral assessments at home can provide ecologically valid data but requires effective coaching.

Purpose of the Study:

  • To determine if parent-implemented experimental functional analyses (FAs) coached via telehealth yield differentiated results in home settings.
  • To compare the functions identified by parent-implemented FAs with those identified through structured descriptive assessments (SDAs) conducted remotely.
  • To evaluate the efficacy of telehealth coaching for parents conducting behavioral assessments.

Main Methods:

  • Four boys aged 4-8 with IDDs and their parents participated in the study.
  • Parents conducted FAs and SDAs in their children's homes, receiving coaching from remote behavior therapists via videoconferencing.
  • Data from parent-implemented FAs and SDAs (analyzing antecedent-behavior and behavior-consequence relations) were compared.

Main Results:

  • Parent-implemented FAs produced differentiated results for all four participating children.
  • SDAs identified approximately half the behavioral functions identified by FAs.
  • While analyzing antecedent-behavior and behavior-consequence relations from SDAs showed some accuracy, behavior-consequence analysis tended to overidentify attention as a function.

Conclusions:

  • Parent-implemented FAs coached via telehealth are effective in identifying differentiated behavioral functions in home environments.
  • SDAs may not capture the full range of behavioral functions identified by experimental FAs, particularly when analyzed remotely.
  • Telehealth coaching is a viable method for supporting parents in conducting complex behavioral assessments, though careful interpretation of SDA data is warranted.