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Progressive Functional Analysis and Function-Based Intervention Via Telehealth: A Replication and Extension.

Emily Exline1, Kristina McGinnis2, Serena R Garza1

  • 1Baylor University, Waco, TX, USA.

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|October 27, 2024
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Summary
This summary is machine-generated.

Caregivers effectively used a progressive functional analysis (FA) model and function-based interventions via telehealth to reduce challenging behaviors in children with autism. This approach showed significant improvements in behavior.

Keywords:
autismcaregiver-implemented interventionsfunctional analysisfunctional communication trainingtelehealth

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Area of Science:

  • Behavioral Psychology
  • Developmental Psychology
  • Telehealth Interventions

Background:

  • Challenging behaviors in children with autism spectrum disorder (ASD) significantly impact families.
  • Parental involvement in intervention is crucial for treatment success.
  • Telehealth offers a scalable solution for delivering behavioral interventions.

Purpose of the Study:

  • To evaluate a progressive functional analysis (FA) model for identifying behavior functions.
  • To assess the efficacy of function-based interventions delivered by caregivers via telehealth.
  • To examine the impact of the intervention on challenging behaviors and parental stress.

Main Methods:

  • A progressive FA model was employed to determine the function of challenging behaviors.
  • Caregivers received coaching via telehealth to implement function-based interventions.
  • Participants (children with ASD and caregivers) were assessed pre- and post-intervention using behavioral observations, the Parental Stress Index, and the Vineland Adaptive Behavior Rating Scales, Third Edition (VABS-3).

Main Results:

  • The FA model identified the function of challenging behavior for 36 out of 47 participants.
  • 17 participants completed the intervention phase, with most achieving an 80% reduction in challenging behavior.
  • A statistically significant decrease in VABS-3 externalizing behavior scores was observed post-intervention.

Conclusions:

  • The progressive FA model and function-based interventions are effective when delivered by caregivers via telehealth.
  • This telehealth model supports behavior change in children with autism.
  • Findings replicate and extend previous research on FA and function-based interventions.