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Interventions based on applied behaviour analysis are considered evidence based practice for autism spectrum disorders. Due to the shortage of highly qualified professionals required for their delivery, innovative models should be explored, such as telehealth. Telehealth utilises technology for remote training and supervision. The purpose of our study was to systematically review the literature researching telehealth and ABA. We analysed intervention characteristics, outcomes and research quality in 28 studies and identified gaps. Intervention characteristics were: (1) research design (2) participants (3) technology (4) dependent variables (5) aims. Outcomes were favourable with all studies reporting improvements in at least one variable. Quality ratings were significantly low. Implications for future research and practice are discussed in light of identified methodological downfalls.

The scientist practitioner model (SPM) or “Boulder Model” emphasizes training in research methods and the application of research findings to solving clinical problems. Within the science of applied behavior analysis (ABA), the scientist-practitioner model (SPM) is an integral component of the field. However, there are no data to report on the current state of the SPM within our field. A survey was administered among current Board Certified Behavior Analysts (BCBAs) to evaluate the current state of the SPM and research productivity. We also evaluated BCBA’s motivations for research involvement, the number of publications per respondent, and other important variables impacting research productivity. Overall, results indicate that the majority of respondents adhere to the SPM despite the lack of high research productivity. Suggestions on bridging the gap and possible future directions are discussed.

Limited research has explored how to best train caregivers to support their child with autism spectrum disorder (ASD) despite caregivers being well suited to promote generalization and maintenance of their child’s skills in the natural environment. Children with ASD have been shown to benefit from social skill training, which is not always conducted in the natural context. This research examined the efficacy of behavioral skills training (BST) with, and without in situ training (IST), for teaching caregivers how to also use BST to support their child’s context-specific social skills. Although caregivers met mastery criterion within BST sessions, their skills did not generalize to the natural environment until IST was introduced. The implications of the findings are discussed.

Applied behavior analysis (ABA) has become a popular behavioral therapy in the special education needs (SEN) community. ABA is used to manage SEN students’ behaviors by solving problems in socially important settings, and puts emphasis on having precise measurements on physical and observable events. In this work, we present how Internet of Things (IoT) technologies can be applied to enhance ABA therapy in normal SEN classroom settings. We measured (1) learning performance data, (2) learners’ physiological data, and (3) learning environment sensors’ data. Upon preliminary analysis, we have found that learners’ physiological data is highly diverse, while learner performance seems to be related to learners’ electrodermal activity. Our preliminary findings suggest the possibility of enhancing ABA for SEN with IoT technologies.

This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment.

Background Autism spectrum disorder (ASD) negatively impacts mental health, particularly in mothers of autistic children who experience heightened stress. Applied behaviour analysis (ABA) and music therapy are recognised interventions for improving ASD symptoms. However, the specific benefits of parent–child music therapy and ABA for autistic children and their mothers remain uncertain. This study evaluated the effects of parent–child music therapy on preschool autistic children and their mothers. Method A randomised controlled trial was conducted with 100 mother–child pairs assigned to either the control group receiving ABA or the intervention group receiving both music therapy and ABA. Qualitative interviews were conducted post-intervention for 12 mothers. Results Children in the intervention group exhibited lower scores for ASD symptoms than those in the control group. Moreover, mothers in the intervention group demonstrated reduced dysfunctional parent–child interaction, lower overall parental stress, significantly improved family functioning, and increased levels of hope compared with those in the control group. Mothers held positive views regarding music therapy. Conclusions Combining ABA with parent–child music therapy can alleviate ASD symptoms in children and reduce stress in mothers. Improved parent–child interaction and enhanced family functioning further support the benefits of this combined approach. Parent–child music therapy, combined with ABA demonstrated positive outcomes for autistic children, including reduced ASD symptoms, improved parent–child interaction, decreased parental stress, enhanced family functioning, and increased hope. These findings highlight the potential of incorporating music therapy as a valuable component in the comprehensive treatment of ASD. Trial registration This study was registered in the Chinese Clinical Trial registry (05/07/2021, ChiCTR2100048261, https://www.chictr.org.cn/showproj.html?proj=128957 ). Ethical approval was obtained from the Research Ethics Committee of Fujian Medical University and the study hospital (Fujian Provincial Maternity and Child Health Hospital; 2017 − 105), and informed consent was obtained from all subjects and/or their legal guardian(s).

Children with autism spectrum disorder (ASD) often face challenges developing prelinguistic skills, delaying or preventing language acquisition. This study used an Applied Behavior Analysis and Verbal Behavior (ABA-VB) approach to teach six pivotal prelinguistic skills to a 3-year-old with ASD. The six skills include the speaking skills of (1) pointing, (2, 3) generalized imitation with and without objects, and (4) producing vocalizations; and the listening skills of (5) joint attention and (6) following simple instructions. Each of these skills were developed in independent teaching programs that included a pretest, intervention with different prompt fading phases, independent posttest, and generalization and maintenance tests. Programs were implemented through discrete trial training (DTT) in 1.5-hour sessions, 4 days a week. After a six-month intervention, the child met the acquisition criteria for all six skills. The skills were generalized with other materials, people, and contexts, and were maintained over time. Results support the effectiveness of ABA-VB for teaching prelinguistic skills and developing pivotal behaviors that promote the learning of more complex verbal skills in children with autism.

Background: Supervision of behavior analysts seeking certification and supervision of service delivery are key processes in the provision of quality behaviour analytic services to individuals with developmental disabilities. Our study is the first to examine international supervisory practices within the field of applied behaviour analysis. Method: An online survey was distributed to 92 professionals internationally, assessing supervisory practice, supervisor support, work demands, job satisfaction, and burnout. Results: Findings indicate high satisfaction with the supervisor and supervisory experience. Excessive work demands positively correlate with high burnout and low job satisfaction. Half of all professionals only worked with one or two clients before certification. Supervisor and collegial support seem to decrease the likelihood of suffering burnout and increase job satisfaction, although relationships were not statistically significant. Conclusions: Supervisor and collegial support warrant further research as protective factors. Implications for an evidence-based supervisory practice that produces ethical and competent supervisees are discussed.

Accreditation is typically a voluntary process that involves a thorough evaluation of an organization’s policies, procedures, and practices. Much like a colonoscopy, the evaluation process probes deep and can be uncomfortable. With the discomfort, time, cost, and effort it takes to undergo evaluation for accreditation, the natural question is whether it is worth doing. In this paper, I will review the history of accreditation and the results of systematic literature reviews focused on the impact of accreditation. I will also discuss how accreditation may help provide quality control in behavior analysis and safeguard against service providers’ behaviors being solely shaped by funding sources, such as insurance providers. Lastly, I will provide critical questions consumers can ask to assess accrediting bodies’ transparency, objectivity, and fairness when they are seeking accreditation. Accreditation is typically a voluntary process that involves a thorough evaluation of an organization’s policies, procedures, and practices. Much like a colonoscopy, the evaluation process probes deep and can be uncomfortable. With the discomfort, time, cost, and effort it takes to undergo evaluation for accreditation, the natural question is whether it is worth doing. In this paper, I will review the history of accreditation and the results of systematic literature reviews focused on the impact of accreditation. I will also discuss how accreditation may help provide quality control in behavior analysis and safeguard against service providers’ behaviors being solely shaped by funding sources, such as insurance providers. Lastly, I will provide critical questions consumers can ask to assess accrediting bodies’ transparency, objectivity, and fairness when they are seeking accreditation.

Leaf and colleagues (2016) provided a definition and description of progressive applied behavior analysis (ABA) in the context of autism treatment in which a behavior analyst takes a structured, yet flexible, approach to treatment that is responsive to the learner and includes on-going, in-the-moment analysis of teaching. Since Leaf and colleagues’ publication, there have been many research and dissemination advancements across the domains outlined in the original paper. This includes advancements in the types of progressive procedures implemented, instructional arrangements, progressive reinforcement strategies, preventive functional analysis, progressive discrete trial teaching, data collection, progressive curriculum development, and staff training. The purpose of this paper is to highlight these advances citing peer-reviewed research where possible. Although many advancements have occurred, there is still a great need in the field of ABA for more clinicians and researchers to evaluate and implement procedures associated with the progressive approach to ABA. The paper will conclude with a call to action for behavior analysts to move away from rigid, protocolized, and conventional ABA practices and move towards implementing progressive ABA. Leaf and colleagues (2016) provided a definition and description of progressive applied behavior analysis (ABA) in the context of autism treatment in which a behavior analyst takes a structured, yet flexible, approach to treatment that is responsive to the learner and includes on-going, in-the-moment analysis of teaching. Since Leaf and colleagues’ publication, there have been many research and dissemination advancements across the domains outlined in the original paper. This includes advancements in the types of progressive procedures implemented, instructional arrangements, progressive reinforcement strategies, preventive functional analysis, progressive discrete trial teaching, data collection, progressive curriculum development, and staff training. The purpose of this paper is to highlight these advances citing peer-reviewed research where possible. Although many advancements have occurred, there is still a great need in the field of ABA for more clinicians and researchers to evaluate and implement procedures associated with the progressive approach to ABA. The paper will conclude with a call to action for behavior analysts to move away from rigid, protocolized, and conventional ABA practices and move towards implementing progressive ABA.