Assessing the social validity of telehealth‐based applied behavior analysis services for autism spectrum disorder.

TREATMENT of autism; CAREGIVER attitudes; PILOT projects; TELEPSYCHIATRY; ANALYSIS of variance; HEALTH services accessibility; CHILD care; BEHAVIOR therapy; T-test (Statistics); QUALITY of life; DESCRIPTIVE statistics; QUESTIONNAIRES; SCALE analysis (Psychology); EMPLOYMENT; TECHNOLOGY; MEDICAID

During the COVID‐19 pandemic, applied behavior analysis services for many autistic individuals were transitioned to telehealth. The current study assessed caregiver‐reported quality of life (QoL) and social validity for families of autistic children receiving only telehealth services (n = 96) or a combination of telehealth and in‐person services (n = 173). Barriers to the telehealth experience were analyzed via an ANOVA, and the impact of funding source was analyzed using an independent samples t‐test. Caregivers reported benefit across QoL and social validity items, with scores ranging from 3.31 to 4.44 (1 = least benefit, 5 = most benefit). While many caregivers reported no barriers regarding technology (44.61%), childcare (69.52%), and employment (64.68%), the presence of those barriers significantly impacted QoL and social validity scores. Funding source was not found to have a significant impact. Overall, caregivers found value in their child's telehealth services. Clinicians have an obligation to mitigate barriers to ensure the success of the intervention. [ABSTRACT FROM AUTHOR]

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