Dataset Information

Tolerance of face coverings for children with autism spectrum disorder.

ABSTRACT: Healthcare professionals and government officials have advised the use of personal protective equipment, such as face masks and face shields, to assist with limiting the spread of the SARS-CoV-2 (COVID-19). Due to the prevalence of challenging behavior associated with other medical routines, the present study evaluated a treatment package composed of graduated exposure, prompts, reinforcement, and escape extinction on tolerance of wearing a face covering for up to 5 min for 12 children with ASD in a systematic replication of Cox et al. (2017) and Sivaraman et al. (2020). We also extended previous research by measuring generalization of face covering type (i.e., face shield) and the efficacy of a treatment extension for tolerating a face covering for up to 15 min during the participants' trial-based instruction and play periods.

SUBMITTER: Halbur M

PROVIDER: S-EPMC8250735 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Tolerance of face coverings for children with autism spectrum disorder.

Halbur Mary M Kodak Tiffany T McKee Marisa M Carroll Regina R Preas Elizabeth E Reidy Jessi J Cordeiro Maria Clara MC

Journal of applied behavior analysis 20210326 2

Healthcare professionals and government officials have advised the use of personal protective equipment, such as face masks and face shields, to assist with limiting the spread of the SARS-CoV-2 (COVID-19). Due to the prevalence of challenging behavior associated with other medical routines, the present study evaluated a treatment package composed of graduated exposure, prompts, reinforcement, and escape extinction on tolerance of wearing a face covering for up to 5 min for 12 children with ASD ...[more]

PMID: 33772777

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Project description:ImportanceThe efficacy of telehealth (TH) interventions needs to be studied.ObjectiveTo compare the efficacy, fidelity, acceptability, and feasibility of face-to-face (F2F) versus TH seated play (SP) interventions among children with autism spectrum disorder (ASD).DesignAs part of a larger randomized controlled trial, children were assigned to the SP group and received TH and F2F interventions over 8 wk using a pretest-posttest study design.SettingA research lab or through videoconferencing.ParticipantsFifteen children with ASD (ages 5-14 yr) were randomly assigned to the SP group and received the intervention F2F or through TH.InterventionChildren received 16 SP intervention sessions (2 sessions per week for 8 wk).Outcomes and measuresPretests and posttests included standardized fine motor assessments. Video coding compared socially directed verbalization during training sessions. Parents and trainers provided feedback on their experiences.ResultsSeven children received the intervention F2F, whereas 8 received TH intervention. Children in both subgroups showed similar training improvements in fine motor skills and socially directed verbalizations (ps > .01). Parents rated both interventions as acceptable and feasible; however, they reported longer preparation time and effort during TH interventions (ps < .01). Trainers reported greater parental involvement but more communication and technological issues during TH interventions. Fidelity checks indicated fewer reinforcements during TH versus F2F sessions.Conclusions and relevanceTH intervention is feasible and effective in improving fine motor and social communication performance. Clinicians should reduce parental burden and overcome technological issues. What This Article Adds: This study confirmed the efficacy, fidelity, acceptability, and feasibility of delivering seated play, standard of care interventions for children with autism spectrum disorder via telehealth. However, clinicians should work on reducing parental burden and overcoming communication and technological issues related to telehealth.

Dataset Information

Tolerance of face coverings for children with autism spectrum disorder.

Publications

Tolerance of face coverings for children with autism spectrum disorder.

Similar Datasets

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