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SIG 18 Telepractice
Article
September 2014

The Evaluation of Children with an Autism Spectrum Disorder: Adaptations to Accommodate a Telepractice Model of Clinical Care

Publication: Perspectives on Telepractice
Volume 4, Number 2
Pages 42-51

Abstract

Telepractice is increasingly applied to assessment and intervention for persons with autism spectrum disorders (ASD), and the use of telepractice for delivering augmentative and alternative communication (AAC) services is expanding. To date, no studies have focused on the assessment of communication in children with ASD who are minimally verbal. This case exploration represents a first attempt to apply the clinical assessment approach (also known as Visual Immersion System) developed in the Autism Language Program in the Center for Communication Enhancement (CCE) at Boston Children's Hospital (BCH) through a telepractice service delivery model. In this paper we detail an on-site evaluation, and then describe the application of the various evaluation components to telepractice delivery. Our findings provide preliminary evidence that communication assessment information can be successfully obtained for this population via telepractice. The results demonstrated that the telepractice evaluation took greater time to complete than the on-site evaluation, likely due to both technical and cultural factors. Further study is warranted particularly in the delivery of family instruction materials prior to the evaluation and to quality assurance measures.

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References

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Information & Authors

Information

Published In

Perspectives on Telepractice
Volume 4Number 2September 2014
Pages: 42-51

History

  • Published in issue: Sep 1, 2014

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Authors

Affiliations

Anna A. Allen
Center for Interprofessional Studies and Innovation, MGH Institute of Health Professions Boston, MA
Boston Children's Hospital Waltham, MA
Howard C. Shane
Autism Language Program, Boston Children's Hospital Waltham, MA

Notes

Financial Disclosure: Anna A. Allen is a doctoral student in the PhD in Rehabilitation Sciences Program at the Center for Interprofessional Studies and Innovation at MGH Institute of Health Professions. She is also a Doctoral Fellow at Boston Children's Hospital. Howard C. Shane is the Director of the Center for Communication Enhancement and the Autism Learning Program at Boston Children's Hospital.
Nonfinancial Disclosure: Anna Allen has previously published in the subject area. Howard C. Shane has previously published in the subject area.

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Citing Literature

  • Assessing communicative-pragmatic ability in telehealth: e-ABaCo in autistic individuals, Frontiers in Psychiatry, 10.3389/fpsyt.2025.1568108, 16, (2025).
  • Telepractice in the diagnosis and treatment of pediatric speech-language disorders: The opinions and experiences of speech-language pathologists, International Journal of Pediatric Otorhinolaryngology, 10.1016/j.ijporl.2023.111560, 169, (111560), (2023).
  • Planning for Treatment of Children with Autism and Other Developmental Disabilities with the Child and Adolescent Psychiatrist, Handbook of Treatment Planning for Children with Autism and Other Neurodevelopmental Disorders, 10.1007/978-3-031-06120-2_19, (337-363), (2022).
  • Coaching Caregivers of Young Children With Autism via Telepractice to Collect Assessment Data and Implement Interventions, Perspectives of the ASHA Special Interest Groups, 10.1044/2022_PERSP-21-00254, 7, 2, (338-346), (2022).
  • Telepractice in Speech–Language Therapy: The Use of Online Technologies for Parent Training and Coaching, Communication Disorders Quarterly, 10.1177/1525740116680424, 38, 4, (242-254), (2016).
  • A Systematic Review of Telemedicine in Autism Spectrum Disorders, Review Journal of Autism and Developmental Disorders, 10.1007/s40489-016-0086-9, 3, 4, (330-344), (2016).

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