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Data-driven,client-centric applied behavior analysis treatment-dose optimization improves functional outcomes

世界儿科杂志:英文版 2023年第8期19卷 753-760页

作者： Andrey Ostrovsky Melissa Willa Ted Cho maxwell strandberg Sage Howard Colin Davitian Social Innovation Ventures LewesDEUSA Kyo San FranciscoCAUSA UCSF Beniof Children’s Hospital San FranciscoCAUSA SKF Group GöteborgSweden

Background With increasing numbers of individuals diagnosed with autism spectrum disorder(ASD)and with affirmation of applied behavior analysis(ABA)as an evidence-based standard of care for ASD,there has been a proliferation of agencies offering ABA services over the last several *** exists among ABA providers and health plans that reimburse those providers on the optimal number of hours of ABA services that should be *** study aims to understand whether children who receive more hours of ABA therapy achieve better outcomes and to evaluate the impact of the COVID-19-induced shift to telehealth clinical supervision on *** A retrospective cohort analysis was performed using data from the Vineland 3 Comprehensive Interview Form to assess function throughout ABA *** sample t tests,independent sample t tests,Cohen’s D,and Pearson correlations were used to determine relationships between Vineland scores and input variables including hours of service and modality of supervision(in-person ***).Results While statistically and clinically significant improvements in function were observed,children appear to have improved outcomes independent of the number of hours of service *** were also no significant associations between modality of supervision and Vineland standard *** These findings challenge prior research that demonstrated a linear dose–response *** tailoring treatment dosage to the individual client’s needs,providers may be able to better maximize functional progress of the client,to preserve family time,and to utilize health plan dollars more efficiently.

关键词： Autism spectrum disorder(ASD) Autistic disorder Autistic rehabilitation Autistic therapy Telemedicine

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