Fully Virtual, Focused Applied Behavior Analysis Services: Acceptability and Feasibility Study.

IF 2.3 Q2 PEDIATRICS

JMIR Pediatrics and Parenting Pub Date : 2026-06-10 DOI:10.2196/90243

William H Edwards, Brittany C Wierzba

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Abstract

Background: Traditional models of applied behavior analysis (ABA) services for those diagnosed with autism spectrum disorder (ASD) involve time-intensive, labor-intensive, comprehensive, in-person services. The increasing prevalence of ASD in the United States has precipitated a need to identify effective, accessible, and innovative methods to address the needs of those with ASD.

Objective: The present descriptive study examines the feasibility and acceptability of a fully virtual, targeted model of ABA service delivery.

Methods: This retrospective analysis evaluated changes over time in adaptive behavior, maladaptive behavior, and caregiver satisfaction during focused, virtual ABA therapy delivered by a Board Certified Behavior Analyst.

Results: Improvements in standard scores across Vineland-3 domains and improvements in quality of life (Child and Family Quality of Life, Second Edition), in addition to high levels of caregiver satisfaction, were observed over time.

Conclusions: While causality cannot be determined for these improvements, results support the feasibility and acceptability of this novel ABA service delivery model.

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全虚拟、集中的应用行为分析服务：可接受性和可行性研究。

背景：传统的孤独症谱系障碍（ASD）患者应用行为分析（ABA）服务模式涉及时间密集型、劳动密集型、综合性、面对面的服务。在美国，ASD的流行率越来越高，这促使人们需要找到有效的、可获得的和创新的方法来满足ASD患者的需求。目的：本描述性研究考察了一个完全虚拟的、有针对性的ABA服务交付模型的可行性和可接受性。方法：本回顾性分析评估了在由委员会认证行为分析师提供的集中、虚拟ABA治疗期间，适应行为、适应不良行为和照顾者满意度随时间的变化。结果：随着时间的推移，在Vineland-3领域的标准得分和生活质量（儿童和家庭生活质量，第二版）的改善，以及高水平的照顾者满意度都得到了改善。结论：虽然不能确定这些改进的因果关系，但结果支持这种新的ABA服务提供模式的可行性和可接受性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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