Preliminary Evaluation of the Impact of Service Modality on Treatment Outcome and Acceptability Using a Function-Based Behavioral Caregiver Training Program

Abstract Few studies have investigated caregiver choice surrounding the modality for behavior therapy for pediatric challenging behavior. This preliminary study sought to (1) understand the factors impacting consumer decisions regarding virtual or in-person behavior therapy and (2) evaluate the associated clinical outcomes using a quasi-experimental design. Forty nine participants received behavioral services for the assessment and treatment of tantrum behaviors. Paired sample t-tests and a one-way ANOVA were conducted to evaluate outcomes. Results suggest choices were most frequently based on caregiver perceptions regarding speed of improvement; modality changes were most associated with failure to make progress. Implications of these findings are discussed.