Perspectives for the Delivery of Early Intervention Services via Telemedicine in Rural States: Outcomes from the COVID-19 Pandemic

The current study describes outcomes for seven families who participated in telehealth services from an early intervention clinic in a rural state during the COVID-19 pandemic. Families received different levels of care from a Board-Certified Behavior Analyst (BCBA®) over three months, ranging from one hour to 20 hours per week. The telemedicine sessions primarily focused on teaching caregivers to implement protocols that focused on rapport-building (i.e., Time-In [TI]), increasing child compliance with instructions (i.e., Effective Instruction Delivery [EID]), and language acquisition programs selected from the Promoting Emergence of Advanced Knowledge (PEAK) Comprehensive Assessment and Curriculum. At the conclusion of the telemedicine sessions, parents implemented the protocols with high degrees of treatment integrity, and improvements in skill acquisition on a standardized language assessment were observed for children with autism spectrum disorder (ASD). Implications for providing telemedicine services to rural and underserved communities without access to early intervention services and future directions for research are discussed.