Telehealth and Autism Prior to and in the Age of COVID-19: A Systematic and Critical Review of the Last Decade.
Telehealth and Autism Prior to and in the Age of COVID-19: A Systematic and Critical Review of the Last Decade.
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DOI：
10.1007/s10567-021-00358-0
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发表时间：
2021-09
影响因子：
6.9
通讯作者：
Davis TE 3rd
中科院分区：
文献类型：
--
作者：
Ellison KS;Guidry J;Picou P;Adenuga P;Davis TE 3rd
人们对使用远程医疗越来越感兴趣;然而，COVID-19大流行以及随后对面对面服务的隔离和限制加快了这些服务的实施需求。患有自闭症谱系障碍（ASD）的人受到的影响特别大，因为这一人群需要密集的服务。因此，本综述的目的是检查在过去十年中使用远程医疗对ASD儿童和青少年及其家庭进行评估和/或干预的研究的证据基础，方法和结果。此外，目标是突出远程保健的进展及其在这一特殊人群中的使用。对文献进行了系统检索，55项研究符合纳入标准和质量分析。从每篇文章中提取了指定的详细信息，包括参与者特征、技术、措施、方法/研究设计以及临床和实施结果。通过远程保健提供的服务包括诊断评估、偏好评估、早期干预、应用行为分析、功能评估和功能沟通培训以及家长培训。调查结果虽然仍在不断出现，但令人鼓舞的是，通过远程保健提供的服务相当于或优于面对面的服务。结果支持与ASD患者使用远程医疗的好处。未来的研究应继续探索通过远程保健对自闭症患者进行评估和干预的可行性，使家庭更容易获得评估服务和干预措施，同时承认它可能造成的数字鸿沟。
There has been growing interest in the use of telehealth; however, the COVID-19 pandemic and the subsequent isolation and restrictions placed on in-person services have fast-tracked implementation needs for these services. Individuals with autism spectrum disorder (ASD) have been particularly affected due to the often-intensive service needs required by this population. As a result, the aim of this review was to examine the evidence base, methodology, and outcomes of studies that have used telehealth for assessment and/or intervention with children and adolescents with ASD as well as their families over the last decade. Further, the goal is to highlight the advances in telehealth and its use with this special population. A systematic search of the literature was undertaken, with 55 studies meeting inclusion criteria and quality analysis. Specified details were extracted from each article, including participant characteristics, technology, measures, methodology/study design, and clinical and implementation outcomes. Services provided via telehealth included diagnostic assessments, preference assessments, early intervention, applied behavior analysis (ABA), functional assessment and functional communication training, and parent training. Findings, although still emerging, encouragingly suggested that services via telehealth were equivalent or better to services face-to-face. Results support the benefits to using telehealth with individuals with ASD. Future research should continue to explore the feasibility of both assessments and interventions via telehealth with those having ASD to make access to assessment services and interventions more feasible for families, while acknowledging the digital divide it could create.
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影响因子：
3.9
作者：
Bearss, Karen;Burrell, T. Lindsey;Scahill, Lawrence
通讯作者：
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影响因子：
2.9
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Higgins, William J.;Luczynski, Kevin C.;Mudford, Oliver C.
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影响因子：
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作者：
Ferguson, Julia L.;Majeski, Maddison J.;Leaf, Justin B.
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影响因子：
2.9
作者：
Fisher, Wayne W.;Luczynski, Kevin C.;Piazza, Cathleen C.
通讯作者：
Piazza, Cathleen C.
DOI：
10.1080/20473869.2020.1827210
发表时间：
2020-09-27
影响因子：
2.1
作者：
Davis, Cheryl;Hendon, Faith;Blanco, Sam
通讯作者：
Blanco, Sam