Smart Technology to Empower Collaborative Partnerships Among Behavior Practitioners and Caregivers to Deliver Quality ABA

智能技术赋能行为从业者和护理人员之间的合作伙伴关系，以提供优质的 ABA

• 批准号: 10837190
• 负责人: John Nosek
• 金额: $ 0.65万
• 依托单位: GUIDING TECHNOLOGIES CORPORATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10837190
• 关键词: Address; Affect; American; Attention deficit hyperactivity disorder; Behavior; Behavioral; Belief; Caregivers; Caring; Child; Clinical; Communication; Complex; Credentialing; Data; Data Analyses; Data Collection; Development; Developmental Disabilities; Diabetes Mellitus; Disease; Ear; Educational process of instructing; Effectiveness; Enhancement Technology; Evaluation; Expert Systems; Eye; Family; Frequencies; Future; Goals; Health; Home; Hour; Impairment; Individual; Information Systems; Intellectual functioning disability; Knowledge; Learning; Learning Disorders; Left; Life; Mission; Navigation System; Outcome; Participant; Performance; Phase; Practice Guidelines; Procedures; Progress Reports; Provider; Real-Time Systems; Reporting; Research; Research Design; Rural; Science; Secure; Services; Site; Stroke; Surveys; Technology; Testing; Training; Underserved Population; United States National Institutes of Health; Update; applied behavior analysis; autism spectrum disorder; autistic children; board certified behavior analyst; care costs; clinical research site; computer science; cost; efficacy evaluation; empowerment; experience; improved; innovation; instructor; intervention effect; marginalized community; power analysis; primary outcome; programs; recruit; reinforcer; remediation; research clinical testing; secondary outcome; skill acquisition; skills; social; statistics; task analysis; technology platform; theories; treatment program; usability

This project addresses a key NIH mission to ameliorate intellectual and developmental disabilities (IDD) by developing and applying smart technologies for the treatment of children with Autism Spectrum Disorder (ASD). Care for ASD will cost U.S. citizens $461 billion annually by 2025, exceeding yearly care costs for diabetes, ADHD, and stroke. Increasing availability to high-quality Applied Behavior Analysis (ABA), the most effective and scientifically-validated approach to remediate impairments associated with ASD, could reduce these costs. Best practices call for at least 25 hours per week of high-quality ABA, however, most children receive less than 10 hours per week due to provider shortage and costs. This project leverages smart technology (GAINS) to empower caregivers of children with ASD to become active, collaborative partners with behavior practitioners in their children’s ABA therapy, bridging gaps left by insufficient access to therapy and limited availability of behavior practitioners, which especially affects marginalized communities. GAINS is a smart technology platform that uniquely incorporates knowledge of ABA theory and practice personalized for the individual with developmental challenges. In a similar way to navigation systems for drivers, GAINS is a unique navigation system for instructors and caregivers implementing ABA therapy programs that help learners acquire skills and improve prosocial behaviors. Innovations to GAINS will further enhance collaborative partnerships by empowering caregivers to be more effective eyes and ears of behavior practitioners and providing caregiver-appropriate reporting so caregivers can more easily understand the progress and needs of their children to achieve a mutual understanding with behavior practitioners. Clinical evaluation of the efficacy of smart technology to empower caregivers to teach their children with ASD and related disorders life skills will be evaluated: 1) Does GAINS improve child independent life skill performance when used by a caregiver? 2) Is GAINS guidance sufficient for caregivers to teach life skills to children? 3) Is GAINS useful and usable for teaching life skills? Research design. Single Case Research Designs (SCRDs) using changing criterion (CC). This allows rigorous experimental evaluation of intervention effects and provides a strong basis for establishing causal inferences. Power analysis using pilot data requires a minimum of 8 dyads, but 12 will be recruited. Participants: Dyads (child with ASD and a caregiver) recruited from clinical sites in three U.S. states (2 of 3 rural, underserved populations). Setting: family homes. Independent Variable: GAINS expert guiding technology to support teaching life skills using task analysis, chaining, and prompting. Primary Outcome: child independent life skill performance percentage (at least 8 of 12 children reach at least 90% independent performance with GAINS). Secondary Outcomes: Procedural fidelity; perceived usability and usefulness of the technology; social validity survey related to the goals, procedures, and caregiver effort/child results; and caregiver frequency and duration of GAINS use.

该项目介绍了NIH的关键使命，以改善智力和发育障碍（IDD） 开发和应用智能技术来治疗自闭症谱系障碍儿童 （ASD）。到2025年，对ASD的护理将使美国公民每年损失4610亿美元，超过年度护理费用 糖尿病，多动症和中风。增加对高质量应用行为分析（ABA）的可用性，最多 有效且科学验证的方法来补救与ASD相关的损害，可以减少 这些费用。最佳实践每周至少需要25个小时的高质量ABA，但是大多数孩子 由于提供商的短缺和成本，每周收到少于10个小时的时间。这个项目利用聪明 技术（提高）使ASD儿童的照顾者能够与 行为从业者在孩子的ABA疗法中，弥合缺口，因为无法获得治疗和 行为从业者的可用性有限，这特别影响边缘化社区。收益是一个 智能技术平台唯一融合了ABA理论知识和实践的个性化 有发展挑战的人。与驾驶员的导航系统类似的方式，收益是一个 针对实施ABA治疗计划的教师和护理人员的独特导航系统，以帮助学习者 获取技能并改善亲社会行为。获得的创新将进一步增强协作 通过使照顾者成为行为从业者的眼睛和耳朵和耳朵的合作伙伴关系 提供适合护理人员的报告，以便护理人员可以更轻松地了解 他们的孩子与行为从业者相互了解。效率的临床评估 智能技术以使护理人员能够以ASD和相关疾病的生活技能教他们的孩子 评估：1）收益在护理人员使用时是否可以改善儿童独立的生活技能表现？ 2）是 获得足够的指导足以使护理人员向儿童传授生活技能？ 3）获取有用，可用于 教生活技能？研究设计。单案研究设计（SCRD）使用更改标准（CC）。 这允许对干预效果进行严格的实验评估，并为建立 因果推断。使用试点数据的功率分析至少需要8个二元组，但将招募12个。 参与者：在美国三个州的临床场所招募的二元组（患有ASD和一名护理人员）（3个中的2个） 粗糙，服务不足的人群）。设置：家庭住宅。自变量：获得专家指导 使用任务分析，链接和提示来支持教学生活技能的技术。主要结果：孩子 独立的生活技能绩效百分比（至少有12个孩子中有8个至少达到90％独立 表现出色）。次要结果：程序保真度；感知的可用性和实用性 技术；社会有效性调查与目标，程序和照料者的努力/儿童结果有关；和 护理人员使用的频率和持续时间使用。