Telehealth Training for Autism Support Using Behaviour Analytic Strategies: A Systematic Review and Quality Appraisal

Abstract Using telehealth to remotely train staff in behaviour analytic techniques has become an increasingly popular method of providing services to support autistic individuals and their families. This systematic literature review has identified studies which utilised this platform to remotely train staff across the education, health and social care sectors. In total, 20 studies met the inclusion criteria to be included in the review. Training was provided to 101 participants across a variety of vocational backgrounds (e.g. behaviour analysts, speech and language therapists and teachers). Multiple training methods were utilised, most commonly these involved techniques found in the Behaviour Skills Training package, such as modelling of skills, opportunities for rehearsal and the provision of feedback. The training provided was effective at increasing trainee capabilities in conducting behaviour analytic assessments (e.g. functional analyses) and skill teaching (e.g. strategies to increase social communication). However, despite most research being viewed favourably by trainees and meeting minimum quality standards, it should be considered as in its infancy. Many gaps do exist, especially around international culturally diverse demonstrations of effectiveness. By investigating such applications and filling these gaps, future researchers can begin to explore the true potential telehealth has in reducing global inequalities in evidence-based services.