Dissemination of evidence-based practice: can we train therapists from a distance?
Although knowledge about the efficacy of behavioral interventions for children with ASD is increasing, studies of effectiveness and transportability to community settings are needed. The current study conducted an effectiveness trial to compare distance learning vs. live instruction for training community-based therapists to implement the Early Start Denver Model. Findings revealed: (a) distance learning and live instruction were equally effective for teaching therapists to both implement the model and to train parents; (b) didactic workshops and team supervision were required to improve therapists' skill use; (c) significant child gains occurred over time and across teaching modalities; and (d) parents implemented the model more skillfully after coaching. Implications are discussed in relation to the economic and clinical utility of distance learning.
Vismara
Laurie A
LA
Department of Psychiatry and Behavioral Sciences, Davis, M.I.N.D. Institute, University of California, 2825 50th Street, Sacramento, CA 95817, USA. laurie.vismara@ucdmc.ucdavis.edu
Young
Gregory S
GS
Stahmer
Aubyn C
AC
Griffith
Elizabeth McMahon
EM
Rogers
Sally J
SJ
D002659:Child Development Disorders, Pervasive / Q000523:psychology / Q000628:therapy; D002675:Child, Preschool; D020375:Education, Distance / Q000379:methods*; D055317:Evidence-Based Practice / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007223:Infant; D011613:Psychotherapy / Q000193:education*