The Evaluation of Children with an Autism Spectrum Disorder: Adaptations to Accommodate a Telepractice Model of Clinical Care Telepractice is increasingly applied to assessment and intervention for persons with autism spectrum disorders (ASD), and the use of telepractice for delivering augmentative and alternative communication (AAC) services is expanding. To date, no studies have focused on the assessment of communication in children with ASD who are minimally verbal. This ... Article
Article  |   September 01, 2014
The Evaluation of Children with an Autism Spectrum Disorder: Adaptations to Accommodate a Telepractice Model of Clinical Care
Author Affiliations & Notes
  • Anna A. Allen
    Center for Interprofessional Studies and Innovation, MGH Institute of Health Professions, Boston, MA
    Boston Children's Hospital, Waltham, MA
  • Howard C. Shane
    Autism Language Program, Boston Children's Hospital, Waltham, MA
  • Financial Disclosure: Anna A. Allen is a doctoral student in the PhD in Rehabilitation Sciences Program at the Center for Interprofessional Studies and Innovation at MGH Institute of Health Professions. She is also a Doctoral Fellow at Boston Children's Hospital. Howard C. Shane is the Director of the Center for Communication Enhancement and the Autism Learning Program at Boston Children's Hospital.
    Financial Disclosure: Anna A. Allen is a doctoral student in the PhD in Rehabilitation Sciences Program at the Center for Interprofessional Studies and Innovation at MGH Institute of Health Professions. She is also a Doctoral Fellow at Boston Children's Hospital. Howard C. Shane is the Director of the Center for Communication Enhancement and the Autism Learning Program at Boston Children's Hospital.×
  • Nonfinancial Disclosure: Anna Allen has previously published in the subject area. Howard C. Shane has previously published in the subject area.
    Nonfinancial Disclosure: Anna Allen has previously published in the subject area. Howard C. Shane has previously published in the subject area.×
Article Information
Special Populations / Autism Spectrum / Telepractice & Computer-Based Approaches / Articles
Article   |   September 01, 2014
The Evaluation of Children with an Autism Spectrum Disorder: Adaptations to Accommodate a Telepractice Model of Clinical Care
SIG 18 Perspectives on Telepractice, September 2014, Vol. 4, 42-51. doi:10.1044/teles4.2.42
SIG 18 Perspectives on Telepractice, September 2014, Vol. 4, 42-51. doi:10.1044/teles4.2.42

Telepractice is increasingly applied to assessment and intervention for persons with autism spectrum disorders (ASD), and the use of telepractice for delivering augmentative and alternative communication (AAC) services is expanding. To date, no studies have focused on the assessment of communication in children with ASD who are minimally verbal. This case exploration represents a first attempt to apply the clinical assessment approach (also known as Visual Immersion System) developed in the Autism Language Program in the Center for Communication Enhancement (CCE) at Boston Children's Hospital (BCH) through a telepractice service delivery model. In this paper we detail an on-site evaluation, and then describe the application of the various evaluation components to telepractice delivery. Our findings provide preliminary evidence that communication assessment information can be successfully obtained for this population via telepractice. The results demonstrated that the telepractice evaluation took greater time to complete than the on-site evaluation, likely due to both technical and cultural factors. Further study is warranted particularly in the delivery of family instruction materials prior to the evaluation and to quality assurance measures.

Acknowledgements
This research was supported in part by the CVS Caremark Foundation. The authors also wish to acknowledge Patrick McCarthy and Sean Farrell of the Boston Children's Hospital Telehealth team for their invaluable guidance in technology support, concept/pilot testing, and operationalization of telehealth procedures, and three anonymous reviewers for helpful comments on the manuscript.
Become a SIG Affiliate
Pay Per View
Entire SIG 18 Perspectives on Telepractice content & archive
24-hour access
This Issue
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.