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. 2009 Dec;39(12):1636-51.
doi: 10.1007/s10803-009-0796-2. Epub 2009 Jul 7.

Dissemination of evidence-based practice: can we train therapists from a distance?

Laurie A Vismara  1 , Gregory S Young, Aubyn C Stahmer, Elizabeth McMahon Griffith, Sally J Rogers
Affiliations

Dissemination of evidence-based practice: can we train therapists from a distance?

Laurie A Vismara et al. J Autism Dev Disord. 2009 Dec.

Abstract

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.

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Figures

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Therapist treatment fidelity scores across training conditions
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Therapist satisfaction ratings across training conditions
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Child attention and social initiations across training conditions
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Therapist–parent coaching fidelity scores across training conditions
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Fig. 5
Parent fidelity scores across training conditions
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