Telehealth-Enabled Versus In-Person Parent-Mediated Behavioral Treatment for Challenging Behaviors in Children With ASD

Inclusion criteria:

   1. Child is aged 3 years, 0 months to 5 years, 11 months inclusive

   2. Child has a diagnosis of ASD (confirmed by diagnostic report)

   3. Child is reported to exhibit at least one form of daily or hourly self-injurious
   behavior and/or aggressive behavior on the Behavior Problems Inventory -Short Form
   (BPI-S).

   4. Family lives in one of the following counties in New Mexico and Texas: Bernalillo,
   Santa Fe, Valencia, Sandoval, Torrance, Socorro, Cibola, Los Alamos, El Paso,
   Hudspeth, Otero, or Dona Ana

   5. Caregiver is comfortable speaking and reading in English

   6. The child's primary caregiver is at least 21 years old.

   7. The same caregiver is consistently available for one hour per week for a 12-week
   period in their home with their child between 9am and 7pm Monday through Friday to
   take part in the research

   8. The child's primary caregiver is willing to adhere to the study intervention regimen
   and be willing to have a clinician come into their home for 1 hour per week for 12
   weeks.

   9. Family lives in an area with consistent cell phone coverage

Exclusion criteria:

   1. Caregiver is currently receiving ABA services or direct parent coaching to manage
   their child's challenging behaviors

   2. Child engages in behavior that may inflict moderate to severe damage on the individual
   or on other people (e.g. biting through the skin, eye gouging, fracturing bones,
   significant damage to property) with minor or major medical intervention required.

   3. Child has a sensory or physical impairment that precludes participation (e.g.,
   epilepsy, vision or hearing impairment) or has a diagnosis of another genetic
   condition (e.g., fragile X syndrome)

   4. Activity restrictions that limit caregiver's ability to respond to their child's
   challenging behaviors

   5. Child has an underlying medical condition that is better treated with medical
   intervention

   6. Child only exhibits pica at a daily or hourly frequency

   7. Child has a sibling or twin already participating in the study