Using telehealth-delivered procedures to collect a parent-implemented expressive language sampling narrative task in monolingual and bilingual families with Autism Spectrum Disorder: A pilot study.
Laura Del Hoyo Soriano, Lauren Bullard, Cesar Hoyos Alvarez and 2 others
PMID 35036992WHAT IT FOUND
Most parents of children and adolescents with autism, including Spanish-speaking families, learned to run a home video language task after telehealth training, and most children completed it.
This is a first step, not proof the task replaces clinic testing.
Key findings
0119 of the 22 parent-child dyads completed the training.
02All but one parent who completed training scored above 80% on the administration standard in at least one recording.
0312 of the 19 parents who completed training preferred home administration, 5 preferred clinic administration, and 2 had no preference.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study was small: 22 parent-child dyads started and 19 completed training. Training took 9 to 10 weeks, which may be burdensome for families already in a treatment study. It did not compare parent-administered sampling with sampling done by a professional. It did not test whether each language measure actually measures the intended language ability. Some parents did not stay above the checklist target: 3 of the 16 parents who achieved it at the first final recording dropped below it at the second. Child cognitive and functional levels were based on caregiver report, not standardized measures. The Spanish version needs validation in larger samples.
Declared interests
This study was funded by the National Institutes of Health through the UC Davis Clinical and Translational Science Center (UL1-T001860) and grants R01HD074346 and P50HD103526. The conflict of interest statement says LA has received funding from F. Hoffmann-La Roche.
The easy way to misread this
Do not conclude that home parent-administered language sampling is equivalent to clinic testing. This was a pilot with 22 dyads, no professional-administered comparison, no validity testing, and a training package whose separate components cannot be identified.