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. 2021 Feb 12;15(1):260-268.
doi: 10.1007/s40617-021-00553-z. eCollection 2022 Mar.

Evaluating the Cool Versus Not Cool Procedure via Telehealth

Joseph H Cihon  1   2 , Julia L Ferguson  1   2 , Matthew Lee  1 , Justin B Leaf  1   2 , Ron Leaf  1 , John McEachin  1
Affiliations

Evaluating the Cool Versus Not Cool Procedure via Telehealth

Joseph H Cihon et al. Behav Anal Pract. .

Abstract

Autistics/individuals diagnosed with autism spectrum disorder (ASD) commonly display qualitative impairments in social behavior that commonly result in the use of interventions directly targeting the development of social skills. The COVID-19 pandemic has highlighted the need for effective social skills interventions that can be delivered directly via telehealth. The Cool Versus Not Cool procedure has continually been documented as effective within the literature. However, its reported use has been limited to in-person delivery. The purpose of this study was to evaluate the effectiveness of the Cool Versus Not Cool procedure conducted via telehealth to teach three children diagnosed with ASD to change the conversation when someone is bored. The results of a nonconcurrent multiple-baseline across-participants design demonstrated that all three participants reached the mastery criterion in four to eight sessions. Responding generalized to another adult for two of the three participants, and all three participants maintained correct responding. Social validity measures indicated the skill was important to teach, the intervention was acceptable and effective, and the telehealth format was an acceptable replacement for in-person intervention for these three participants.

Keywords: Autism; Cool Versus Not Cool; Social discrimination; Social skills; Telehealth.

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Conflict of interest statement

Conflict of interestThe first, second, fourth, fifth, and six authors have written books and materials that describe the use of the procedure evaluated within this study. The royalties from the sales of those texts do not go to any of the authors.

Figures

Fig. 1
Fig. 1
Participant Responding During Probe Sessions
See this image and copyright information in PMC

References

    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
    1. Au A, Mountjoy T, Leaf JB, Leaf R, Taubman M, McEachin J, Tsuji K. Teaching social behaviour to individuals diagnosed with autism spectrum disorder using the Cool Versus Not Cool procedure in a small group instructional format. Journal of Intellectual and Developmental Disability. 2016;41(2):115–124. doi: 10.3109/13668250.2016.1149799. - DOI
    1. Baer DM, Wolf MM, Risley TR. Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis. 1968;1(1):91–97. doi: 10.1901/jaba.1968.1-91. - DOI - PMC - PubMed
    1. Carr JE. Recommendations for reporting multiple-baseline designs across participants. Behavioral Interventions. 2005;20(3):219–224. doi: 10.1002/bin.191. - DOI
    1. Cihon JH, Ferguson JL, Milne CM, Leaf JB, McEachin J, Leaf R. A preliminary evaluation of a token system with a flexible earning requirement. Behavior Analysis in Practice. 2019;12(3):548–556. doi: 10.1007/s40617-018-00316-3. - DOI - PMC - PubMed

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