ArticleAmerican journal of speech-language pathology2026
Administering the Communication and Symbolic Behavior Scales in Collaboration With Caregivers in a Virtual Environment: Reliability, Fidelity, and Lessons Learned.
Article in American journal of speech-language pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeWhile telepractice interventions for social communication have been more widely studied, research on telepractice-based assessments, particularly for toddlers, remains limited. Telepractice assessments offer a range of potential benefits, including improved accessibility for families facing logistical challenges such as geographic distance or scheduling conflicts. This study explored the use of the Communication and Symbolic Behavior Scales (CSBS) in a telepractice context, administered by caregivers with virtual coaching. Key research questions examined fidelity of administration, scoring reliability, and caregiver perceptions of the assessment process.
methodThirty infant/toddler younger siblings of autistic children and their caregivers were recruited from an ongoing clinical trial. Participants completed virtual CSBS assessments at three intervals over a 6-month period. Assessment materials were provided through kits mailed to participants' homes. Caregivers, guided by trained assessors via telepractice, administered the assessments with their children. Video recordings of the sessions were analyzed to evaluate caregiver implementation fidelity and assessor coaching fidelity using standardized criteria. Scoring reliability was examined through interrater comparisons, with a subset of assessments independently rated to ensure agreement. Caregiver feedback on the telepractice process was collected through surveys, capturing both satisfaction and reported challenges.
resultsCaregivers administered the CSBS with a high level of fidelity (
conclusionsThe findings suggest that virtual administration of the CSBS is a feasible and reliable method for assessing social communication in young children. This approach has potential to increase accessibility for families facing barriers to in-person services, though further research is needed to refine protocols and address caregiver feedback. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.31395810.
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