# Transforming Hospitalizations of Autistic Adolescents via a Novel ABA Telehealth Platform

> **NIH NIH R44** · CARING TECHNOLOGIES, INC. · 2023 · $740,782

## Abstract

PROJECT SUMMARY
There is an increasing trend for children with ASD with primary behavioral challenges to be hospitalized in
medical facilities because accessible behavioral support resources are not available in local communities.
Unfortunately, most community-based hospitals are not well equipped to meet optimal behavioral care with
families consequently experiencing prolonged/protracted hospitalizations where behaviors may not be
adequately treated and could potentially worsen. Further, the specific inability to adequately respond to
challenging behaviors may limit the ability of children to be accepted into step-down facilities or return home
safely and contribute to extremely stressful aspects of care. Prolonged hospitalizations also result in significant
negative financial return for hospitals (un/under-reimbursement). In prior work, deploying a specialized brief
Applied Behavioral Analysis (ABA) assessment and intervention explicitly designed for use during
hospitalizations demonstrated improvements in challenging behaviors, decreases in restraint and staffing, and
high levels of family satisfaction. Unfortunately, community access to this type of intervention is extremely
limited by geographic location and provider availability. Appropriate telehealth and digital health systems that
can facilitate tele-mediated support may hold great potential for increasing the availability of such care to
children, families, and the providers and hospitals responsible for their care. While many technologies for real-
time video conferencing are available (e.g. zoom), in order to be able to accurately support understanding of
precursors and the context of key behaviors technologies capable of supporting intelligent surveillance, data-
flagging, and efficient communication of key behaviors across human support teams (both expert and non-
expert) over substantial periods of time (including when experts are not present) are needed to enable
meaningful telemediated ABA service. The current project creates and tests the potential clinical value of an
innovative telehealth platform to facilitate appropriate, efficacious ABA tele-assessment and intervention for
adolescents with ASD displaying challenging behaviors during hospitalizations and post-discharge transition.
In the first phase of this work, we propose co-design of the novel system with key stakeholders and feasibility
testing to demonstrate both technical capacity and potential clinical value. In the second phase of this work,
we hone the systems commercial value and conduct a rigorous trial to demonstrate clinical utility and financial
return for children, families, systems of care, and payers.

## Key facts

- **NIH application ID:** 10760972
- **Project number:** 1R44MH134706-01
- **Recipient organization:** CARING TECHNOLOGIES, INC.
- **Principal Investigator:** Ronald Oberleitner
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $740,782
- **Award type:** 1
- **Project period:** 2023-08-05 → 2024-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10760972

## Citation

> US National Institutes of Health, RePORTER application 10760972, Transforming Hospitalizations of Autistic Adolescents via a Novel ABA Telehealth Platform (1R44MH134706-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10760972. Licensed CC0.

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