About The Autism Speaks Grant

Telehealth System to Improve Medication Management of ASD Remotely

State/Province Full: 
United States

Behavior Imaging Solutions (BIS) has developed and successfully demonstrated a unique “telehealth” (or “e-visit”) technology platform called Behavior Imaging® (B.I.). Project would enhance this platform to help doctors more effectively administer evidence-based practice to address the scarcity of psychiatric services for the autism community via providing enabling technology to facilitate ‘medication management’, while providing doctor more contextual data from the patient’s natural environment. Company seeks to enhance its Behavior Connect platform – a HIPAA conforming online Consultation and Records Environment. It includes a personal health record, proprietary behavior imaging review tools, and other relevant functionality to facilitate remote interaction between families and their doctors who manage ongoing medication needs of these patients By enhancing the way a family can securely share prescribed captured video et al. health data from their home, the platform can facilitate a unique way to perform “e-visits”, which allow doctors to analyze – asynchronously – natural-environment behavior videos and other caregiver input quickly and efficiently. The resultant data that can be archived in the Behavior Connect platform may also have important implications to help a doctor: 1. better track patient progress longitudinally, and 2. gather unique naturalistic environment data that doctors can code to enrich their understanding of their patients’ behavioral phenotypes.

A Novel System for Supporting Autism Diagnosis Using Home Videos: Iterative Development and Evaluation of System Design (Technical Monograph)

Active Conference Schedule for 2015


International Autism Research Meeting 2015 (IMFAR) May 13 – May 16 at the Grand America Hotel in Salt Lake City, Utah. Behavior Imaging presentations include:

  • NODA-clinical-study-parent-feedback-IMFAR-poster-May2015Analysis of Parent Responses to Using a Remote Autism Diagnostic Assessment System (NODA): A remote autism diagnostic assessment system was designed through a series of research studies conducted with clinicians and parents of children with autism. Through In-home evaluation parents confirmed that capture system facilitated a simplified capture experience. Currently through a systematic study, diagnostic assessments conferred through the proposed system are being compared with in-person diagnostic assessments.

  • IMFAR 2015 NODA FinalComparing Remote Diagnosis of ASD (NODA) to In-Person Assessment: Study – To compare a novel telehealth approach to diagnosing ASD to the gold standard, in-person assessment. Conclusion to the study provided that raters can accurately diagnose ASD with NODA for most cases. A small percentage of participants, particularly high functioning children with few observable behaviors may require an IPA.

  • IMFAR Pharma Trial Poster, - 051112015NODA to Improve Pharmaceutical Trials: Study – To provide a method for centralized assessment of inter-rater reliability for key assessments in a multi-site pharmaceutical trial. Conclusion: Study demonstrated practicality and ease of the BI technology to facilitate and document inter-rater reliability in pharmaceutical trials. Study also provided that use of this platform can help to improve the integrity of data collected at sites in a more efficient manner than is currently applied.

CCSSO Council of Chief State School Officers: National Conference on Student Assessment (NCSA 2015) June 22 – 24, Manchester Grand Hyatt, San Diego, CA.

  • The primary objective of the NCSA is to promote sharing of information and best practices that will help states achieve their educational purposes through having the strongest assessment systems possible. This year the conference theme is “Implementing High-Quality Assessments for ALL Students.” The goal of the 2015 conference is to provide a forum for states to share the best practices, strategies, lessons learned, and available resources relative to their implementation of high-quality assessments for all students.

Association for Behavior Analysis International: 41st Annual Convention – San Antonio, TX (ABAI) Poster (Marcus Autism Center, Children’s Healthcare of Atlanta, Emory University School of Medicine, Center for Leadership and Disability, Behavior Imaging):

  • ABAI-Autism-Poster-SBIR-final111111Feasibility of Conducting FBA’s in the Schools with Web-Based Video Recording Technology: Purpose of Current Study: To determine the efficacy of using web-based video recording technology to conduct functional behavioral assessments (FBA’s) in the schools for children with ASD or related disorders, in addition to exploring the cost-benefit )i.e., time and money) of using telehealth for FBA’s in the schools when compared to archival records of FBA’s conducted in person (I.e., traditional approach). Download

Applied Human Factors and Ergonomics 2015 (AHFE):

  • Use of a Novel Imaging Technology for Remote Autism Diagnosis: Applied Human Factors and Ergonomics Conference 2015 (AHFE International)July 26th – 30th, Caesars Palace Hotel, Las Vegas, Nevada, USA. Prevalence of Autism Spectrum Disorder (ASD), in children in the United States has significantly increased form 1 in 150 in 2000 to 1 in 68 in 2010. While the cause of this neurodevelopmental condition is unknown, clinical evidence has shown that early diagnosis and early intervention are critical to improving the long term functioning of a child with ASD. However, a major challenge facing parents is difficulty in obtaining on-time access to appropriate diagnostic services. To address this need, an imaging technology, NODA ® (Naturalistic Observation Diagnostic Assessment), has been successfully developed and field-tested.


20th Annual Telemedicine Meeting & Trade Show (ATA 2015) May 2 – 5, Los Angeles, Booth # 1430.

  • Telemedicine for Autism Collaborators: Treatment – Behavior Connect is an online portal that enables health and education professionals and their organizations to remotely interact with clients, specialists and other staff members, while building a library of shareable assets and a continuous health record. Better manage your: Records (a video record annotated for assessment, communication between users/clients, Functional Behavior Analysis, training or second opinions), Therapy and In-office Visit Intervals, Treatment Options and Capacity, Treatment Gaps, & Remote Technology – Distance and Time Gaps.
  • Southwest Autism Research & Resource Center (SARRC) hosted its 17th Annual Community Breakfast “Take The Next Step” on Friday, April 24th, 2015 at the Arizona Biltmore’s Frank Lloyd Wright Ballroom. The goal of the Breakfast was to raise funds for SARRC’s outreach, education and research programs and inform individuals about autism, which is now the most prevalent children developmental disorder in the United States, affecting one in every 68 children born today.

SARRC Outreach Magazine (Spring 2015) NODA:

Looking to Telehealth Care to Cap Economic Costs and Reach Autism Community

Summary of “Economic Evaluations for Service Delivery in Autism Spectrum Disorders: Benefit-Cost Analysis for Emerging Telehealth Systems,” (2013), Angjellari-Dajci F., Stachura, M. E., Lawless, W. F., Wood, E. A., and DiBattistto, C. In  I. M. Miranda and M. M. Cruz-Cunha eds. Handbook of Research on ICTs for Healthcare and Social Services: Developments and Applications, Hershey, PA: IGI

Can telehealth medicine, including Behavior Imaging, be the answer to problems millions of Americans are facing? Authors of a new IGI book on autism seem to think so. Traditional in-person interventions—which includes everything from the diagnostic assessment to the supervision of treatments—for those on the autism spectrum have so far been incapable of meeting the growing demand for services and support. With so many people in need of care and unable to get it, telehealth intervention programs have the potential to be the solution we are looking for.

Authors Fiorentina Angjellari-Dajci, Max Stachura, William Lawless, Elena Astapova Wood, and Caroline DiBattisto did an extensive analysis on the subject with the conclusion that telehealth interventions can be immensely more economically beneficial than in-person interventions, especially from the perspective of patients/caregivers. The team of researchers also looked into the economic costs and benefits of a systematic change towards telehealth interventions.

Use of Behavior Imaging Technology to Verify Inter-Rater Reliability in a Multi-Site Pharmaceutical Trial

A multi-site clinical trial, led by Principal Investigator Dr. James McCracken of UCLA, is designed to measure the effects of an investigational product to mitigate social disability Changes in social functioning will be measured through the use of structured assessments that are administered by trained raters.

Use of Behavior Imaging during this study should show “proof of principle” that Behavior Imaging can improve multi-site clinical trial methodology for variety of symptoms associated with various brain disorders.


Study Objectives

Assess the use of Behavior Imaging technology to enhance multi-site inter-rater reliability.

  • Provide on-going training for observers
  • Introduce observer reliability checks
  • Timely intervention in response to inadequate inter-rater reliability

Methods and Procedures

  • Experimental design
  • Four medical research institutions located throughout the US
  • Assessments based on Autism Diagnostic Observation Schedule (ADOS) and the Social Communication Interaction Test (SCIT)
  • Observer training based on pre-recorded video patient interviews


  • Scoring used the Behavior Imaging on-line platform
  • Results were automatically compared to “Gold Standard”
  • Discrepancies were identified and recommendations offered to observers
  • Observers were then required to repeat training until the “Gold Standard” was achieved

Results (work in progress)

  • All independent raters at four sites completed reliability checks using the ADOS and the SCIT
  • Patients’ observations were completed and recorded
  • All observers (raters) varied how they matched the “Gold Standard”

Behavior imaging used in clinical research for autism pharmaceutical trials shows promise to improve periodic autism assessments, inter-rater reliability and multi-site collaboration.


Recent Research Presentations and Conferences

Behavior Imaging’s main purpose is to develop solutions to facilitate the observational, analytical and collaborative needs of behavior health care and special education professionals. By enabling collaboration and consultation between patients and professionals through the use of video capture and a secure health record, clients like the Department of Defense, State Departments of Education, universities, and other behavior health service providers now have the ability to store, share and annotate video files as a means of increasing disabled people’s access to care via technology.

Innovative Technology Demonstration at IMFAR Autism Research Conference

Recently on May 16th, 2014 our clinical partners from Georgia Tech spoke at the International Meeting for Autism Research (IMFAR) about their research using Behavior Imaging via the iterative design of a system to support diagnostic assessments for autism using home videos. IMFAR is an annual conference by the International Society for Autism Research (INSAR) to provide ASD researchers from around the world with a focused opportunity to share the rapidly moving scientific investigation of ASD.

With the understanding that direct observation in the natural environment is the key in diagnosing ASD, clinical professionals agree that while such observations are crucial at obtaining accurate and comprehensive assessments, such observations are currently not feasible to implement into clinical practices on a larger scale.

Georgia Tech then spoke of their objective and partnership with Behavior Imaging to iteratively design a system that would enable parents to record video examples of their child’s behavior at home under the guidance of a clinician in order to share these recordings for the purpose of diagnosing autism. Included with this system is a set of reordered instructions embedded within the capture application that would help guide parents while maximizing the clinical utility of the recordings as well. Currently a study is being conducted in which families of children recently diagnosed with autism will use this system in their homes, under the guidance of a remotely-located clinician in order to complete a diagnostic checklist for autism, which will then be compared to the child’s current diagnosis.

Recent Presentation on Innovation and Technology

In addition, Behavior Imaging was also proud to speak as one of the leading experts in healthcare technologies innovation at the 12th Annual 2014 Front End of Innovation Conference that is the #1 industry event for provoking change, and exchanging best practices for real world, best-in-class presentations by true visionaries that are passionate about innovation and deliver measureable results.


Upcoming Research Presentations and Conferences

Highlighting the work of researchers from around the world, Behavior Imaging is excited to announce, and take part in the following upcoming presentations and conferences via autism case studies, research, and supporting evidence-based practices for the diagnosis and treatment of individuals with autism spectrum disorders (ASD).

ITASD 2014 Paris Conference: Digital Solutions for People with Autism

October 3rd – 4th, 2014
Paris, France

Autism Speaks is co-sponsoring the 2nd International Conference on Innovative Technologies for Autism (ITASD 2014), at the Pasteur Institute in Paris, October 3rd and 4th. This year’s conference will focus on developing and using digital tools to improve the lives of people with autism. The conference & workshop will bring together individuals with autism and their families with scientists, educators, therapists and other professionals to create an opportunity for dialogue and exchange of best practices.

Invited to talk, Gregory D. Abowd, a distinguished Professor in the School of Interactive Computing at Georgia Tech, will be speaking about the pilot evaluation of a novel telemedicine platform to support diagnostic assessment for autism spectrum disorders. The diagnostic assessment study research project combines the expertise of Behavior Imaging Solutions, Georgia Institute of Technology, and leading diagnostic and behavioral health organizations to make state-of-the-art technical innovations to the Behavior Imaging telehealth system, and will evaluate the enhanced system in two critical clinical settings affecting Autism Spectrum Disorders.

5th International Conference on Applied Human Factors and Ergonomics AHFE 2014

July 19th -23rd, 2014
Kraków, Poland

The conference’s objective is to provide an international forum for the dissemination and exchange of scientific information on theoretical, generic, and applied areas of ergonomics, including, physical ergonomics, cognitive ergonomics, social and occupational ergonomics, cross- cultural aspects of decision making, ergonomics modeling and usability evaluation, human digital modeling, healthcare and special populations, safety management and human factors, and human side of service engineering.

This year’s speakers will include Behavior Imaging’s, Ron Oberleitner, and Uwe Reischl, who will be discussing “Telehealth Technology Enabling Medication Management of Children with Autism”.

This discussion will cover assisting healthcare providers in the management of autism symptoms with a newly developed smartphone application that will allow physicians to observe a patient’s behavior between office visits while managing their medication based on the symptoms observed. This smartphone application is able to better assist the physician in monitoring patients with autism spectrum disorders more accurately compared to the subjective reports provided by caregivers during office visits.

Georgia Tech via Agata Rozga will present BI research on Naturalistic Observation Diagnostic Assessment to the CDC Prevention Research Branch: Learn the Signs Act Early

Agata Rozga is a research scientist in the School of Interactive Computing at Georgia Tech. As a Developmental Psychologist with a research focus on autism spectrum disorders, she specializes in early identification and diagnosis, socio-emotional development, and verbal and nonverbal communication. Her current research explores the potential role of human-centered computing and computer-human interaction in impacting research on the social and communicative development of children with diagnoses within the autism spectrum.

The CDC recognizes the importance of early recognition of developmental disabilities such as autism for parents and providers. By understanding the impact this has on families the CDC invested in a campaign: Baby Steps: Learn the Signs. Act Early, in order to provide parents with help measuring their children’s progress by monitoring how they play, learn, speak and act.

Behavior Imaging Upcoming Research Presentations at Child Psychiatry Conference

Behavior Imaging and their clinical research partners have collaborated on a number of upcoming projects in order to provide a better fundamental understanding of telemedicine in autism research, diagnosis, and treatment at this year’s American Academy of Child and Adolescent Psychiatry annual meeting.

This year Behavior Imaging will present the following 2014 research papers in an effort to share their investigative studies with other researchers and practitioners seeking to further their professional and educational growth:

  • Supporting Remote Diagnostic Assessment for Autism: A Clinician-Guided Asynchronous Telemedicine System
  • Use of Behavior Imaging Technology to Verify Inter-Rater Reliability in a Multi-Site Pharmaceutical Trial
  • Autism Medication Management By Asynchronous Telemedicine: A Case Study

Inspiring the future: Past Behavior Imaging AACAP Involvement

Behavior Imaging has been involved with AACAP in past conferences and have successfully demonstrated the Med smartCature App for dozens of doctors, researchers, and professionals at the AACAP Annual Conference in 2013. While some talked about its potential as a way doctors could stay connected with international or long-distance practices or research projects, others were interested in how it would help during pharmaceutical clinical trials.

About the American Academy of Child and Adolescent Psychiatry

AACAP is the leading national, professional medical association that is dedicated to treating, and improving the quality of life for children, adolescents, and families affected by mental & emotional disorders.Their mission is to promote the healthy development of children, adolescents, and families through research, training, prevention, comprehensive diagnosis and treatment and to meet the professional needs of child and adolescent psychiatrists throughout their careers.

AACAP’s 61st Annual Meeting will be on October 20-25th, 2014 in San Diego, CA. This meeting is a key opportunity for professionals in child and adolescent psychiatry and allied disciplines to assemble from around the world to advance their understanding of the many facets of child development, developmental biology and psychology, developmental psychopathology, assessment, treatment, prevention and public policy.

The AACAP is committed to maintaining a professional atmosphere that encourages interactions at the highest intellectual and ethical levels. They are committed to the free and prompt sharing of scientific, clinical and other information for the primary purpose of enhancing the best practices in child and adolescent psychiatry. This, in turn, promotes the very best treatment for children and their families experiencing psychiatric illness and developmental disorders.


Telehealth technology is a tool that allows behavior professionals and others to make valuable observations, gather data, and propose more targeted, appropriate remediation for areas in which an individual with an autism spectrum disorder needs to progress. This tool can be used across natural settings of home, school, and community, and it has practical applications including use in classroom observation and Individualized Education Program (IEP) meetings. The capability of telehealth technology to serve children and families remotely means that parents of children in rural settings can receive more frequent and consistent services from a greater variety of professionals.

This chapter will look at:

-Defining telehealth and asynchronous telehealth for autism (Behavior Imaging® technology)

-How Behavior Imaging® can help professionals observe problem behaviors in the classroom

-How the results of observation via Behavior Imaging can aid at the Individualized Education Program (IEP) of a student with an autism spectrum disorder (ASD)

-How telehealth technology further helps IEP team members

-Case study via the ‘Beacon Day School project’

(Chapter in Cutting Edge Therapies for Autism (May, 2014); available at  www.autismone.org  )

Iterative Design of a System to Support Diagnostic Assessments for Autism Using Home Videos

Direct observation remains a gold standard practice in diagnosing ASD. While clinical professionals acknowledge that observing behavior in the natural environment is crucial to obtain an accurate and comprehensive assessment, such observation is currently not feasible to implement into clinical practice on a large scale.

The present goal is to iteratively design a system that will enable parents to record video examples of their child’s behavior in the home under the guidance of a clinician, and share these recordings with the clinician for the purpose of diagnostic assessment for autism. Families of children ages 3- 6 years with an autism spectrum diagnosis tested a prototype of such a system and were interviewed about their experiences with it. Additionally in a second study, clinicians rated the utility of the videos taken by the families for the purpose of diagnostic assessment.

Read more: Iterative Design of a System-Nazneen-May, 2014-Conference Paper