1. Randomized comparative efficacy study of parent-mediated interventions for toddlers with autism.
- Author
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Kasari, Connie, Gulsrud, Amanda, Paparella, Tanya, Hellemann, Gerhard, and Berry, Kathleen
- Subjects
Humans ,Treatment Outcome ,Parent-Child Relations ,Parents ,Autistic Disorder ,Behavior Therapy ,Child ,Preschool ,Infant ,Female ,Male ,Autism Spectrum Disorder ,Intellectual and Developmental Disabilities (IDD) ,Brain Disorders ,Clinical Trials and Supportive Activities ,Mental Health ,Clinical Research ,Behavioral and Social Science ,Autism ,Pediatric ,Prevention ,Evaluation of treatments and therapeutic interventions ,6.6 Psychological and behavioural ,autism toddlers ,early intervention ,parent training ,JASPER ,parenting stress ,Psychology ,Clinical Psychology - Abstract
ObjectiveThis study compared effects of two parent-mediated interventions on joint engagement outcomes as augmentations of an early intervention program for toddlers with autism spectrum disorder (ASD).MethodParticipants included 86 toddlers (range 22-36 months) with ASD and their primary caregiver. Caregiver-child dyads were randomized to receive 10 weeks of hands-on parent training in a naturalistic, developmental behavioral intervention (joint attention, symbolic play, engagement and regulation-JASPER) or a parent-only psychoeducational intervention (PEI). Dose was controlled in terms of researcher-parent contact and early intervention services received by the child.ResultsResults yielded significant effects of the JASPER intervention on the primary outcome of joint engagement. The treatment effect was large (Cohen's f² = .69) and maintained over the 6-month follow-up. JASPER effects were also found on secondary outcomes of play diversity, highest play level achieved, and generalization to the child's classroom for child-initiated joint engagement. The PEI intervention was found to be effective in reducing parenting stress associated with child characteristics. All secondary effects were generally small to moderate.ConclusionsThese data highlight the benefit of a brief, targeted, parent-mediated intervention on child outcomes. Future studies may consider the combination of JASPER and PEI treatments for optimal parent and child outcomes. Trial registry no. NCT00999778.
- Published
- 2015