Feasibility of using telepractice to provide Modified Interaction Guidance as an intervention tool for caregivers and their child with autism

Introduction: Parenting programs specific to autism are scarce and waitlists are long when available. Identifying alternate service delivery models of therapy and expanding options for intervention are needed to support caregivers in building relationships with their child. Objectives: To test the feasibility of the Modified Interaction Guidance (MIG) as an intervention to improve attachment between children with autism and their primary caregiver via telepractice. Method: Dimensions of feasibility used an embedded mixed method approach incorporating a single-subject design (n= 4 dyads) over 6 sessions. The PICCOLO, Goal Attainment Scale (GAS), Parenting Sense Of Competency (PSOC) were administered. Post-interview qualitative questionnaire explored the caregivers’ experience with MIG. Outcome data was analyzed individually. Results: All participants (n=4 dyads) found both the intervention (MIG) and the service delivery model (telepractice) to be acceptable. Caregivers found implementation via telepractice easier and in some cases, preferred. The practicality addressed barriers and facilitators including time commitments, flexibility in timing of sessions, and recourses required to participate at home. All participants had adequate resources and felt time commitments and flexibility of sessions supported success and ongoing commitment. Conclusion: This is the first study to use the MIG intervention using a dyad with an Autism Spectrum Disorder (ASD) diagnosis and to deliver this intervention via telepractice. Overall, the intervention was feasible and acceptable. Qualitative data indicated that goals were improving, relationships were evolving, and attunement was developing.