Parent-implemented interventions and family-centered service delivery approaches in early intervention and early childhood special education

Movahedazarhouligh, Sara

doi:10.1080/03004430.2019.1603148

Cited by 14 publications

(11 citation statements)

References 38 publications

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“…Importantly, both developmental and NDBI approaches align with familycentered early intervention services emerging globally since they occur in a child's natural environment during everyday interactions with caregivers with learning goals guided by early developmental sequences. 10,116,117 Third, when the goal of an intervention is to support child developmental gains, using behavioral coding of intervention-specific skills rated on study-specific scales as a primary outcome has significant limitations because such measures may capture only limited and transient changes in skills that should not be construed as indicative of broader developmental improvement. Recent measurement considerations provide guidance on potential approaches.…”

Section: Discussionmentioning

confidence: 99%

Early intervention for very young children with or at high likelihood for autism spectrum disorder: An overview of reviews

Franz

Goodwin

Rieder

et al. 2022

Develop Med Child Neuro

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Aim To identify which interventions are supported by evidence and the quality of that evidence in very young children with or at high likelihood for autism spectrum disorder (ASD) to improve child outcomes. Method We conducted an overview of reviews to synthesize early intervention literature for very young children with or at high likelihood for ASD. Cochrane guidance on how to perform overviews of reviews was followed. Comprehensive searches of databases were conducted for systematic reviews and meta‐analyses between January 2009 and December 2020. Review data were extracted and summarized and methodological quality was assessed. Primary randomized controlled trial evidence was summarized and risk of bias assessed. This overview of reviews was not registered. Results From 762 records, 78 full texts were reviewed and seven systematic reviews and meta‐analyses with 63 unique studies were identified. Several interventional approaches (naturalistic developmental behavioral intervention, and developmental and behavioral interventions) improved child developmental outcomes. Heterogeneity in design, intervention and control group, dose, delivery agent, and measurement approach was noted. Inconsistent methodological quality and potential biases were identified. Interpretation While many early interventional approaches have an impact on child outcomes, study heterogeneity and quality had an impact on our ability to draw firm conclusions regarding which treatments are most effective. Advances in trial methodology and design, and increasing attention to mitigating measurement bias, will advance the quality of the ASD early intervention evidence base. What this paper adds Naturalistic developmental behavioral interventions, as well as developmental and behavioral interventions, improve child outcomes in autism spectrum disorder (ASD). If only randomized controlled trials are considered, guidelines for early intensive behavioral intervention in younger children should be revisited. The greatest intervention impacts were on proximal, intervention‐specific outcomes. Inadequacies in the quality of the early ASD intervention evidence base were observed.

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Section: Discussionmentioning

confidence: 99%

Early intervention for very young children with or at high likelihood for autism spectrum disorder: An overview of reviews

Franz

Goodwin

Rieder

et al. 2022

Develop Med Child Neuro

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“…Moreover, reducing core deficits and associated features of ASD that interfere with infants’ and toddlers’ active participation in early interactions is considered imperative to improve their outcomes (American Speech-Language-Hearing Association ( n.d. ). When parents’ capacity to use responsive engagement strategies is developed through coaching, a collaborative process ( Movahedazarhouligh, 2021 ), transactional benefits within the dyad occur resulting in improved child social communication and language outcomes ( Hampton & Kaiser, 2016 ; Landa, 2018 ; Wetherby et al, 2018 ).…”

Section: Benefits Of Parent-mediated Ei For Asdmentioning

confidence: 99%

Quickstart for toddlers with autism spectrum disorder: A preliminary report of an adapted community-based early intervention program

Gaines

Korneluk²,

Quigley

et al. 2022

Autism & Developmental Language Impairments

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Background and Aims Early intervention (EI) for young children with autism spectrum disorder (ASD) must be resource-efficient while remaining effective; thus, clinicians are challenged to create and implement useful methods. Clinical evidence from community-based interventions that include reliable diagnoses, individual EI programs, along with comprehensive descriptions of participants, procedures, and participant outcomes can inform practice, translational research, and local policy. Parent-mediated EI for toddlers with ASD can promote positive developmental outcomes and lifelong well-being, but evidence of successful community uptake of research-based EIs is somewhat limited. The community-based, parent-mediated, evidence-informed QuickStart EI program aims to encourage toddlers’ early social communication, social interactions, and relationship-building, in a community clinic setting. We aim to (1) describe our adaptations to the evidence-based Parent-Delivered Early Start Denver Model and (2) present promising findings for toddlers with or at risk for ASD and their families who received QuickStart. We also intend to motivate a similar study of EI in real-world situations to advance evidence-based practice and create relevant dialogue and questions for research. Methods Complete data were identified and analyzed for up to 89 toddlers diagnosed with, or at risk of, ASD. Pre- and post-intervention parent- or self-report data were analyzed using descriptive statistics and paired-sample t-tests, as appropriate. Pre-intervention measures included demographic information ( n = 89) and the Early Screening of Autism and Communication (ESAC; n = 89). Measures taken pre- and post-intervention included the Adaptive Behavior Assessment System-II ( n = 60), MacArthur-Bates Communication Development Inventories ( n = 58), and the parental sense of competence scale ( n = 62). The Measure of Processes of Care ( n = 60) was taken post-intervention. On enrollment, parents signed standard clinical agreements that included statements allowing their anonymous data to be analyzed for research. Results Using standardized parent/self-report measures, toddler gains were noted for social interaction, language, communication skills, and ASD symptoms, but not for parents’ feelings of competence. Parents identified QuickStart procedures as family centered (Measure of Processes of Care). Conclusions The QuickStart EI program, provided to toddlers and their families over 20 weeks in a community clinic, resulted in promising positive behavior and communication changes, as indicated on the parent-response measures, for a moderately large sample of toddlers. Implications This study adds to the literature by describing a new EI program with clear procedures by which clinicians can create, provide, and evaluate a readily accessible, community-based EI for toddlers with or at risk of ASD. Methodological limitations inherent to our study design that precluded a control group and necessitated a reliance on available parent-report data are carefully critiqued and discussed.

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“…Over the last decade, a child‐centred approach without parents' participation has been gradually transformed into one in which such participation is considered fundamental (Bricker, Xie, & Bohjanen, 2018; Dalmau et al, 2017; Movahedazarhouligh, 2019; Peacock‐Chambers, Ivy, & Bair‐Merritt, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effects of early intervention on parenting stress after preterm birth: A meta‐analysis

Girabent-Farrés

Jimenez-Gónzalez

Romero-Galisteo

et al. 2021

Child

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Background Preterm infants have a higher risk of development disorders. Prematurity can be considered a source of stress, in both children and their parents, due to the high number of interventions that they require. Early intervention (EI) programmes have shown to have a positive influence on the neurodevelopment of children with neurological risk. On the other hand, parenting stress has a negative influence on the development of any child. This systematic review aimed to identify the effect of EI programmes on decreasing parenting stress suffered by parents of preterm babies. Methods Systematic review and meta‐analysis of experimental studies in accordance with the PRISMA declaration guidelines were applied in this work. Results Fifteen randomized clinical trials were included whose methodological quality was assessed using the PEDro scale. Stress data extraction was meta‐analysed using the inverse variance method in a random effects model. Statistical heterogeneity was assessed with the I2 heterogeneity statistic. The domains most commonly reported in the trials were the childcare‐related stress (Child Domain), personal discomfort (Parent Domain) and computation of both (Total Stress). The results showed significant (P < 0,05) and clinically relevant differences in favour of the EI programme group at 18 months and 5 years. Conclusions This review found moderate to strong evidence of the impact of EI programmes on the reduction of parenting stress in parents of preterm babies. These findings offer useful insights regarding the delivery of current support and the development of future family interventions. Finally, recommendations are provided for future intervention evaluation studies in this area.

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Parent-implemented interventions and family-centered service delivery approaches in early intervention and early childhood special education

Cited by 14 publications

References 38 publications

Early intervention for very young children with or at high likelihood for autism spectrum disorder: An overview of reviews

Early intervention for very young children with or at high likelihood for autism spectrum disorder: An overview of reviews

Quickstart for toddlers with autism spectrum disorder: A preliminary report of an adapted community-based early intervention program

Effects of early intervention on parenting stress after preterm birth: A meta‐analysis

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