Parent-mediated intervention tends to improve parent-child engagement, and behavioral outcomes of toddlers with ASD-positive screening: A randomized crossover trial

Beaudoin, Audrée Jeanne; Sébire, Guillaume; Couture, Mélanie

doi:10.1016/j.rasd.2019.101416

Cited by 26 publications

(29 citation statements)

References 46 publications

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“…Parent-mediated interventions are defined as "technique-focused interventions where the parent is the agent of change and the child is the direct beneficiary of treatment" (Bearss, Burrell, Stewart, & Scahill, 2015;Bearss et al, 2018). Parent-mediated interventions can positively impact child outcomes, which speaks to the importance of individualized, evidence-based early intervention by parents as mediators and adequate interventionist coaching (Beaudoin, Sébire, & Couture, 2019;Fettig & Ostrosky, 2011). Recent studies have suggested that when parents are actively engaged in the treatment process and are coached to incorporate specific behavioral and developmental strategies into daily routines and family activities, then positive outcomes are achieved for young children with ASD (McIntyre & Zemantic, 2017).…”

Section: Parent-mediated Early Interventionmentioning

confidence: 99%

Effects of a parent training using telehealth: Equity and access to early intervention for rural families

Rooks-Ellis

Howorth

Kunze³

et al. 2020

J Child Edu Soc

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Children living in geographically rural areas may have limited access to early, intensive evidence-based interventions suggesting children residing in these areas are less likely to experience positive outcomes than their urban-dwelling peers. Telehealth offers an option to rural families seeking early intervention by using communication technologies where providers are able to consult and deliver services in real-time over geographical distances. To our knowledge, no other study has examined the implementation of P-ESDM in rural natural environments within the framework of the state’s early intervention program. Using a multiple baseline design across participants, the current study investigated the effects of the parent-Early Start Denver Model implemented within a rural northeastern state’s existing IDEA Part C early intervention program. Parents demonstrated increased fidelity to intervention strategies and reported satisfaction with the program’s ease of implementation and observed child gains. Statistically significant pre-to post- change in children’s ASD symptomatology were reported for the domains of communication, social reciprocity and repetitive and restricted behaviors. Support for parent-mediated interventions, the importance of fidelity of implementation for sustainability of intervention strategies, and the need to explore telehealth as a viable service delivery option to improve developmental trajectories for toddlers with autism are discussed.

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Section: Parent-mediated Early Interventionmentioning

confidence: 99%

Effects of a parent training using telehealth: Equity and access to early intervention for rural families

Rooks-Ellis

Howorth

Kunze³

et al. 2020

J Child Edu Soc

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“…Most studies had a small sample size, so that the number of participants in thirty -ve studies was less than 20 [17,25,27,29,33,59,62,66,69,[73][74][75][76][77][78][80][81][82][83][84][85][86][89][90][91][93][94][95][96]99,100,[103][104][105]107], and in thirty studies, it was between 20 to 50 [18,19,21,24,35,38,39,42,46,48,50,51,53,55,57,61,63,64,67,68,79,88,92,97,98,102,106]. Follow-up was often quite short, in the 16 studies follow-up immediately [46,53,66,73,75,76,84,85,89,90,93,94,99,100,<...>…”

Section: Resultsmentioning

confidence: 99%

“…Communication-focused interventions was used in twenty one studies [15,21,26,31,46,50,51,54,55,66,67,75,76,82,91,[93][94][95]104]. Thirty-two studies used integrative programs [18,20,24,25,28,30,33,[35][36][37]40,52,58,60,62,63,71,74,[77][78][79]81,86,89,92,96,98,[100][101][102][103]107]. Also, thirty studies used social skills development interventions [16,17,…”

Section: Resultsmentioning

confidence: 99%

“…Of the 32 studies that had used for integrative approach, 28 studies were signi cantly reached in all outcomes. Four studies only examined the impact of the intervention on communication and behavior skills of participants [62,92,102,107], four studies on emotional and social skills [71,79,96,101], eight studies on social and communication skills [35,30,33,35,36,81,86,100].…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of behavioral interventions for autism spectrum disorder: A systematic review

Bashirian

Afshari

Jenabi

et al. 2020

Preprint

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Background: Autism Spectrum Disorder (ASD) is identified by a group of neurodevelopmental disorders. Given the importance and demand for behavioral interventions in autism disorder as well as the need for new intervention programs, a detailed evaluation of the outcomes of interventions for the ongoing impact of behavioral interventions for autism spectrum disorder is essential. In view of the importance of, and demand for, novel behavioural interventions in autism disorder, a comprehensive evaluation of the outcomes of interventions for the ongoing impact of behavioral interventions for autism spectrum disorder is necessary.Method: A systematic search of the electronic databases including PubMed, Embase, Scopus, Sciencedirect, ISI Web of Science, and Biomedcentral were conducted to find evidences for the effectiveness of behavioral interventions for autism spectrum disorders. The search strategy was based on exploring studies published in different global languages from the earliest to 2019 databases. In addition to the databases mentioned above, relevant studies were searched using forward and backward citation tracing.Results:In the present review, 48 randomized controlled trials (RCTs),and 44 quasi-experimental articles matched the defined evaluation criteria. Eighty-three out of 93 studies were conducted in high-income countries, the results of which raised the challenges associated with acceptability of conducting those studies in low- and middle-income countries. The majority of those studies (93.5%) were classified as having either low or medium quality. From those studies, 32 studies used integrative programs, and 30 studies used social skills development interventions.The majority of the studies were based on integrative programs designed to foster social skills development interventions. The results of the study showed that social skills development interventions were effective in changing the desired outcomes. The results showed that,regardless of the study design and the type of intervention used, the possibility for success of interventions were greater in changing the participants' social skills.Conclusions :There were inconsistent evidence on the effectiveness of interventions in providing changes in targeted outcomes. There is a need for further investigation in behavioral interventions for autism spectrum disorders. Further research is needed to understand the effectiveness of other interventions and finding a quality interventions to achieve more significant results.

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“…The creation of new assessments, such as the Brief Observation of Social Communication Change (BOSCC; Grzadzinski et al, 2016) demonstrates adaptations in the field to the need for observation-based measures. In addition, there is an increasing number of recent studies that have investigated the effectiveness of NDBIs using behavioral coding tools as a measure of treatment outcome (Beaudoin, Sébire, & Couture, 2019;Gengoux et al, 2019). Overall, more research is needed to examine the utility of behaviorally coded natural social communication samples as augmentative metrics of treatment response.…”

Section: Introductionmentioning

confidence: 99%

Social responsiveness and language use associated with an enhanced PRT approach for young children with ASD: Results from a pilot RCT of the PRISM model

Barrett

Vernon

McGarry

et al. 2020

Research in Autism Spectrum Disorders

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Background: Vulnerabilities in social motivation among children with ASD constrain attention and responsiveness to parents and other social partners. When this limited social responsiveness remains uncorrected, it is hypothesized to restrict the quality and quantity of social learning opportunities and ultimately yield negative long-term effects on development. Early intervention efforts that target social motivation may hold promise for correcting this detrimental chain of events. Method: The current pilot RCT examined changes in participant social responsiveness and language use in a trial of 21 young children with ASD who were randomly assigned to treatment or waitlist control groups. Treatment participants received a mean of 6.81 h/week of an enhanced Pivotal Response Intervention for Social Motivation (PRISM) treatment model for six months. Data on social responsiveness to parent bids and expressive language (number of total words, number of different words, mean length of utterance in words) were obtained from behaviorally coding and analyzing video-recorded parent-child play sessions. Results: Results indicated that young children who participated in the PRISM treatment model demonstrated significant pre-post improvements in social responsiveness and mean length of utterances. Participants in the waitlist condition experienced negligible improvements. Participants who are minimally verbal appear to experience greater gains as a result of the PRISM model. Additionally, initial levels of social responsiveness with parents appear to be predictive of subsequent language use at post-intervention among minimally verbal participants. Conclusion: This study provides preliminary evidence for the importance of using early intervention paradigms that explicitly target social motivation and responsiveness in young children with ASD. Results also suggest that initial social responsiveness to parents may serve as an important predictor of treatment response.

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Parent-mediated intervention tends to improve parent-child engagement, and behavioral outcomes of toddlers with ASD-positive screening: A randomized crossover trial

Cited by 26 publications

References 46 publications

Effects of a parent training using telehealth: Equity and access to early intervention for rural families

Effects of a parent training using telehealth: Equity and access to early intervention for rural families

Effectiveness of behavioral interventions for autism spectrum disorder: A systematic review

Social responsiveness and language use associated with an enhanced PRT approach for young children with ASD: Results from a pilot RCT of the PRISM model

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