An Evaluation of Child and Parent Outcomes Following Community-Based Early Intervention with Randomised Parent-Mediated Intervention for Autistic Pre-Schoolers.
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| Title: | An Evaluation of Child and Parent Outcomes Following Community-Based Early Intervention with Randomised Parent-Mediated Intervention for Autistic Pre-Schoolers. |
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| Authors: | Green, Cherie C.1 c.green@latrobe.edu.au, Bent, Catherine A.1, Smith, Jodie1,2, Chetcuti, Lacey1,3,4, Uljarević, Mirko4,5, Pye, Katherine2,6,7, Toscano, Gabrielle6, Hudry, Kristelle1 |
| Source: | Child & Youth Care Forum. Oct2024, Vol. 53 Issue 5, p1213-1233. 21p. |
| Subject Terms: | *Parent-child relationships, *Psychological adaptation, *Parenting, *Early intervention (Education), *Asperger's syndrome, *Behavior therapy, *Cognition, Treatment of autism, Mental health, Research funding, Conceptual models, Pilot projects, Statistical sampling, Treatment effectiveness, Randomized controlled trials, Descriptive statistics, Psychology, Psychological stress, Psychology of parents, Well-being, Time |
| Geographic Terms: | Australia |
| Abstract: | Background: As autistic children are being diagnosed at a younger age, the need to identify appropriate early supports has increased. Therapist-delivered and parent-mediated autism intervention may benefit children and parents. Objective: This pilot study examined developmental outcomes for autistic pre-schoolers and mental health and wellbeing outcomes for their parents (n = 53) following a 10-month intervention period. Methods: All families were accessing therapist-delivered interventions—the Early Start Denver Model (ESDM) or usual community services—and some families also received additional parent-coaching ESDM (P-ESDM). Families were assessed at 3 timepoints. Results: Overall children made significant gains in cognitive skills and adaptive behaviour, with no differences between groups. Parents overall reported increased parenting stress over time. P-ESDM conferred no added benefit for child outcomes, and similarly, no clear benefit for parent outcomes. Conclusions: Our findings suggest that children receiving early intervention make developmental gains, regardless of type of intervention, and challenges assumptions that, as an adjunct to other intervention programs, P-ESDM improves child or parent outcomes. Further research is needed to explore the effects of parent-mediated programs. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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| Abstract: | Background: As autistic children are being diagnosed at a younger age, the need to identify appropriate early supports has increased. Therapist-delivered and parent-mediated autism intervention may benefit children and parents. Objective: This pilot study examined developmental outcomes for autistic pre-schoolers and mental health and wellbeing outcomes for their parents (n = 53) following a 10-month intervention period. Methods: All families were accessing therapist-delivered interventions—the Early Start Denver Model (ESDM) or usual community services—and some families also received additional parent-coaching ESDM (P-ESDM). Families were assessed at 3 timepoints. Results: Overall children made significant gains in cognitive skills and adaptive behaviour, with no differences between groups. Parents overall reported increased parenting stress over time. P-ESDM conferred no added benefit for child outcomes, and similarly, no clear benefit for parent outcomes. Conclusions: Our findings suggest that children receiving early intervention make developmental gains, regardless of type of intervention, and challenges assumptions that, as an adjunct to other intervention programs, P-ESDM improves child or parent outcomes. Further research is needed to explore the effects of parent-mediated programs. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10531890 |
| DOI: | 10.1007/s10566-024-09792-x |
