Effectiveness of a Parent-Mediated Intervention for Toddlers with Autism Spectrum Disorder: Evidence from a Large Community Implementation

Autor/inn/en	Brian, Jessica; Drmic, Irene; Roncadin, Caroline; Dowds, Erin; Shaver, Chantelle; Smith, Isabel M.; Zwaigenbaum, Lonnie; Sacrey, Lori-Ann R.; Bryson, Susan E.
Titel	Effectiveness of a Parent-Mediated Intervention for Toddlers with Autism Spectrum Disorder: Evidence from a Large Community Implementation
Quelle	In: Autism: The International Journal of Research and Practice, 26 (2022) 7, S.1882-1897 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Brian, Jessica) ORCID (Drmic, Irene) ORCID (Smith, Isabel M.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613211068934
Schlagwörter	Autism Spectrum Disorders; Early Intervention; Toddlers; Parents; Program Implementation; Fidelity; Program Effectiveness; Interpersonal Communication; Symptoms (Individual Disorders); Parent Role; Family Role; Coaching (Performance); Foreign Countries; Communication Skills; Canada; Mullen Scales of Early Learning; Vineland Adaptive Behavior Scales + Suchen Sie Ihr Suchwort? Autism; Autismus; Infant; Infants; Toddler; Kleinkind; Eltern; Interpersonale Kommunikation; Psychiatrische Symptomatik; Parental role; Elternrolle; Ausland; Kommunikationsstil; Kanada
Abstract	Recent efforts have focused on developing and evaluating early intervention for toddlers with probable or emerging autism spectrum disorder. Parent-mediated approaches have gained traction, with mounting evidence of efficacy, but a research-to-practice gap exists, and community effectiveness remains to be firmly established. We report outcomes of a parent-mediated toddler intervention delivered through a research-community partnership, using a community-partnered participatory framework. Data were available for 179 of 183 toddler-parent dyads receiving Social ABCs parent coaching (mean toddler age: 25.18 months; range, 14-34 months). Of these, 89.4% completed the 12-week program and 70.6% returned for 3-month follow-up assessment. Parents attained implementation fidelity exceeding 75%, and toddlers made gains on proximal and distal measures of social communication. Parent fidelity was associated with toddlers' responsivity at week 12, and responsivity predicted later language gains and reduced autism spectrum disorder symptoms. The roles of child, family, and system factors are discussed. Community delivery of an evidence-based parent-mediated intervention for toddlers with autism spectrum disorder is feasible and effective. Given resource efficiencies associated with parent-mediated approaches, findings bolster current efforts to promote earlier and more widespread access to intervention at the first signs of developmental concern. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01