70809
document
Randomized comparative efficacy study of parent-mediated interventions for toddlers with autism . OBJECTIVE This study compared effects of two parent-mediated interventions on joint engagement outcomes as augmentations of an early intervention program for toddlers with autism spectrum disorder ( ASD ) . METHOD Participants included 86 toddlers ( range 22-36 months ) with ASD and their primary caregiver . Caregiver-child dyads were randomized to receive 10 weeks of hands-on parent training in a naturalistic , developmental behavioral intervention ( joint attention , symbolic play , engagement and regulation-JASPER ) or a parent-only psychoeducational intervention ( PEI ) . Dose was controlled in terms of researcher-parent contact and early intervention services received by the child . RESULTS Results yielded significant effects of the JASPER intervention on the primary outcome of joint engagement . The treatment effect was large ( Cohen 's f² = .69 ) and maintained over the 6-month follow-up . JASPER effects were also found on secondary outcomes of play diversity , highest play level achieved , and generalization to the child 's classroom for child-initiated joint engagement . The PEI intervention was found to be effective in reducing parenting stress associated with child characteristics . All secondary effects were generally small to moderate . CONCLUSIONS These data highlight the benefit of a brief , targeted , parent-mediated intervention on child outcomes . Future studies may consider the combination of JASPER and PEI treatments for optimal parent and child outcomes . Trial registry no . NCT00999778 .
70810
Intervention_Psychological
parent-mediated interventions
70811
Intervention_Psychological
parent-mediated interventions
70812
Intervention_Educational
hands-on parent training in a naturalistic ,
70813
Intervention_Psychological
developmental behavioral intervention ( joint attention , symbolic play , engagement and regulation-JASPER )
70814
Intervention_Educational
or a
70815
Intervention_Psychological
parent-only psychoeducational intervention ( PEI )
70816
Intervention_Psychological
JASPER intervention
70817
Outcome_Physical
joint engagement
70818
Outcome_Physical
play diversity , highest play level achieved , and generalization to the child 's classroom for child-initiated
70819
Outcome_Mental
reducing parenting stress associated with child characteristics
70820
Participant_Age
toddlers
70821
Participant_Condition
autism
70822
Participant_Age
toddlers
70823
Participant_Condition
autism spectrum disorder ( ASD )
70824
Participant_Sample-size
86
70825
Participant_Age
toddlers ( range 22-36 months )
70826
Participant_Condition
ASD