66347
document
Caregiver-mediated intervention for low-resourced preschoolers with autism : an RCT . OBJECTIVES To compare 2 short-term , community caregiver training interventions for preschool-aged children with Autism Spectrum Disorder who had low resources . Low resource was defined by the US Department of Housing and Urban Development low-income index or 1 " indicator , " ( e.g. , Medicaid eligibility ) . Child outcomes focused on joint engagement , joint attention , and play . METHODS Participants included 112 families of a child who had Autism Spectrum Disorder who met criteria for being low-resourced and who were randomly assigned to 1 of 2 3-month interventions , group caregiver education or individualized caregiver-mediated intervention ( CMM ) . Children were assessed for social communication skills pre- and post-treatment , and followed up at 3 months . RESULTS All children improved in joint engagement and initiating joint attention , with significantly greater improvement by the CMM group . Outcomes on play skills were mixed , with improvement of symbolic play for the CMM group and no change in functional play skills . Joint engagement maintained over time for the CMM group , and initiating joint attention maintained for both groups over time . CONCLUSIONS This study is among the first randomized trials comparing 2 active interventions with a large sample of low-resourced families . Results suggest improvements in core autism deficits of joint engagement , joint attention , and symbolic play with relatively brief , caregiver-mediated interventions , but additional support is necessary to maintain and generalize these gains over time .
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Intervention_Educational
intervention
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Intervention_Educational
community caregiver training interventions
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Intervention_Educational
2 3-month interventions
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Intervention_Educational
group caregiver education or individualized caregiver-mediated intervention ( CMM )
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Intervention_Educational
CMM
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Intervention_Educational
CMM
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Outcome_Physical
" indicator
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Outcome_Mental
engagement
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Outcome_Physical
pre- and post-treatment
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Outcome_Mental
joint engagement
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Outcome_Mental
initiating joint attention
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Outcome_Mental
play skills
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Outcome_Mental
symbolic play
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Outcome_Mental
functional play skills
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Outcome_Mental
joint attention
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Participant_Age
preschoolers
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Participant_Condition
autism
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Participant_Age
preschool-aged children
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Participant_Condition
Autism Spectrum Disorder
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Participant_Sample-size
112
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Participant_Age
child
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Participant_Condition
Autism Spectrum Disorder