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document
Parent-implemented social intervention for toddlers with autism : an RCT . OBJECTIVES To compare the effects of two 9-month parent-implemented interventions within the Early Social Interaction ( ESI ) Project . Both individual-ESI , offered 2 or 3 times per week at home or in the community , and group-ESI , offered once per week in a clinic , taught parents how to embed strategies to support social communication throughout everyday activities . METHODS Participants in the randomized controlled trial included 82 children diagnosed with autism spectrum disorder at 16 to 20 months . Children were matched on pretreatment nonverbal developmental level and pairs were randomly assigned to treatment condition . Child outcomes included measures of social communication , autism symptoms , adaptive behavior , and developmental level . Child outcomes are reported from baseline to the end of the 9-month interventions . RESULTS Children in individual-ESI showed differential change on a standardized examiner-administered observational measure of social communication , as they improved at a faster rate than children in group-ESI . Individual-ESI also showed differential efficacy on a parent report measure of communication , daily living , and social skills , as they showed improvement or stability , whereas group-ESI led to worsening or no significant change on these skills . Finally , individual-ESI showed differential change on examiner-administered measures of receptive language skills , as children in individual-ESI improved significantly , whereas group-ESI showed no change . CONCLUSIONS These findings support the efficacy of individual-ESI compared with group-ESI on child outcomes , suggesting the importance of individualized parent coaching in natural environments . The efficacy of a parent-implemented intervention using little professional time has potential for community viability , which is particularly important in light of the lack of main effects on child outcomes of most other parent-implemented interventions .
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Intervention_Educational
Parent-implemented social intervention
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Intervention_Educational
parent-implemented interventions
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Intervention_Educational
Early Social Interaction ( ESI ) Project
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Intervention_Educational
individual-ESI
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Intervention_Educational
group-ESI
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Intervention_Educational
individual-ESI
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Intervention_Educational
group-ESI
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Intervention_Educational
Individual-ESI
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Intervention_Educational
group-ESI
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Intervention_Educational
individual-ESI
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Intervention_Educational
group-ESI
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Intervention_Educational
individual-ESI
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Intervention_Educational
group-ESI
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Intervention_Educational
individualized parent coaching
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Intervention_Educational
parent-implemented intervention
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Intervention_Educational
parent-implemented interventions
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Outcome_Mental
social communication , autism symptoms , adaptive behavior , and developmental level .
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Outcome_Mental
communication , daily living , and social skills
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Outcome_Mental
receptive language skills
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Participant_Age
toddlers
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Participant_Condition
autism
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Participant_Sample-size
82
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Participant_Age
children
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Participant_Condition
autism spectrum disorder
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Participant_Age
16 to 20 months