Meta-analysis of parent-mediated interventions for young children with autism spectrum disorder.

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  • Additional Information
    • Source:
      Publisher: Sage Publications In Association With The National Autistic Society Country of Publication: England NLM ID: 9713494 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1461-7005 (Electronic) Linking ISSN: 13623613 NLM ISO Abbreviation: Autism Subsets: MEDLINE
    • Publication Information:
      Publication: London : Sage Publications In Association With The National Autistic Society
      Original Publication: London ; Thousand Oaks, CA : Sage Publications in association with the National Autistic Society, c1997-
    • Subject Terms:
      Parents*; Autism Spectrum Disorder/*therapy; Autism Spectrum Disorder/psychology ; Behavior Therapy/methods ; Child ; Humans ; Treatment Outcome
    • Abstract:
      A number of studies of parent-mediated interventions in autism spectrum disorder have been published in the last 15 years. We reviewed 19 randomized clinical trials of parent-mediated interventions for children with autism spectrum disorder between the ages of 1 and 6 years and conducted a meta-analysis on their efficacy. Meta-analysis outcomes were autism spectrum disorder symptom severity, socialization, communication-language, and cognition. Quality of evidence was rated as moderate for autism spectrum disorder symptom severity, communication-language, and cognition, and very low for socialization. Weighted Hedges' g varied from 0.18 (communication-language) to 0.27 (socialization) and averaged 0.23 across domains. We also examined the relationship between outcome and dose of parent training, type of control group, and type of informant (parent and clinician). Outcomes were not significantly different based on dose of treatment. Comparing parent training to treatment-as-usual did not result in significantly different treatment effects than when parent training was compared to an active comparison group. Based on parent report only, treatment effects were significant for communication-language and non-significant for socialization, yet the opposite was found based on clinician-rated tools. This meta-analysis suggests that while most outcome domains of parent-delivered intervention are associated with small effects, the quality of research is improving.
    • Contributed Indexing:
      Keywords: autism spectrum disorder; caregivers; treatment
    • Publication Date:
      Date Created: 20180302 Date Completed: 20191010 Latest Revision: 20191010
    • Publication Date:
      20231215
    • Accession Number:
      10.1177/1362361316677838
    • Accession Number:
      29490483