Autism Spectrum Disorder, Parent-Training
Conditions
Keywords
Neurodevelopmental disorders, Parent-child interaction, Community Healthcare service, Additional therapeutic effects
Brief summary
The research highlights the lack of studies assessing the effectiveness of evidence-based interventions for ASD in community services. This RCT study aims to evaluate the effectiveness of Cooperative Parent Mediated Therapy (CPMT), a parent coaching program previously shown to be effective in tertiary care settings.
Detailed description
Fifty participants with ASD (aged 2-10 years) and their parents were randomized into two groups: both groups received treatment as usual (TAU), but only the experimental group participated in CPMT. The primary outcomes indicated significant improvements in parent-child interaction and benefits in adaptive skills, ASD symptom severity, and parental stress levels in the CPMT group, whereas the TAU group showed no notable changes. The study suggests that the CPMT model is effective in community healthcare settings, representing a significant advancement for ASD therapy.
Interventions
BEHAVIORALCooperative Parent-Mediated therapy
Parent-mediated therapy is an intervention where parents are trained to use therapeutic techniques to support their child's development and manage symptoms, often used for conditions like autism spectrum disorder (ASD).
BEHAVIORALTreatement as Usual
Cognitive Behavioral Therapy (CBT) is a structured, short-term psychological treatment that focuses on identifying and changing negative thought patterns and behaviors. It aims to help individuals develop healthier ways of thinking and coping with challenges by addressing both cognitive (thought) and behavioral components. Parent training is an educational intervention where parents learn strategies and techniques to effectively manage their child's behavior and support their development, often used to address challenges associated with conditions like autism or ADHD.
Sponsors
Bambino Gesù Children's Hospital IRCCS
ALESSANDRA CARTA
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
Assessments were not conducted by a blinded independent assessor
Intervention model description
A rater-blinded RCT conducted in an Italian Child Neuropsychiatry community service. The study included two groups: the experimental CPMT group where children and parents receiving both CPMT and TAU and TAU-CG, where children received only individual PI.
Eligibility
Sex/Gender
ALL
Age
2 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* age between 2 and 10 years; * clinical diagnosis of ASD based on DSM-5 criteria ; * scores above the autism spectrum cut-off on the Autism Diagnostic Observation Schedule Generic-ADOS-2 ;
Exclusion criteria
* 2 years \> age \< 10 years; * not received clinical diagnosi for ASD in line with DSM-5 criteria; * absence of other major medical diagnoses (i.e., epilepsy, genetic syndromes); * absence of psychosocial treatment during the trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| parent-child interaction assessed by the PICCOLO scale. | Up to 12months | parent-child interaction is video recorded and trained observers code-specific parenting behaviors known to predict children's early social, cognitive, and language development. |
Countries
Italy
Outcome results
None listed