A randomised clinical pilot trial to test the effectiveness of parent training with video modelling to improve functioning and symptoms in children with autism spectrum disorders and intellectual disability.
Background: Poor eye contact and joint attention are early signs of autism spectrum disorder (ASD) and important prerequisites for developing other socio‐communicative skills. Teaching parents evidence‐based techniques to improve these skills can impact the overall functioning of children with ASD....
| Published in: | Journal of Intellectual Disability Research Vol. 64; no. 8; pp. 629 - 644 |
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| Main Authors: | , , , , , , , , , , , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Wiley-Blackwell
Aug2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144562408&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144562408 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Aug2020 vid: 64 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 144562408 144562408 145878905 144562408 10.1111/jir.12759 144562408 ppf: 629 ppct: 15 formats: fmt: @attributes: type: P tig: atl: A randomised clinical pilot trial to test the effectiveness of parent training with video modelling to improve functioning and symptoms in children with autism spectrum disorders and intellectual disability. aug: au: Bordini, D. Paula, C. S. Cunha, G. R. Caetano, S. C. Bagaiolo, L. F. Ribeiro, T. C. Martone, M. C. C. Portolese, J. Moya, A. C. Brunoni, D. Bosa, C. Brentani, H. Cogo‐Moreira, H. Jesus Mari, J. affil: Social Cognition Clinic ‐ TEAMM, Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil sug: subj: Autism Spectrum Disorder Intellectual Disability Parenting Education Communication Skills Videorecording Intelligence Human Randomized Controlled Trials Random Assignment Pilot Studies Social Participation Single-Blind Studies Child, Preschool Child Scales Interview Guides Intelligence Tests Checklists Parent-Child Relations Child Behavior Child, Preschool: 2-5 years Child: 6-12 years ab: Background: Poor eye contact and joint attention are early signs of autism spectrum disorder (ASD) and important prerequisites for developing other socio‐communicative skills. Teaching parents evidence‐based techniques to improve these skills can impact the overall functioning of children with ASD. We aimed to analyse the impact of conducting a group parent‐training intervention with video modelling to improve the intelligent quotient (IQ), social and communication functioning and to minimise symptoms in children with ASD and intellectual disability (ID). Methods: Study design: A multicentre, single‐blinded, randomised clinical pilot trial of parent training using video modelling was conducted. Sample: Sixty‐seven parents of children with ASD, aged between 3 and 6 years and with IQs between 50 and 70, were randomised: 34 to the intervention group and 33 to the control group. Intervention program: The intervention group received parent training over 22 sessions, and the control group received the standard community treatment. Instruments: Pre‐evaluation and post‐evaluation (week 28), the following were used: Autism Diagnostic Interview, Vineland Adaptive Behaviour Scale I, Snijders‐Oomen Nonverbal Intelligence Test, Autism Behaviour Checklist and Hamilton Depression Rating Scale. Data Analysis: Intention to treat and complier‐average causal effect (CACE) were used to estimate the effects of the intervention. Results: There was a statistically significant improvement in the Vineland standardized communication scores in CACE (Cohen's d = 0.260). There was a non‐statistically significant decrease in autism symptomatology (Autism Behaviour Checklist total scores) and a significant increase in the non‐verbal IQ in the intervention group. After the false discovery rate correction was applied, IQ remained statistically significant under both paradigms. The effect size for this adjusted outcome under the intention‐to‐treat paradigm was close to 0.4, and when considering adherence (CACE), the effect sizes were more robust (IQ's Cohen's d = 0.433). Conclusions: Parent training delivered by video modelling can be a useful technique for improving the care given to children with ASD and ID, particularly in countries that lack specialists. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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