Pilot Randomized Controlled Trial of the WHO Caregiver Skills Training in Public Health Services in Italy.

Parents of children with ASD (N = 86; mean age 44.8 months; 67 boys) were randomized to either WHO Caregiver Skills Training (CST) delivered in public health settings in Italy or enhanced treatment-as-usual. Primary blinded outcomes were 3-months post-intervention change scores of autism severity an...

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Detalles Bibliográficos
Publicado en:	Journal of Autism & Developmental Disorders Vol. 52; no. 10; pp. 4286 - 4301
Autores principales:	Salomone, Erica, Settanni, Michele, McConachie, Helen, Suma, Katharine, Ferrara, Federica, Foletti, Giulia, Salandin, Arianna, WHO CST Team, Brown, Felicity L., Pacione, Laura, Shire, Stephanie, Servili, Chiara, Adamson, Lauren B.
Formato:	research tables/charts randomized controlled trial Journal Article
Publicado:	Springer Nature Oct2022
Acceso en línea:	Ver este registro en EBSCOhost

Descripción
Sumario:	Parents of children with ASD (N = 86; mean age 44.8 months; 67 boys) were randomized to either WHO Caregiver Skills Training (CST) delivered in public health settings in Italy or enhanced treatment-as-usual. Primary blinded outcomes were 3-months post-intervention change scores of autism severity and engagement during caregiver-child interaction. CST was highly acceptable to caregivers and feasibly delivered by trained local clinicians. Intention-to-treat analysis showed a large and significant effect on parent skills supporting joint engagement and a smaller significant effect on flow of interaction. Expected changes in child autism severity and joint engagement did not meet statistical significance. Analysis of secondary outcomes showed a significant effect on parenting stress, self-efficacy, and child gestures. Strategies to improve the effectiveness of CST are discussed.