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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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
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      dt: Oct2022
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      pub: Springer Nature
      place: New York, New York
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        atl: Pilot Randomized Controlled Trial of the WHO Caregiver Skills Training in Public Health Services in Italy.
      aug:
        au:
          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.
        affil: Department of Psychology, University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, 20126, Milan, Italy
      sug:
        subj:
          World Health Organization
          Public Health Italy
          Community Health Services Italy
          Patient Care Education
          Parents of Children with Disabilities Education
          Caregivers Education
          Skill Acquisition
          Outcomes of Education
          Human
          Randomized Controlled Trials
          Italy
          Pilot Studies
          Autism Spectrum Disorder
          Caring
          Parenting Education
          Random Assignment
          Pretest-Posttest Design
          Parent-Child Relations
          Support, Psychosocial
          Collaboration
          Stress, Psychological Prevention and Control
          Self-Efficacy
          Child Behavior
          Body Language
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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