Parent-Mediated Intervention for One-Year-Olds Screened as At-Risk for Autism Spectrum Disorder: A Randomized Controlled Trial

Theoretically, interventions initiated with at-risk infants prior to the point in time a definitive autism spectrum disorder (ASD) diagnosis can be made will improve outcomes. Pursuing this idea, we tested the efficacy of a parent-mediated early intervention called Adapted Responsive Teaching (ART)...

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Bibliographic Details
Published inJournal of autism and developmental disorders Vol. 47; no. 11; pp. 3520 - 3540
Main Authors Watson, Linda R., Crais, Elizabeth R., Baranek, Grace T., Turner-Brown, Lauren, Sideris, John, Wakeford, Linn, Kinard, Jessica, Reznick, J. Steven, Martin, Katrina L., Nowell, Sallie W.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.11.2017
Springer
Springer Nature B.V
Subjects
Antiretroviral therapy
At Risk Students
Autism
Autism Spectrum Disorder - prevention & control
Autism Spectrum Disorder - therapy
Autistic children
Behavioral Science and Psychology
Care and treatment
Child and School Psychology
Clinical trials
Control Groups
Diagnosis
Early Intervention
Early Intervention (Education) - methods
Efficacy
Experimental Groups
Female
First year
Health aspects
Humans
Infant
Infants
Male
Medical diagnosis
Medical screening
Neurosciences
Original Paper
Outcomes of Treatment
Parent Participation
Parents
Pediatrics
Performance Factors
Pervasive Developmental Disorders
Psychology
Public Health
Randomized Controlled Trials
Responsiveness
Risk factors
Screening Tests
Teaching
Intervention
Responsiveness
Screening
Infants
Autism spectrum disorder
Prodromal
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Summary:Theoretically, interventions initiated with at-risk infants prior to the point in time a definitive autism spectrum disorder (ASD) diagnosis can be made will improve outcomes. Pursuing this idea, we tested the efficacy of a parent-mediated early intervention called Adapted Responsive Teaching (ART) via a randomized controlled trial with 87 one-year-olds identified by community screening with the First Year Inventory as at-risk of later ASD diagnoses. We found minimal evidence for main effects of ART on child outcomes. However, ART group parents showed significantly greater increases in responsiveness to their infants than control group parents. Further, significant indirect (mediation) effects of assignment group on multiple child outcomes through changes in parent responsiveness supported our theory of change.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-News-1
ObjectType-Feature-3
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ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-017-3268-0