The Importance of Early Intervention Focused on Parent Training for Preschool-Aged Children With Autism: A Systematic Literature Review
DOI:
https://doi.org/10.59519/mper5204Keywords:
autism, early intervention, parent trainingAbstract
Increased number of children with autism spectrum disorder (ASD) has also heightened interest in finding and providing appropriate interventions. Early intervention is implemented at the moment when deviations are noticed, without waiting for an official diagnosis. Parents are crucial participants in interventions carried out with children; therefore, this research considers interventions focused on training parents to work with children with ASD up to the age of six.
For the purposes of this paper, we searched the following journals: Autism, Focus on Autism and Other Developmental Disabilities, and Research in Autism. The search was limited to editions from 2012 to 2022, and the following keywords were considered: parent training, early intervention, autism. References were searched manually. The initial search yielded a total of 992 articles. Twenty-four studies related to children up to six years old and involving parent training in early intervention were included in the analysis. Using a tool for assessing quantitative studies, the selected studies were evaluated, with each component assessed based on the information contained in the study as good, moderate, or weak. The overall rating for the paper can be strong, moderate, or weak. This paper highlights the importance of support to enhance parental competencies.
References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association Publishing.
Babić-Čolaković, D., Pasalic, A., & Memisevic, H. (2016). Early intervention in Bosnia and Herzegovina-a description of a model implemented in Zenica-Doboj Canton. International Journal of Early Childhood Special Education, 8(2), 113-119.
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., KurziusSpencer, W., Zahorodny, W., Rosenberg, R. C., White, T., Durkin, S. M., Imm, P., Nikolaou, L., Yeargin-Allsopp, M., Lee, L.C., Harrington, R., Lopez, M., Fitzgerald, R.T., Hewitt, A., Pettygrove, S., Constantino, N.J., Vehorn, A., Shenouda, J., MS, HallLande, J., Van Naarden Braun, K., Dowling, N.F., (2018). Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years-Autism and Developmental Disabilities Monitoring Network, MMWR. Surveillance Summaries, 67(6), 1-23. https://doi:10.15585/mmwr.ss6706a1
Bailey, D. B., Raspa, M., & Fox, L. C. (2012). What is the future of family outcomes and family-centered services?. Topics in early childhood special education, 31(4), 216-223. https://doi.org/10.1177/0271121411427
Beaudoin, A. J., Sébire, G., & Couture, M. (2019). Parent-mediated intervention tends to improve parent-child engagement, and behavioral outcomes of toddlers with ASDpositive screening: A randomized crossover trial. Research in Autism Spectrum Disorders, 66, 101416. https://doi.org/10.1016/j.rasd.2019.101416
Benzies, K. M., Magill-Evans, J. E., Hayden, K. A., & Ballantyne, M. (2013). Key components of early intervention programs for preterm infants and their parents: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 13(1), 1-15. https://doi.org/10.1186/1471-2393-13-S1-S10
Bonis, S. (2016). Stress and parents of children with autism: A review of literature. Issues in Mental Health nursing, 37(3), 153-163.https://doi.org/10.3109/01612840.2015.1116030
Brett, D., Warnell, F., McConachie, H., & Parr, J. R. (2016). Factors affecting age at ASD diagnosis in UK: no evidence that diagnosis age has decreased between 2004 and 2014. Journal of Autism and Developmental Disorders, 46(6), 1974-1984. https://doi.org/10.1007/s10803-016-2716-6
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge; Harvard University Press.
Burrell, T. L., & Borrego Jr, J. (2012). Parents' involvement in ASD treatment: what is their role?. Cognitive and Behavioral Practice, 19(3), 423-432. https://doi.org/10.1016/j.cbpra.2011.04.003
Chiang, C. H., Chu, C. L., & Lee, T. C. (2016). Efficacy of caregiver-mediated joint engagement intervention for young children with autism spectrum disorders. Autism, 20(2), 172-182. https://doi.org/10.1177/1362361315575725
Dababnah, S., Olson, E. M., & Nichols, H. M. (2019). Feasibility of the incredible years parent program for preschool children on the autism spectrum in two US sites. Research in Autism Spectrum Disorders, 57, 120-131. https://doi.org/10.1016/j.rasd.2018.10.010
Dababnah, S., & Parish, S. L. (2016). Feasibility of an empirically based program for parents of preschoolers with autism spectrum disorder. Autism, 20(1), 85-95. https://doi.org/10.1177/1362361314568900
Dai, Y. G., Brennan, L., Como, A., Hughes-Lika, J., Dumont-Mathieu, T., Carcani-Rathwell, I., Minxhozi, O., Aliaj, B., & Fein, D. A. (2018). A video parent-training program for families of children with autism spectrum disorder in Albania. Research in Autism Spectrum Disorders, 56, 36-49. https://doi.org/10.1016/j.rasd.2018.08.008
Dahiya, A. V., McDonnell, C., DeLucia, E., & Scarpa, A. (2020). A systematic review of remote telehealth assessments for early signs of autism spectrum disorder: Video and mobile applications. Practice Innovations, 5(2), 150-164. https://doi.org/10.1037/pri0000121
Dunst, C. J., & Espe-Sherwindt, M. (2017). Contemporary early intervention models, research, and practice for infants and toddlers with disabilities and delays. In Handbook of special education (pp. 831-849). Routledge.
Dunst, C. J., Trivette, C. M., & Hamby, D. W. (2008). Research Synthesis and Meta-Analysis of Studies of Family-Centered Practices. Winterberry Press Monograph Series. Winterberry Press.
Edwards, G. S., Zlomke, K. R., & Greathouse, A. D. (2019). RUBI parent training as a group intervention for children with autism: A community pilot study. Research in Autism Spectrum Disorders, 66, 101409. https://doi.org/10.1016/j.rasd.2019.101409
Estes, A., Yoder, P., McEachin, J., Hellemann, G., Munson, J., Greenson, J., Rocha, M., Gardner, E., & Rogers, S. J. (2021). The effect of early autism intervention on parental sense of efficacy in a randomized trial depends on the initial level of parent stress. Autism, 25(7), 1924-1934. https://doi.org/10.1177/13623613211005613
Fang, Z., Lachman, J. M., Zhang, C., Qiao, D., & Barlow, J. (2022). A virtuous circle: Stakeholder perspectives of a short-term intensive parent training programme delivered within the context of routine services for autism in China. Autism, 13623613211070869. https://doi.org/10.1177/13623613211070869
Ghanadzade, M., Waltz, M., & Ragi, T. (2018). The intervention priorities of parents of children with autism spectrum disorders in Iran. Research in Autism Spectrum Disorders, 55, 14-24. https://doi:10.1016/j.rasd.2018.08.002
Gengoux, G. W., Schapp, S., Burton, S., Ardel, C. M., Libove, R. A., Baldi, G., Berquist, L. K., Phillips, J.M., & Hardan, A. Y. (2019). Effects of a parent-implemented Developmental Reciprocity Treatment Program for children with autism spectrum disorder. Autism, 23(3), 713-725. https://doi.org/10.1177/1362361318775538
Guralnick, M. J. (2011). Why early intervention works: A systems perspective. Infants and young children, 24(1), 6. https://10.1097/IYC.0b013e3182002cfe
Hall, T. A., Mastel, S., Nickel, R., & Wainer, A. (2019). Parents training parents: Lessons learned from a study of reciprocal imitation training in young children with autism spectrum disorder. Autism, 23(6), 1601-1606. https://doi.org/10.1177/1362361318815643
Heckman, J. J., & Masterov, D. V. (2007). The productivity argument for investing in young children. Applied Economic Perspectives and Policy, 29(3), 446-493.
Ho, M. H., & Lin, L. Y. (2020). Efficacy of parent-training programs for preschool children with autism spectrum disorder: A randomized controlled trial. Research in Autism Spectrum Disorders, 71, 101495. https://doi.org/10.1016/j.rasd.2019.101495
Ilić, S. (2021). Rana intervencija. Beograd: Signeta.
Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCT. Journal of Autism and Developmental Disorders, 46(7), 2275-2284. https://doi.org/10.1007/s10803-016-2755-z
Klein, N. K., & Gilkerson, L. I. N. D. A. (2000). Personnel preparation for early childhood intervention programs. Handbook of early childhood intervention, 2, 454-483.
Law, G. C., Neihart, M., & Dutt, A. (2018). The use of behavior modeling training in a mobile app parent training program to improve functional communication of young children with autism spectrum disorder. Autism, 22(4), 424-439. https://doi.org/10.1177/1362361316683887
Latifi, R., Dasho, E., Shatri, Z., Tilley, E., Osmani, K. L., Doarn, C. R., Dogjani, A., Olldashi, F., Koçiraj A., & Merrell, R. C. (2015). Telemedicine as an innovative model for rebuilding medical systems in developing countries through multipartnership collaboration: the case of Albania. Telemedicine and e-Health, 21(6), 503-509. https://doi.org/10.1089/tmj.2014.0138
Leadbitter, K., Macdonald, W., Taylor, C., Buckle, K. L., & PACT Consortium. (2020). Parent perceptions of participation in a parent-mediated communication-focussed intervention with their young child with autism spectrum disorder. Autism, 24(8), 2129-2141. https://doi.org/10.1177/1362361320936394
Ljubešić, M. (2003). Biti roditelj. Državni zavod za zaštitu obitelji, materinstva i mladeži Republike Hrvatske.
Matthews, N. L., Orr, B. C., Harris, B., McIntosh, R., Openden, D., & Smith, C. J. (2018). Parent and child outcomes of JumpStart™, an education and training program for parents of children with autism spectrum disorder. Research in Autism Spectrum Disorders, 56, 21-35. https://doi.org/10.1016/j.rasd.2018.08.009
Mahoney, G., Finger, I., & Powell, A. (1985). Relationship of maternal behavioral style to the development of organically impaired mentally retarded infants. American Journal of Mental deficiency. 90(3), 296-302.
Memisevic, H., & Biscevic, I. (2023). ENHANCING THE SKILLS OF SPECIAL EDUCATION TEACHERS: A SCOPING REVIEW OF PROFESSIONAL DEVELOPMENT APPROACHES. Multidisciplinarni Pristupi u Edukaciji i
Rehabilitaciji, 5 (5), 199-210.
Park, M. N., Moultons, E. E., & Laugeson, E. A. (2022). Parent-assisted social skills training for children with autism spectrum disorder: PEERS for Preschoolers. Focus on Autism and Other Developmental Disabilities, 10883576221110158. https://doi.org/10.1177/10883576221110158
Penney, A., & Schwartz, I. (2019). Effects of coaching on the fidelity of parent implementation of reciprocal imitation training. Autism, 23(6), 1497-1507. https://doi.org/10.1177/1362361318816688
Pereira, A. P. D. S., & Serrano, A. M. (2014). Early intervention in Portugal: Study of professionals’ perceptions. Journal of Family Social Work, 17(3), 263-282. https://doi.org/10.1080/10522158.2013.865426
Peterander, F., Opp, G., & Speck, O. (1993). Analyzing structure and content of early intervention in Bavaria, Germany: Implications for the education of young children with special needs. Learning Disabilities Research & Practice.
Pickard, K. E., Wainer, A. L., Bailey, K. M., & Ingersoll, B. R. (2016). A mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with autism spectrum disorder. Autism, 20(7), 845-855. https://doi.org/10.1177/1362361315614496
Poslawsky, I. E., Naber, F. B., Bakermans-Kranenburg, M. J., Van Daalen, E., Van Engeland, H., & Van Ijzendoorn, M. H. (2015). Video-feedback Intervention to promote Positive Parenting adapted to Autism (VIPP-AUTI): A randomized controlled trial. Autism, 19(5), 588-603. https://doi.org/10.1177/1362361314537124
Rivard, M., Terroux, A., & Mercier, C. (2014). Effectiveness of early behavioral intervention in public and mainstream settings: The case of preschool-age children with autism spectrum disorders. Research in Autism Spectrum Disorders, 8(9), 1031-1043. https://doi.org/10.1016/j.rasd.2014.05.010
Robins, D. L., Casagrande, K., Barton, M., Chen, C. M. A., Dumont-Mathieu, T., & Fein, D. (2014). Validation of the Modified Checklist for Autism in Toddlers, revised with followup (M-CHAT-R/F). Pediatrics, 133(1), 37-45. https://doi.org/10.1542/peds.2013-1813
Rolnick, A., & Grunewald, R. (2003). Early childhood development: Economic development with a high public return. The Region, 17(4), 6-12.
Reitzel, J., Summers, J., Lorv, B., Szatmari, P., Zwaigenbaum, L., Georgiades, S., & Duku, E. (2013). Pilot randomized controlled trial of a Functional Behavior Skills Training program for young children with autism spectrum disorder who have significant early learning skill impairments and their families. Research in Autism Spectrum Disorders, 7(11), 1418-1432. https://doi.org/10.1016/j.rasd.2013.07.025
Sanders, M. R., Turner, K. M., & Markie-Dadds, C. (2002). The development and dissemination of the Triple P-Positive Parenting Program: A multilevel, evidence-based system of parenting and family support. Prevention Science, 3(3), 173-189. https://doi.org/10.1023/A:1019942516231
Sayre, R. K., Devercelli, A. E., Neuman, M. J., & Wodon, Q. (2015). Investing in early childhood development: review of the World Bank's recent experience.
Sengupta, K., Mahadik, S., & Kapoor, G. (2020). Glocalizing project ImPACT: Feasibility, acceptability and preliminary outcomes of a parent-mediated social communication intervention for autism adapted to the Indian context. Research in Autism Spectrum Disorders, 76, 101585. https://doi.org/10.1016/j.rasd.2020.101585
Stahmer, A. C., Brookman-Frazee, L., Rieth, S. R., Stoner, J. T., Feder, J. D., Searcy, K., & Wang, T. (2017). Parent perceptions of an adapted evidence-based practice for toddlers with autism in a community setting. Autism, 21(2), 217-230. https://doi.org/10.1177/1362361316637580
Swartzmiller, M. D. (2014). Test Review: Developmental Assessment of Young ChildrenSecond Edition (DAYC-2). Journal of Psychoeducational Assessment, 32(6), 577–580. https://doi.org/10.1177/0734282913518380
Tonge, B. J., Bull, K., Brereton, A., & Wilson, R. (2014). A review of evidence-based early intervention for behavioural problems in children with autism spectrum disorder: the core components of effective programs, child-focused interventions and comprehensive treatment models. Current opinion in psychiatry, 27(2), 158-165. https:// doi: 10.1097/YCO.0000000000000043
Tonge, B., Brereton, A., Kiomall, M., Mackinnon, A., & Rinehart, N. J. (2014). A randomised group comparison controlled trial of ‘preschoolers with autism’: A parent education and skills training intervention for young children with autistic disorder. Autism, 18(2), 166-177. https://doi.org/10.1177/1362361312458186
van Wassenaer‐Leemhuis, A. G., Jeukens‐Visser, M., van Hus, J. W., Meijssen, D., Wolf, M. J., Kok, J. H., Nollet, F., & Koldewijn, K. (2016). Rethinking preventive post‐discharge intervention programmes for very preterm infants and their parents. Developmental Medicine & Child Neurology, 58, 67-73. https://doi.org/10.1111/dmcn.13049
Vismara, L. A., McCormick, C. E., Wagner, A. L., Monlux, K., Nadhan, A., & Young, G. S. (2018). Telehealth parent training in the Early Start Denver Model: Results from a randomized controlled study. Focus on Autism and Other Developmental Disabilities, 33(2), 67-79. https://doi.org/10.1177/1088357616651064
Zablotsky, B., Pringle, B. A., Colpe, L. J., Kogan, M. D., Rice, C., & Blumberg, S. J. (2015). Service and treatment use among children diagnosed with autism spectrum disorders. Journal of developmental and behavioral pediatrics: JDBP, 36(2), 98. https:// doi: 10.1097/DBP.0000000000000127
Zakon o socijalnoj skrbi, (2012). Narodne novine, Službeni list Republike Hrvatske.
Zuckerman, K. E., Lindly, O. J., & Sinche, B. K. (2015). Parental concerns, provider response, and timeliness of autism spectrum disorder diagnosis. The Journal of pediatrics, 166(6), 1431-1439. https://doi.org/10.1016/j.jpeds.2015.03.007
Waddington, H., van der Meer, L., Sigafoos, J., & Whitehouse, A. (2020). Examining parent use of specific intervention techniques during a 12-week training program based on the Early Start Denver Model. Autism, 24(2), 484-498. https://doi.org/10.1177/1362361319876495
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