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01-03-2013 | Original Paper

A Parent-Mediated Intervention to Increase Responsive Parental Behaviors and Child Communication in Children with ASD: A Randomized Clinical Trial

Auteurs: Michael Siller, Ted Hutman, Marian Sigman

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2013

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Abstract

Longitudinal research has demonstrated that responsive parental behaviors reliably predict subsequent language gains in children with autism spectrum disorder. To investigate the underlying causal mechanisms, we conducted a randomized clinical trial of an experimental intervention (Focused Playtime Intervention, FPI) that aims to enhance responsive parental communication (N = 70). Results showed a significant treatment effect of FPI on responsive parental behaviors. Findings also revealed a conditional effect of FPI on children’s expressive language outcomes at 12-month follow up, suggesting that children with baseline language skills below 12 months (n = 24) are most likely to benefit from FPI. Parents of children with more advanced language skills may require intervention strategies that go beyond FPI’s focus on responsive communication.
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Literatuur
go back to reference Adamson, L. B., Bakeman, R., Deckner, D. F., & Romski, M. A. (2009). Joint engagement and the emergence of language in children with autism and Down syndrome. Journal of Autism and Developmental Disorders, 39, 84–96.PubMedCrossRef Adamson, L. B., Bakeman, R., Deckner, D. F., & Romski, M. A. (2009). Joint engagement and the emergence of language in children with autism and Down syndrome. Journal of Autism and Developmental Disorders, 39, 84–96.PubMedCrossRef
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
go back to reference Akhtar, N., Dunham, F., & Dunham, P. J. (1991). Directive interactions and early vocabulary development: The role of joint attentional focus. Journal of Child Language, 18, 41–49.PubMedCrossRef Akhtar, N., Dunham, F., & Dunham, P. J. (1991). Directive interactions and early vocabulary development: The role of joint attentional focus. Journal of Child Language, 18, 41–49.PubMedCrossRef
go back to reference Anderson, S. R., Avery, D. L., DiPietro, E. K., Edwards, G. L., & Christian, W. P. (1987). Intensive home-based intervention with autistic children. Education and Treatment of Children, 10, 352–366. Anderson, S. R., Avery, D. L., DiPietro, E. K., Edwards, G. L., & Christian, W. P. (1987). Intensive home-based intervention with autistic children. Education and Treatment of Children, 10, 352–366.
go back to reference Baker, J. K., Fenning, R. M., Crnic, K. A., Baker, B. L., & Blacher, J. (2007). Prediction of social skills in 6-year-old children with and without developmental delays: Contributions of early regulation and maternal scaffolding. American Journal on Mental Retardation, 112, 375–391.PubMedCrossRef Baker, J. K., Fenning, R. M., Crnic, K. A., Baker, B. L., & Blacher, J. (2007). Prediction of social skills in 6-year-old children with and without developmental delays: Contributions of early regulation and maternal scaffolding. American Journal on Mental Retardation, 112, 375–391.PubMedCrossRef
go back to reference Baker, J., Messinger, D., Lyons, K. K., & Gantz, J. (2010). A pilot study of maternal sensitivity in the context of emergent autism. Journal of Autism and Developmental Disorders, 40, 988–999.PubMedCrossRef Baker, J., Messinger, D., Lyons, K. K., & Gantz, J. (2010). A pilot study of maternal sensitivity in the context of emergent autism. Journal of Autism and Developmental Disorders, 40, 988–999.PubMedCrossRef
go back to reference Bono, M. A., Daley, T., & Sigman, M. (2004). Relations among joint attention, amount of intervention and language gain in autism. Journal of Autism and Developmental Disorders, 34, 495–505.PubMedCrossRef Bono, M. A., Daley, T., & Sigman, M. (2004). Relations among joint attention, amount of intervention and language gain in autism. Journal of Autism and Developmental Disorders, 34, 495–505.PubMedCrossRef
go back to reference Breitborde, N. J. K., Srihari, V. H., Pollard, J. M., Addington, D. N., & Woods, S. W. (2010). Mediators and moderators in early intervention research. Early Intervention in Psychiatry, 4(2), 143–152.PubMedCrossRef Breitborde, N. J. K., Srihari, V. H., Pollard, J. M., Addington, D. N., & Woods, S. W. (2010). Mediators and moderators in early intervention research. Early Intervention in Psychiatry, 4(2), 143–152.PubMedCrossRef
go back to reference Carpenter, M., Nagell, K., & Tomasello, M. (1998). Social cognition, joint attention, and communicative competence from 9 to 15 months of age. Monographs of the Society for Research in Child Development, 63(4), 1–176.CrossRef Carpenter, M., Nagell, K., & Tomasello, M. (1998). Social cognition, joint attention, and communicative competence from 9 to 15 months of age. Monographs of the Society for Research in Child Development, 63(4), 1–176.CrossRef
go back to reference Carter, A. S., Messinger, D. S., Stone, W. L., Celimli, S., Nahmias, A. S., & Yoder, P. (2011). A randomized controlled trial of Hanen’s ‘More Than Words’ in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry, 52(7), 741–752.PubMedCrossRef Carter, A. S., Messinger, D. S., Stone, W. L., Celimli, S., Nahmias, A. S., & Yoder, P. (2011). A randomized controlled trial of Hanen’s ‘More Than Words’ in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry, 52(7), 741–752.PubMedCrossRef
go back to reference Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates.
go back to reference Collins, J. (2004). Education techniques for lifelong learning: Principles of adult learning. RadioGraphics, 24(5), 1483–1489.PubMedCrossRef Collins, J. (2004). Education techniques for lifelong learning: Principles of adult learning. RadioGraphics, 24(5), 1483–1489.PubMedCrossRef
go back to reference Collins, L. M., Schafer, J. L., & Kam, C. M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychological Methods, 6, 330–351.PubMedCrossRef Collins, L. M., Schafer, J. L., & Kam, C. M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychological Methods, 6, 330–351.PubMedCrossRef
go back to reference Copple, C., & Bredekamp, S. (2009). Developmentally appropriate practice in early childhood programs serving children from birth through age 8 (3rd ed.). Washington, DC: National Association for the Education of Young Children. Copple, C., & Bredekamp, S. (2009). Developmentally appropriate practice in early childhood programs serving children from birth through age 8 (3rd ed.). Washington, DC: National Association for the Education of Young Children.
go back to reference Coyne, L., Low, C. M., Miller, A. L., Seifer, R., & Dickstein, S. (2007). Maternal empathic understanding of their toddlers: Associations with maternal sensitivity and depression. Journal of Child and Family Studies, 16, 483–497.CrossRef Coyne, L., Low, C. M., Miller, A. L., Seifer, R., & Dickstein, S. (2007). Maternal empathic understanding of their toddlers: Associations with maternal sensitivity and depression. Journal of Child and Family Studies, 16, 483–497.CrossRef
go back to reference Demers, I., Bernier, A., Tarabulsy, G., & Provost, M. (2010). Maternal and child characteristics as antecedents of maternal mind-mindeness. Infant Mental Health Journal, 31(1), 94–112.CrossRef Demers, I., Bernier, A., Tarabulsy, G., & Provost, M. (2010). Maternal and child characteristics as antecedents of maternal mind-mindeness. Infant Mental Health Journal, 31(1), 94–112.CrossRef
go back to reference Dunst, C. J., & Trivette, C. M. (2009). Let’s be PALS: An evidence-based approach to professional development. Infants and Young Children, 22(3), 164–176.CrossRef Dunst, C. J., & Trivette, C. M. (2009). Let’s be PALS: An evidence-based approach to professional development. Infants and Young Children, 22(3), 164–176.CrossRef
go back to reference Early Child Care Research Network, N. I. C. H. D., & Duncan, G. J. (2003). Modeling the impacts of child care quality on children’s preschool cognitive development. Child Development, 74, 1454–1475.CrossRef Early Child Care Research Network, N. I. C. H. D., & Duncan, G. J. (2003). Modeling the impacts of child care quality on children’s preschool cognitive development. Child Development, 74, 1454–1475.CrossRef
go back to reference Enders, C. K. (2010). Applied missing data analysis. New York: Guilford. Enders, C. K. (2010). Applied missing data analysis. New York: Guilford.
go back to reference Fitzmaurice, G. M., Laird, N. M., & Ware, J. H. (2004). Applied longitudinal analysis. New York: Wiley. Fitzmaurice, G. M., Laird, N. M., & Ware, J. H. (2004). Applied longitudinal analysis. New York: Wiley.
go back to reference Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239.PubMedCrossRef Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239.PubMedCrossRef
go back to reference Graham, J. W., Olchowski, A. E., & Gilreath, T. D. (2007). How many imputations are really needed? Some practical clarifications of multiple imputation theory. Preventive Science, 8(3), 208–213.CrossRef Graham, J. W., Olchowski, A. E., & Gilreath, T. D. (2007). How many imputations are really needed? Some practical clarifications of multiple imputation theory. Preventive Science, 8(3), 208–213.CrossRef
go back to reference Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., et al. (2010). Parent-mediated communication-focused treatment in children with autism (PACT): A randomised controlled trial. The Lancet, 375, 2152–2160.CrossRef Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., et al. (2010). Parent-mediated communication-focused treatment in children with autism (PACT): A randomised controlled trial. The Lancet, 375, 2152–2160.CrossRef
go back to reference Harris, S., Kasari, C., & Sigman, M. D. (1996). Joint attention and language gains in children with Down syndrome. American Journal on Mental Retardation, 100, 608–619.PubMed Harris, S., Kasari, C., & Sigman, M. D. (1996). Joint attention and language gains in children with Down syndrome. American Journal on Mental Retardation, 100, 608–619.PubMed
go back to reference Hutman, T., Siller, M., & Sigman, M. (2009). Mothers’ narratives regarding their child with autism predict maternal synchronous behavior during play. Journal of Child Psychology and Psychiatry, 50(10), 1255–1263.PubMedCrossRef Hutman, T., Siller, M., & Sigman, M. (2009). Mothers’ narratives regarding their child with autism predict maternal synchronous behavior during play. Journal of Child Psychology and Psychiatry, 50(10), 1255–1263.PubMedCrossRef
go back to reference Kasari, C., Gulsrud, A., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40, 1045–1056.PubMedCrossRef Kasari, C., Gulsrud, A., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40, 1045–1056.PubMedCrossRef
go back to reference Koren-Karie, N., & Oppenheim, D. (1997). The insightfulness assessment coding manual. In Unpublished manuscript, Center for Research in Child Development. University of Haifa, Israel. Koren-Karie, N., & Oppenheim, D. (1997). The insightfulness assessment coding manual. In Unpublished manuscript, Center for Research in Child Development. University of Haifa, Israel.
go back to reference Koren-Karie, N., Oppenheim, D., Dolev, S., Sher, E., & Etzion-Carasso, A. (2002). Mother’s insightfulness regarding their infants’ internal experience: Relations with maternal sensitivity and infant attachment. Developmental Psychology, 38(4), 534–542. doi:10.1037/0012-1649.38.4.534.PubMedCrossRef Koren-Karie, N., Oppenheim, D., Dolev, S., Sher, E., & Etzion-Carasso, A. (2002). Mother’s insightfulness regarding their infants’ internal experience: Relations with maternal sensitivity and infant attachment. Developmental Psychology, 38(4), 534–542. doi:10.​1037/​0012-1649.​38.​4.​534.PubMedCrossRef
go back to reference Landry, S. H., Smith, K. E., & Swank, P. R. (2006). Responsive parenting: Establishing early foundations for social, communication, and independent problem-solving skills. Developmental Psychology, 42, 627–642.PubMedCrossRef Landry, S. H., Smith, K. E., & Swank, P. R. (2006). Responsive parenting: Establishing early foundations for social, communication, and independent problem-solving skills. Developmental Psychology, 42, 627–642.PubMedCrossRef
go back to reference Landry, S. H., Smith, K. E., Swank, P. R., Assel, M. A., & Vellet, S. (2001). Does early responsive parenting have a special importance for children’s development or is consistency across early childhood necessary? Developmental Psychology, 37, 387–403.PubMedCrossRef Landry, S. H., Smith, K. E., Swank, P. R., Assel, M. A., & Vellet, S. (2001). Does early responsive parenting have a special importance for children’s development or is consistency across early childhood necessary? Developmental Psychology, 37, 387–403.PubMedCrossRef
go back to reference Lord, C., & Bishop, S. L. (2010). Autism spectrum disorders: Diagnosis, prevalence, and services for children and families. SRCD Social Policy Report, 24(2), 1–27. Lord, C., & Bishop, S. L. (2010). Autism spectrum disorders: Diagnosis, prevalence, and services for children and families. SRCD Social Policy Report, 24(2), 1–27.
go back to reference Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr, Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.PubMedCrossRef Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr, Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.PubMedCrossRef
go back to reference Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.PubMedCrossRef Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.PubMedCrossRef
go back to reference Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.PubMedCrossRef Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.PubMedCrossRef
go back to reference MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Erlbaum. MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Erlbaum.
go back to reference McDuffie, A., & Yoder, P. (2010). Types of parent verbal responsiveness that predict language in young children with autism spectrum disorders. Journal of Speech, Language, and Hearing Research, 53, 1026–1039.PubMedCrossRef McDuffie, A., & Yoder, P. (2010). Types of parent verbal responsiveness that predict language in young children with autism spectrum disorders. Journal of Speech, Language, and Hearing Research, 53, 1026–1039.PubMedCrossRef
go back to reference Mullen, E. M. (1995). Manual for the Mullen Scales of Early Learning. Circle Pines, MN: American Guidance. Mullen, E. M. (1995). Manual for the Mullen Scales of Early Learning. Circle Pines, MN: American Guidance.
go back to reference Oppenheim, D., & Koren-Karie, N. (2002). Mothers’ insightfulness regarding their children’s internal worlds: The capacity underlying secure child-mother relationships. Infant Mental Health Journal, 23, 593–605.CrossRef Oppenheim, D., & Koren-Karie, N. (2002). Mothers’ insightfulness regarding their children’s internal worlds: The capacity underlying secure child-mother relationships. Infant Mental Health Journal, 23, 593–605.CrossRef
go back to reference Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational tools for probing interaction effects in multiple linear regression, multilevel modeling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31, 437–448.CrossRef Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational tools for probing interaction effects in multiple linear regression, multilevel modeling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31, 437–448.CrossRef
go back to reference Rogers, S. J., & Vismara, L. A. (2008). Empirically supported comprehensive treatments for early autism. Journal of Clinical Child & Adolescent Psychology, 37, 8–38. Rogers, S. J., & Vismara, L. A. (2008). Empirically supported comprehensive treatments for early autism. Journal of Clinical Child & Adolescent Psychology, 37, 8–38.
go back to reference Sandall, S., Hemmeter, M. L., Smith, B. J., & McLean, M. E. (2005). DEC recommended practices: A comprehensive guide for practical application in early intervention/early childhood special education. Missoula, MT: Division for Early Childhood. Sandall, S., Hemmeter, M. L., Smith, B. J., & McLean, M. E. (2005). DEC recommended practices: A comprehensive guide for practical application in early intervention/early childhood special education. Missoula, MT: Division for Early Childhood.
go back to reference Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177.PubMedCrossRef Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177.PubMedCrossRef
go back to reference Seibert, J. M., Hogan, A. E., & Mundy, P. C. (1982). Assessing interactional competencies: The Early Social-Communication Scales. Infant Mental Health Journal, 3, 244–258.CrossRef Seibert, J. M., Hogan, A. E., & Mundy, P. C. (1982). Assessing interactional competencies: The Early Social-Communication Scales. Infant Mental Health Journal, 3, 244–258.CrossRef
go back to reference Sheinkopf, S. J., & Siegel, B. (1998). Home based behavioral treatment of young autistic children. Journal of Autism and Developmental Disorders, 28, 15–23.PubMedCrossRef Sheinkopf, S. J., & Siegel, B. (1998). Home based behavioral treatment of young autistic children. Journal of Autism and Developmental Disorders, 28, 15–23.PubMedCrossRef
go back to reference Siller, M., & Sigman, M. (2002). The behaviors of parents of children with autism predict the subsequent development of their children’s communication. Journal of Autism and Developmental Disorders, 32, 77–89.PubMedCrossRef Siller, M., & Sigman, M. (2002). The behaviors of parents of children with autism predict the subsequent development of their children’s communication. Journal of Autism and Developmental Disorders, 32, 77–89.PubMedCrossRef
go back to reference Siller, M., & Sigman, M. (2008). Modeling longitudinal change in the language abilities of children with autism: Parent behaviors and child characteristics as predictors of change. Developmental Psychology, 44, 1691–1704.PubMedCrossRef Siller, M., & Sigman, M. (2008). Modeling longitudinal change in the language abilities of children with autism: Parent behaviors and child characteristics as predictors of change. Developmental Psychology, 44, 1691–1704.PubMedCrossRef
go back to reference Smith, C. B., Adamson, L. B., & Bakeman, R. (1988). Interactional predictors of early language. First Language, 8, 143–156.CrossRef Smith, C. B., Adamson, L. B., & Bakeman, R. (1988). Interactional predictors of early language. First Language, 8, 143–156.CrossRef
go back to reference Smith, T., Groen, A. D., & Wynn, J. W. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorder. American Journal on Mental Retardation, 105, 269–285.PubMedCrossRef Smith, T., Groen, A. D., & Wynn, J. W. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorder. American Journal on Mental Retardation, 105, 269–285.PubMedCrossRef
go back to reference Tamis-LeMonda, C. S., Bornstein, M. H., & Baumwell, L. (2001). Maternal responsiveness and children’s achievement of language milestones. Child Development, 72, 748–767.PubMedCrossRef Tamis-LeMonda, C. S., Bornstein, M. H., & Baumwell, L. (2001). Maternal responsiveness and children’s achievement of language milestones. Child Development, 72, 748–767.PubMedCrossRef
go back to reference Trivette, C., Dunst, C., Hamby, D., & O’Herin, C. (2009). Characteristics and consequences of adult learning methods and strategies. (Winterberry Research Syntheses Vol. 2, No. 2). Asheville, NC: Winterberry Press. Trivette, C., Dunst, C., Hamby, D., & O’Herin, C. (2009). Characteristics and consequences of adult learning methods and strategies. (Winterberry Research Syntheses Vol. 2, No. 2). Asheville, NC: Winterberry Press.
go back to reference Warren, S. F., Brady, N. C., Sterling, A. M., Fleming, K., & Marquis, J. (2010). The effects of maternal responsivity on the language development of children with fragile X syndrome. American Journal on Intellectual and Developmental Disability, 115, 54–75.CrossRef Warren, S. F., Brady, N. C., Sterling, A. M., Fleming, K., & Marquis, J. (2010). The effects of maternal responsivity on the language development of children with fragile X syndrome. American Journal on Intellectual and Developmental Disability, 115, 54–75.CrossRef
go back to reference Woods, J. J., & Brown, J. A. (2011). Integrating family capacity-building and child outcomes to support social communication development in young children with autism spectrum disorder. Topics in Language Disorders, 31(3), 235–246.CrossRef Woods, J. J., & Brown, J. A. (2011). Integrating family capacity-building and child outcomes to support social communication development in young children with autism spectrum disorder. Topics in Language Disorders, 31(3), 235–246.CrossRef
go back to reference Yoder, P., & Stone, W. L. (2006). A randomized comparison of the effect of two prelinguistic communication interventions on the acquisition of spoken communication in preschoolers with ASD. Journal of Speech, Language, and Hearing Research, 49, 698–711.PubMedCrossRef Yoder, P., & Stone, W. L. (2006). A randomized comparison of the effect of two prelinguistic communication interventions on the acquisition of spoken communication in preschoolers with ASD. Journal of Speech, Language, and Hearing Research, 49, 698–711.PubMedCrossRef
Metagegevens
Titel
A Parent-Mediated Intervention to Increase Responsive Parental Behaviors and Child Communication in Children with ASD: A Randomized Clinical Trial
Auteurs
Michael Siller
Ted Hutman
Marian Sigman
Publicatiedatum
01-03-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 3/2013
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-012-1584-y