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03-05-2019 | Original Paper

Brief Parent-Mediated Intervention for Children with Autism Spectrum Disorder: A Feasibility Study from South India

Auteurs: Harshini Manohar, Preeti Kandasamy, Venkatesh Chandrasekaran, Ravi Philip Rajkumar

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 8/2019

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Abstract

The study assesses the acceptability and feasibility of a brief parent-mediated home-based intervention for children with autism spectrum disorder (ASD), deliverable in resource-limited settings, with an emphasis on addressing parental stress from a socio-cultural perspective. 50 children (2–6 years), with a DSM 5 diagnosis of ASD were randomized to intervention (n = 26) or active control group (n = 24). The intervention based on naturalistic developmental behavioral approach, focusing on joint attention, imitation, social and adaptive skills was structured to be delivered in five outpatient sessions over 12 weeks. All children were followed up at 4, 8 and 12 weeks. Parents of children randomized to the intervention group reported more improvements across parental stress and child outcome measures compared to those in the control group. The intervention was found to be acceptable and feasible, with high fidelity measures and retention rates.
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Literatuur
go back to reference Aldred, C., Green, J., & Adams, C. (2004). A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness. Journal of Child Psychology and Psychiatry and Allied Disciplines, 45(8), 1420–1430.CrossRef Aldred, C., Green, J., & Adams, C. (2004). A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness. Journal of Child Psychology and Psychiatry and Allied Disciplines, 45(8), 1420–1430.CrossRef
go back to reference Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (5th Revised edition ed.). Washington, D.C: American Psychiatric Publishing.CrossRef Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (5th Revised edition ed.). Washington, D.C: American Psychiatric Publishing.CrossRef
go back to reference Baldwin, D. A. (1995). Understanding the link between joint attention and language. In C. Moore & P. J. Dunham (Eds.), Joint Attention: Its Origins and Role in Development (pp. 131–158). Hillsdale, NJ: Erlbaum. Baldwin, D. A. (1995). Understanding the link between joint attention and language. In C. Moore & P. J. Dunham (Eds.), Joint Attention: Its Origins and Role in Development (pp. 131–158). Hillsdale, NJ: Erlbaum.
go back to reference Ben-Itzchak, E., & Zachor, D. A. (2007). The effects of intellectual functioning and autism severity on outcome of early behavioral intervention for children with autism. Research in Developmental Disabilities, 28(3), 287–303.CrossRef Ben-Itzchak, E., & Zachor, D. A. (2007). The effects of intellectual functioning and autism severity on outcome of early behavioral intervention for children with autism. Research in Developmental Disabilities, 28(3), 287–303.CrossRef
go back to reference Daley, T. C. (2004). From symptom recognition to diagnosis: children with autism in urban India. Social Science and Medicine, 58(7), 1323–1335.CrossRef Daley, T. C. (2004). From symptom recognition to diagnosis: children with autism in urban India. Social Science and Medicine, 58(7), 1323–1335.CrossRef
go back to reference Daley, T. C., Singhal, N., & Krishnamurthy, V. (2013). Ethical considerations in conducting research on autism spectrum disorders in low and middle income countries. Journal of Autism and Developmental Disorders, 43(9), 2002–2014.CrossRef Daley, T. C., Singhal, N., & Krishnamurthy, V. (2013). Ethical considerations in conducting research on autism spectrum disorders in low and middle income countries. Journal of Autism and Developmental Disorders, 43(9), 2002–2014.CrossRef
go back to reference Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–e23.CrossRef Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–e23.CrossRef
go back to reference Desai, M. U., Divan, G., Wertz, F. J., & Patel, V. (2012). The discovery of autism: Indian parents’ experiences of caring for their child with an autism spectrum disorder. Transcultural Psychiatry, 49(3–4), 613–637.CrossRef Desai, M. U., Divan, G., Wertz, F. J., & Patel, V. (2012). The discovery of autism: Indian parents’ experiences of caring for their child with an autism spectrum disorder. Transcultural Psychiatry, 49(3–4), 613–637.CrossRef
go back to reference Divan, G., Vajaratkar, V., Cardozo, P., Huzurbazar, S., Verma, M., Howarth, E., et al. (2019). The feasibility and effectiveness of PASS plus, a lay health worker delivered comprehensive intervention for autism spectrum disorders: pilot RCT in a rural low and middle income country setting. Autism Research, 12(2), 328–339.CrossRef Divan, G., Vajaratkar, V., Cardozo, P., Huzurbazar, S., Verma, M., Howarth, E., et al. (2019). The feasibility and effectiveness of PASS plus, a lay health worker delivered comprehensive intervention for autism spectrum disorders: pilot RCT in a rural low and middle income country setting. Autism Research, 12(2), 328–339.CrossRef
go back to reference Divan, G., Vajaratkar, V., Desai, M. U., Strik-Lievers, L., & Patel, V. (2012). Challenges, coping strategies, and unmet needs of families with a child with autism spectrum disorder in Goa, India. Autism Research, 5(3), 190–200.CrossRef Divan, G., Vajaratkar, V., Desai, M. U., Strik-Lievers, L., & Patel, V. (2012). Challenges, coping strategies, and unmet needs of families with a child with autism spectrum disorder in Goa, India. Autism Research, 5(3), 190–200.CrossRef
go back to reference Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., et al. (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism. European Child and Adolescent Psychiatry, 11(6), 266–272.CrossRef Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., et al. (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism. European Child and Adolescent Psychiatry, 11(6), 266–272.CrossRef
go back to reference Elsabbagh, M., Divan, G., Koh, Y.-J., Kim, Y. S., Kauchali, S., Marcín, C., et al. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5(3), 160–179.CrossRef Elsabbagh, M., Divan, G., Koh, Y.-J., Kim, Y. S., Kauchali, S., Marcín, C., et al. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5(3), 160–179.CrossRef
go back to reference Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., Greenson, J., et al. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders, 44(2), 353–365.CrossRef Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., Greenson, J., et al. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders, 44(2), 353–365.CrossRef
go back to reference Fein, D., Barton, M., Eigsti, I.-M., Kelley, E., Naigles, L., Schultz, R. T., et al. (2013). Optimal outcome in individuals with a history of autism. Journal of Child Psychology and Psychiatry, 54(2), 195–205.CrossRef Fein, D., Barton, M., Eigsti, I.-M., Kelley, E., Naigles, L., Schultz, R. T., et al. (2013). Optimal outcome in individuals with a history of autism. Journal of Child Psychology and Psychiatry, 54(2), 195–205.CrossRef
go back to reference Girimaji, S. C., Srinath, S., Seshadri, S., & Krishna, D. S. (1999). Family interview for stress and coping in mental retardation (FISC-MR): A tool to study stress and coping in families of children with mental retardation. Indian Journal of Psychiatry, 41(4), 341.PubMedPubMedCentral Girimaji, S. C., Srinath, S., Seshadri, S., & Krishna, D. S. (1999). Family interview for stress and coping in mental retardation (FISC-MR): A tool to study stress and coping in families of children with mental retardation. Indian Journal of Psychiatry, 41(4), 341.PubMedPubMedCentral
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(9732), 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(9732), 2152–2160.CrossRef
go back to reference Harshini, M., & Preeti, K. (2017). Autism behavioural interventional research in low–resource settings: Overcoming prevailing challenges an Asian perspective. Asian Journal of Psychiatry, 25, 224–227.CrossRef Harshini, M., & Preeti, K. (2017). Autism behavioural interventional research in low–resource settings: Overcoming prevailing challenges an Asian perspective. Asian Journal of Psychiatry, 25, 224–227.CrossRef
go back to reference Hastings, R. P., & Johnson, E. (2001). Stress in UK families conducting intensive home-based behavioral intervention for their young child with autism. Journal of Autism and Developmental Disorders, 31(3), 327–336.CrossRef Hastings, R. P., & Johnson, E. (2001). Stress in UK families conducting intensive home-based behavioral intervention for their young child with autism. Journal of Autism and Developmental Disorders, 31(3), 327–336.CrossRef
go back to reference Hastings, R. P., Robertson, J., & Yasamy, M. T. (2012). Interventions for children with pervasive developmental disorders in low and middle income countries. Journal of Applied Research in Intellectual Disabilities, 25(2), 119–134.CrossRef Hastings, R. P., Robertson, J., & Yasamy, M. T. (2012). Interventions for children with pervasive developmental disorders in low and middle income countries. Journal of Applied Research in Intellectual Disabilities, 25(2), 119–134.CrossRef
go back to reference Ingersoll, B., & Schreibman, L. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36(4), 487.CrossRef Ingersoll, B., & Schreibman, L. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36(4), 487.CrossRef
go back to reference Jones, E. A., & Carr, E. G. (2004). Joint attention in children with autism: Theory and intervention. Focus on Autism and Other Developmental Disabilities, 19(1), 13–26.CrossRef Jones, E. A., & Carr, E. G. (2004). Joint attention in children with autism: Theory and intervention. Focus on Autism and Other Developmental Disabilities, 19(1), 13–26.CrossRef
go back to reference Juneja, M., Mukherjee, S. B., Sharma, S., Jain, R., Das, B., & Sabu, P. (2012). Evaluation of a parent-based behavioral intervention program for children with autism in a low-resource setting. Journal of Pediatric Neurosciences, 7(1), 16–18.CrossRef Juneja, M., Mukherjee, S. B., Sharma, S., Jain, R., Das, B., & Sabu, P. (2012). Evaluation of a parent-based behavioral intervention program for children with autism in a low-resource setting. Journal of Pediatric Neurosciences, 7(1), 16–18.CrossRef
go back to reference Karanth, P., Shaista, S., & Srikanth, N. (2010). Efficacy of communication DEALL–an indigenous early intervention program for children with autism spectrum disorders. Indian Journal of Pediatrics, 77(9), 957–962.CrossRef Karanth, P., Shaista, S., & Srikanth, N. (2010). Efficacy of communication DEALL–an indigenous early intervention program for children with autism spectrum disorders. Indian Journal of Pediatrics, 77(9), 957–962.CrossRef
go back to reference Kasari, C., Gulsrud, A. C., 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(9), 1045–1056.CrossRef Kasari, C., Gulsrud, A. C., 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(9), 1045–1056.CrossRef
go back to reference Kommu, J. V. S., Srinath, S., Gayathiri, K. R., Girimaji, S. C., Seshadri, S. P., Gopalakrishna, G., et al. (2017). Profile of two hundred children with autism spectrum disorder from a tertiary child and adolescent psychiatry centre. Asian Journal of Psychiatry, 28, 51–56.CrossRef Kommu, J. V. S., Srinath, S., Gayathiri, K. R., Girimaji, S. C., Seshadri, S. P., Gopalakrishna, G., et al. (2017). Profile of two hundred children with autism spectrum disorder from a tertiary child and adolescent psychiatry centre. Asian Journal of Psychiatry, 28, 51–56.CrossRef
go back to reference Linstead, E., Dixon, D. R., Hong, E., Burns, C. O., French, R., Novack, M. N., et al. (2017). An evaluation of the effects of intensity and duration on outcomes across treatment domains for children with autism spectrum disorder. Translational Psychiatry, 7(9), e1234.CrossRef Linstead, E., Dixon, D. R., Hong, E., Burns, C. O., French, R., Novack, M. N., et al. (2017). An evaluation of the effects of intensity and duration on outcomes across treatment domains for children with autism spectrum disorder. Translational Psychiatry, 7(9), e1234.CrossRef
go back to reference McConachie, H., & Diggle, T. (2007). Parent implemented early intervention for young children with autism spectrum disorder: A systematic review. Journal of Evaluation in Clinical Practice, 13(1), 120–129.CrossRef McConachie, H., & Diggle, T. (2007). Parent implemented early intervention for young children with autism spectrum disorder: A systematic review. Journal of Evaluation in Clinical Practice, 13(1), 120–129.CrossRef
go back to reference Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). Evidence-Based Child Health: A Cochrane Review Journal, 8(6), 2380–2479.CrossRef Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). Evidence-Based Child Health: A Cochrane Review Journal, 8(6), 2380–2479.CrossRef
go back to reference Oosterling, I., Visser, J., Swinkels, S., Rommelse, N., Donders, R., Woudenberg, T., et al. (2010). Randomized controlled trial of the focus parent training for toddlers with autism: 1-year outcome. Journal of Autism and Developmental Disorders, 40(12), 1447–1458.CrossRef Oosterling, I., Visser, J., Swinkels, S., Rommelse, N., Donders, R., Woudenberg, T., et al. (2010). Randomized controlled trial of the focus parent training for toddlers with autism: 1-year outcome. Journal of Autism and Developmental Disorders, 40(12), 1447–1458.CrossRef
go back to reference Ozonoff, S., & Cathcart, K. (1998). Effectiveness of a home program intervention for young children with autism. Journal of Autism and Developmental Disorders, 28(1), 25–32.CrossRef Ozonoff, S., & Cathcart, K. (1998). Effectiveness of a home program intervention for young children with autism. Journal of Autism and Developmental Disorders, 28(1), 25–32.CrossRef
go back to reference Pajareya, K., & Nopmaneejumruslers, K. (2011). A pilot randomized controlled trial of DIR/Floortime™ parent training intervention for pre-school children with autistic spectrum disorders. Autism, 15(5), 563–577.CrossRef Pajareya, K., & Nopmaneejumruslers, K. (2011). A pilot randomized controlled trial of DIR/Floortime™ parent training intervention for pre-school children with autistic spectrum disorders. Autism, 15(5), 563–577.CrossRef
go back to reference Pickles, A., Le Couteur, A., Leadbitter, K., Salomone, E., Cole-Fletcher, R., Tobin, H., et al. (2016). Parent-mediated social communication therapy for young children with autism (PACT): Long-term follow-up of a randomised controlled trial. The Lancet, 388(10059), 2501–2509.CrossRef Pickles, A., Le Couteur, A., Leadbitter, K., Salomone, E., Cole-Fletcher, R., Tobin, H., et al. (2016). Parent-mediated social communication therapy for young children with autism (PACT): Long-term follow-up of a randomised controlled trial. The Lancet, 388(10059), 2501–2509.CrossRef
go back to reference Rahman, A., Divan, G., Hamdani, S. U., Vajaratkar, V., Taylor, C., Leadbitter, K., et al. (2016). Effectiveness of the parent-mediated intervention for children with autism spectrum disorder in south Asia in India and Pakistan (PASS): A randomised controlled trial. The Lancet Psychiatry, 3(2), 128–136.CrossRef Rahman, A., Divan, G., Hamdani, S. U., Vajaratkar, V., Taylor, C., Leadbitter, K., et al. (2016). Effectiveness of the parent-mediated intervention for children with autism spectrum disorder in south Asia in India and Pakistan (PASS): A randomised controlled trial. The Lancet Psychiatry, 3(2), 128–136.CrossRef
go back to reference Reichow, B., Servili, C., Yasamy, M. T., Barbui, C., & Saxena, S. (2013). Non-specialist psychosocial interventions for children and adolescents with intellectual disability or lower-functioning autism spectrum disorders: A systematic review. PLoS Medicine, 10(12), e1001572.CrossRef Reichow, B., Servili, C., Yasamy, M. T., Barbui, C., & Saxena, S. (2013). Non-specialist psychosocial interventions for children and adolescents with intellectual disability or lower-functioning autism spectrum disorders: A systematic review. PLoS Medicine, 10(12), e1001572.CrossRef
go back to reference Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., et al. (2012). Effects of a brief early start denver model (ESDM)–based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065.CrossRef Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., et al. (2012). Effects of a brief early start denver model (ESDM)–based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065.CrossRef
go back to reference Russell, P. S., Daniel, A., Russell, S., Mammen, P., Abel, J. S., Raj, L. E., et al. (2010). Diagnostic accuracy, reliability and validity of childhood autism rating scale in India. World Journal of Pediatrics, 6(2), 141–147.CrossRef Russell, P. S., Daniel, A., Russell, S., Mammen, P., Abel, J. S., Raj, L. E., et al. (2010). Diagnostic accuracy, reliability and validity of childhood autism rating scale in India. World Journal of Pediatrics, 6(2), 141–147.CrossRef
go back to reference Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10(1), 91–103.CrossRef Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10(1), 91–103.CrossRef
go back to reference Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428.CrossRef Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428.CrossRef
go back to reference Strauss, K., Vicari, S., Valeri, G., D’Elia, L., Arima, S., & Fava, L. (2012). Parent inclusion in early intensive behavioral intervention: The influence of parental stress, parent treatment fidelity and parent-mediated generalization of behavior targets on child outcomes. Research in Developmental Disabilities, 33(2), 688–703.CrossRef Strauss, K., Vicari, S., Valeri, G., D’Elia, L., Arima, S., & Fava, L. (2012). Parent inclusion in early intensive behavioral intervention: The influence of parental stress, parent treatment fidelity and parent-mediated generalization of behavior targets on child outcomes. Research in Developmental Disabilities, 33(2), 688–703.CrossRef
go back to reference Whalen, C., Schreibman, L., & Ingersoll, B. (2006). The collateral effects of joint attention training on social initiations, positive affect, imitation, and spontaneous speech for young children with autism. Journal of Autism and Developmental Disorders, 36(5), 655–664.CrossRef Whalen, C., Schreibman, L., & Ingersoll, B. (2006). The collateral effects of joint attention training on social initiations, positive affect, imitation, and spontaneous speech for young children with autism. Journal of Autism and Developmental Disorders, 36(5), 655–664.CrossRef
go back to reference Wong, V. C., & Kwan, Q. K. (2010). Randomized controlled trial for early intervention for autism: A pilot study of the Autism 1-2-3 Project. Journal of Autism and Developmental Disorders, 40(6), 677–688.CrossRef Wong, V. C., & Kwan, Q. K. (2010). Randomized controlled trial for early intervention for autism: A pilot study of the Autism 1-2-3 Project. Journal of Autism and Developmental Disorders, 40(6), 677–688.CrossRef
Metagegevens
Titel
Brief Parent-Mediated Intervention for Children with Autism Spectrum Disorder: A Feasibility Study from South India
Auteurs
Harshini Manohar
Preeti Kandasamy
Venkatesh Chandrasekaran
Ravi Philip Rajkumar
Publicatiedatum
03-05-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 8/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-04032-x

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