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

Linda R Watson1, Elizabeth R Crais2, Grace T Baranek2,3

  • 1The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. lwatson@med.unc.edu.

Insights

Early intervention for infants at-risk of autism spectrum disorder (ASD) showed parents becoming more responsive. This improved child outcomes, supporting the intervention

Area of Science:

  • Developmental Psychology
  • Pediatric Medicine
  • Clinical Psychology

Background:

  • Early identification of infants at-risk for Autism Spectrum Disorder (ASD) is crucial for timely intervention.
  • Parent-mediated interventions aim to enhance infant outcomes by improving parent-child interactions.
  • The efficacy of early, parent-mediated interventions for at-risk infants requires further investigation.

Purpose of the Study:

  • To test the efficacy of Adapted Responsive Teaching (ART), a parent-mediated early intervention, for one-year-olds identified as at-risk for ASD.
  • To examine the impact of ART on child outcomes and parent responsiveness.
  • To investigate the mediating role of parent responsiveness in the relationship between ART and child outcomes.

Main Methods:

  • A randomized controlled trial was conducted with 87 one-year-olds identified as at-risk for ASD.
  • Participants were assigned to either the Adapted Responsive Teaching (ART) intervention group or a control group.
  • Parent responsiveness and child outcomes were assessed to evaluate intervention effects.

Main Results:

  • The ART intervention showed minimal direct effects on child outcomes.
  • Parents in the ART group demonstrated significantly greater increases in responsiveness compared to the control group.
  • Changes in parent responsiveness mediated the effects of the intervention on multiple child outcomes.

Conclusions:

  • Parent-mediated interventions like ART can enhance parent responsiveness in infants at-risk for ASD.
  • Increased parent responsiveness may be a key mechanism through which early interventions improve child outcomes.
  • Further research is needed to optimize early intervention strategies for at-risk infants to improve long-term developmental trajectories.

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