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Updated: Feb 15, 2026

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research
Published on: July 31, 2017
Enhancing interactions during daily routines: A randomized controlled trial of a web-based tutorial for parents of
Lisa V Ibañez1, Kenneth Kobak2, Amy Swanson3
1Department of Psychology, University of Washington, Seattle, Washington.
Insights
A web-based tutorial significantly improved children with Autism Spectrum Disorder's (ASD) engagement in daily routines. Parents also reported reduced stress and increased efficacy, suggesting a promising tool for families.
Area of Science:
- Developmental Psychology
- Clinical Psychology
- Pediatric Health
Background:
- Children with Autism Spectrum Disorder (ASD) often face challenges with daily home routines.
- Parenting efficacy and stress are critical factors influencing child development and family well-being.
- Accessible interventions are needed to support families of children with ASD.
Purpose of the Study:
- To evaluate the efficacy of an interactive, web-based parenting tutorial for children with ASD.
- To assess the tutorial's impact on children's engagement in daily routines (proximal outcomes).
- To examine the effects on children's social communication, parenting efficacy, and stress (broad outcomes).
Main Methods:
- Randomized controlled trial involving parents of children with ASD (18-60 months).
- Participants were assigned to a Tutorial group or a Control group.
- Questionnaires assessed outcomes at baseline, 1 month, and 2 months post-intervention.
Main Results:
- The Tutorial group showed significantly higher use of evidence-based strategies and child engagement in routines.
- Parents in the Tutorial group reported significantly lower parenting stress and higher parenting efficacy.
- Improvements in child social communication were observed in the Tutorial group compared to controls.
Conclusions:
- The web-based tutorial is a promising, accessible intervention for empowering parents of children with ASD.
- It effectively improves child engagement in routines and enhances key parent-child outcomes.
- The tutorial may be particularly beneficial for families with limited access to traditional services.
Abstract:
Children with Autism Spectrum Disorder (ASD) often experience difficulty participating in everyday home routines, such as bed time or bath time. This randomized controlled trial examined the efficacy of an interactive, web-based parenting tutorial for improving children's engagement in daily routines (i.e., proximal outcomes) as well improving children's social communication and parenting efficacy and stress (i.e., broad outcomes). Parents of children with ASD between 18 and 60 months were randomly assigned to the Tutorial group (n = 52) or the Control group (n = 52). All parents completed questionnaires at baseline (T1), 1 month after T1 (T2; post-tutorial completion), and 2 months after T1 (T3). Relative to the Control group, parents in the Tutorial group reported significantly higher use of evidence-based instructional strategies and higher levels of child engagement during routines at T2 and T3. In addition, parents in the Tutorial group reported significantly lower parenting stress and higher parenting efficacy at T3, as well as higher ratings of child social communication at T2 and T3, compared to the Control group. Parents reported being highly satisfied with both the clinical content and technical aspects of the tutorial. These improvements in both proximal and broad parent-child outcomes suggest that this tutorial may be a promising and accessible way for empowering some parents and improving parent-child interactions. Autism Res 2018, 11: 667-678. © 2018 International Society for Autism Research, Wiley Periodicals, Inc.
Lay Summary:
This web-based tutorial helped parents of children with ASD use proven strategies to improve their child's participation in daily routines at home. Parents who used the tutorial reported less parenting stress, felt better about their parenting skills, and reported better child social interactions compared to parents who did not use the tutorial. This tutorial may be especially helpful for families who have limited access to services, as it can be completed at home.
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