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.

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