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Preemptive interventions for infants and toddlers with a high likelihood for autism: A systematic review and

Lauren H Hampton1, Elizabeth M Rodriguez1

  • 1The University of Texas at Austin, USA.

Autism : the International Journal of Research and Practice
|October 11, 2021
PubMed

Insights

Early autism interventions improve parent strategy use but not always child outcomes. Parent implementation is key for positive child development in infants and toddlers with autism spectrum disorder.

Area of Science:

  • Developmental Psychology
  • Pediatric Medicine
  • Autism Spectrum Disorder Research

Background:

  • Evidence-based interventions for core autism spectrum disorder (ASD) symptoms are established for young children.
  • Adapting these interventions for infants and toddlers at high risk for ASD is a critical next step in early intervention.
  • A growing evidence base supports early intervention for autism spectrum disorder.

Purpose of the Study:

  • To systematically review and meta-analyze the association between early interventions for infants and toddlers and their developmental and family outcomes.
  • To evaluate the effectiveness of early interventions in improving outcomes for infants and toddlers at high likelihood for autism.
  • To understand the link between parent implementation and child outcomes in early autism intervention.

Main Methods:

  • Systematic review and meta-analysis of studies on infant and toddler interventions for autism spectrum disorder.
  • Inclusion of studies focusing on developmental and family outcomes.
  • Analysis of the relationship between parent implementation of strategies and child outcomes.

Main Results:

  • Early interventions effectively enhance parent implementation of core autism intervention strategies.
  • Observed effects on parent strategy use do not consistently translate to direct improvements in child outcomes.
  • Conditional analysis indicates that parent implementation is significantly associated with positive child outcomes.

Conclusions:

  • Early interventions show promise, particularly in empowering parents to implement core strategies.
  • Further research is needed to develop adaptive interventions that respond to parent implementation and evolving child needs.
  • Optimizing early intervention requires a focus on the parent-child interaction dynamic and tailoring approaches to individual characteristics.
Abstract

Keywords:
high likelihood for autisminterventionmeta-analysissystematic review

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