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Intervention Response by Genetic Subtype: PRETEND-Preschool Program for Children with Prader-Willi Syndrome via
Anastasia Dimitropoulos1, Ellen A Doernberg2, Sandra W Russ2
1Case Western Reserve University, Cleveland, OH, USA. anastasia.dimitropoulos@case.edu.
Insights
A remote parent-training program improved pretend play and social cognition in preschoolers with Prader-Willi Syndrome (PWS). The intervention was effective for the mUPD subtype, but less so for the DEL subtype.
Area of Science:
- Neuroscience
- Developmental Psychology
- Genetics
Background:
- Prader-Willi Syndrome (PWS) is a rare neurodevelopmental disorder.
- Social cognitive challenges are common in PWS.
- Pretend play is a valuable tool for developmental progress.
Purpose of the Study:
- To evaluate the preliminary efficacy of a remote, play-based parent-training program.
- To assess improvements in pretend play and social cognitive skills in preschoolers with PWS.
Main Methods:
- Two studies were conducted to assess intervention efficacy.
- Live-coaching play sessions were incorporated into the program.
- Intervention effects were compared between treated and waitlisted groups for the mUPD subtype.
Main Results:
- The remote parent-training program demonstrated efficacy in enhancing play skills.
- Children with the mUPD subtype of PWS showed increased play skills post-intervention.
- Children with the DEL subtype of PWS were less responsive to the intervention.
Conclusions:
- Remote, play-based parent training can be an effective intervention for preschoolers with PWS.
- Intervention outcomes may differ based on PWS genetic subtypes (mUPD vs. DEL).
- Further research is warranted to optimize interventions for all PWS subtypes.
Abstract:
Prader-Willi Syndrome (PWS) is a rare neurodevelopmental disorder associated with social cognitive challenges, and pretend play has been demonstrated as a tool to achieve developmental goals. Following previous report on feasibility and acceptability of a remote, play-based parent-training program (Zyga, Russ, & Dimitropoulos, 2018), we now report on preliminary efficacy of this program to enhance pretend play skills and social cognitive skills in preschoolers with PWS. Results across two studies demonstrated efficacy when live-coaching play sessions incorporated children into the intervention. Increases in play skills were observed for children with the mUPD subtype of PWS who underwent intervention, compared with children with mUPD who were waitlisted. Children with DEL subtype were less likely to respond to intervention. Implications for results are discussed.
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