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Do Caregiver Perceptions of the Virtual More Than Words® Program Differ Based on Autistic Children's Attributes?
Katarina Miletic1, Michelle Servais1,2, Janis Oram Cardy1
1University of Western Ontario, London, Canada.
American Journal of Speech-Language Pathology
|February 21, 2024
Summary
Caregiver experiences in the More Than Words® (MTW) program were positive, with skill improvements varying by child
Area of Science:
- Speech-language pathology
- Developmental psychology
- Autism intervention
Background:
- More Than Words® (MTW) is a caregiver-mediated intervention program designed to enhance social communication and play skills in autistic children.
- The program is delivered by speech-language pathologists (SLPs) in a group format, involving multiple families with children of diverse profiles.
- Virtual delivery of MTW became prevalent, necessitating an evaluation of its effectiveness and caregiver experiences across different child characteristics.
Purpose of the Study:
- To investigate whether caregiver experiences and perceived outcomes of the virtual More Than Words® program differ based on the child's age and social communication stage.
- To evaluate the impact of child attributes on caregiver engagement and satisfaction within the MTW program.
- To assess the generalizability and adaptability of the MTW program for children with varying developmental profiles.
Main Methods:
- A program evaluation of the virtual MTW program involved 31 families in Ontario, Canada (2020-2021).
- Stratified sampling was used to select families across four social communication stages and two age groups.
- The Final Reflection and Evaluation form was analyzed quantitatively and qualitatively, guided by a modified RE-AIM framework.
Main Results:
- Caregiver experiences were not significantly impacted by child attributes (age, social communication stage).
- Perceived improvements in child skills varied depending on the child's social communication stage.
- The majority of caregivers reported positive changes in their interaction strategies with their children.
Conclusions:
- The MTW program content is relevant for a wide range of autistic children, including those older than the program's typical age range.
- Group sessions with children of varying profiles do not negatively affect caregiver experiences or perceived outcomes.
- The virtual MTW program effectively supports caregivers in fostering social communication and play development in autistic children.
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