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Parent-Led Applied Behavior Analysis to Impact Clinical Outcomes for Individuals on the Autism Spectrum:
Anurag Garikipati1, Madalina Ciobanu1, Navan Preet Singh1
1Montera, Inc. dba Forta, 548 Market St, PMB 89605, San Francisco, CA, 94104-5401, United States, 1 415 322 8857.
JMIR Pediatrics and Parenting
|October 30, 2024
Summary
Parent-led applied behavior analysis (ABA) improves skill acquisition in children with autism spectrum disorder (ASD). This model offers a viable solution to ABA therapist shortages, enhancing treatment access and outcomes.
Area of Science:
- Behavioral Science
- Developmental Psychology
- Clinical Psychology
Background:
- Autism spectrum disorder (ASD) presents lifelong challenges impacting functioning and quality of life.
- Early, evidence-based intervention, such as applied behavior analysis (ABA), is crucial for mitigating ASD's long-term effects.
- Shortages of certified ABA therapists create significant access barriers, necessitating innovative treatment delivery models.
Purpose of the Study:
- To evaluate the clinical outcomes of parent-led ABA treatment in children with ASD.
- To examine the impact of modified ABA delivery on skill acquisition across various focus areas (FAs).
- To assess sustained progress in a cohort of patients receiving parent-led ABA.
Main Methods:
- Retrospective chart review of 30 children receiving parent-led ABA.
- Parents received over 40 hours of ABA training prior to treatment initiation.
- Data analyzed over 90 days, assessing progress by age, treatment plan intensity, and utilization, with outcomes logged via a custom software application.
Main Results:
- Improved goal achievement observed in older children, with high treatment utilization, and across both focused and comprehensive plans.
- Skill acquisition success rates generally increased over time, with statistically significant positive linear relationships found in 20 of 40 analysis cohort/FA combinations.
- Significant positive relationships were noted for communication, social skills, emotional regulation, and overall success, particularly in high-utilization and comprehensive treatment groups.
Conclusions:
- Parent-led ABA is effective in achieving treatment goals and improving clinical outcomes for children with ASD.
- This model shows promise in overcoming access barriers, ensuring timely initiation and continuation of essential ABA therapy.
- Parent-led ABA represents a scalable and effective approach to address the growing demand for autism interventions.
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