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Published on: July 31, 2017
E-coaching for parents of children with autism spectrum disorder: Protocol for a randomized controlled trial
Chloé Peter1, Evelyne Antonietti1, Maria-Paraskevi Antoniou1
1Autism Spectrum Disorders Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Insights
This study tested an e-coaching program to help parents of young children with autism spectrum disorder (ASD) improve social communication. Early results suggest e-coaching may be effective, offering wider access to vital autism interventions.
Area of Science:
- Pediatric Healthcare
- Developmental Psychology
- Human-Computer Interaction
Background:
- Autism spectrum disorder (ASD) presents significant challenges in pediatric care, impacting children's development.
- Early parent-mediated interventions (PMIs) enhance social communication but face accessibility barriers.
- Technology-based solutions are being explored to overcome limitations in delivering autism interventions.
Purpose of the Study:
- To evaluate the efficacy of an innovative e-coaching program for parents of preschool children with ASD.
- To compare the e-coaching program against standard therapy and no intervention, alongside usual community support.
- To assess the impact of the intervention on parent-child interaction quality, child development, and parental well-being.
Main Methods:
- A randomized controlled trial involving 99 families with preschool children diagnosed with ASD.
- Utilizing an e-coaching program delivering strategies via an online platform with personalized debriefings.
- Measuring the primary outcome of parent-child interaction quality using behavioral assessments and eye-tracking during play sessions.
Main Results:
- The study is designed to assess the primary outcome of parent-child interaction quality.
- Secondary outcomes include evaluating the child's developmental level and parental well-being.
- The trial compares an e-coaching intervention against standard care and a control group.
Conclusions:
- The e-coaching program has the potential to increase access to effective autism interventions for families.
- Successful validation could lead to wider dissemination, improving the quality of life for families affected by ASD.
- This approach may offer a scalable solution to address the logistical challenges of traditional parent-mediated interventions.
Abstract:
Autism spectrum disorder (ASD) is a neurodevelopmental condition that significantly affects children's development, posing a significant challenge in pediatric healthcare. Early parent-mediated interventions (PMIs) aim to improve a child's social communication skills through joint engagement in daily activities. However, widespread access to this type of intervention is heavily limited due to implementation barriers and logistical challenges. The use of technology may offer promising alternatives to reach more families. This randomized controlled trial will assess the efficacy of an innovative e-coaching program designed to provide parents of young children with ASD with effective strategies via an online learning platform combined with personalized debriefings. It will compare e-coaching to standard Pediatric Autism Communication Therapy and to the absence of a PMI, with all three arms combined with community assistance as usual, in a cohort of 99 families with preschool children with ASD. The primary outcome will be the quality of parent-child interaction, measured through behavioral assessments and simultaneous dual gaze recording with head-mounted eye-tracking during semi-structured standardized play sessions. Secondary outcomes will include the child's developmental level and parental well-being. If validated, e-coaching could be disseminated to reach more families and have a positive impact on their quality of life.
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