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Increasing PRIDE Skills for Child Engagement Using CDI-Only iPCIT with Children with Autism Spectrum Disorder.
Jordan T Etherington1, Zachary C LaBrot1, Emily R DeFouw1
1School of Psychology, College of Education and Human Sciences, The University of Southern Mississippi, Hattiesburg, MS 39406, USA.
Virtual Parent Child Interaction Therapy (iPCIT) effectively teaches caregivers of children with autism spectrum disorder (ASD) positive engagement skills. This approach shows promise in improving child outcomes and overcoming treatment barriers.
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Area of Science:
- Child Psychology
- Developmental Psychology
- Behavioral Therapy
Background:
- Children with autism spectrum disorder (ASD) often exhibit challenging behaviors and reduced social engagement.
- Parent Child Interaction Therapy (PCIT) is a recognized intervention for improving caregiver-child interactions in ASD.
- Barriers like high attrition, travel, and cost limit traditional PCIT accessibility.
Purpose of the Study:
- To evaluate the efficacy of a virtual PCIT (iPCIT) protocol.
- To determine if iPCIT improves caregiver engagement skills and child outcomes in ASD.
- To assess the impact of iPCIT on children's engagement and challenging behaviors.
Main Methods:
- A multiple baseline design was employed across three caregiver-child dyads diagnosed with ASD.
- Caregivers received an iPCIT protocol delivered virtually.
- Data collected included caregiver use of positive engagement skills, child engagement levels, and child challenging behaviors.
Main Results:
- Caregiver-implemented positive engagement and behavior management skills significantly increased.
- Improvements in child outcomes were observed, though not uniformly across all participants.
- Two children showed increased social engagement, while one showed a decrease.
- Increases in positive skills did not automatically lead to decreases in negative behaviors without explicit instruction.
Conclusions:
- Virtual Parent Child Interaction Therapy (iPCIT) is an effective method for teaching parents positive engagement skills for children with ASD.
- iPCIT shows potential for improving caregiver practices and some child outcomes.
- Further research is needed to address negative interaction behaviors and optimize iPCIT for diverse child responses.