title: Comparison of a Self-Directed and Therapist-Assisted Telehealth Parent-Mediated Intervention for Children with ASD: A Pilot RCT.
abstract: This pilot RCT compared the effect of a self-directed and therapist-assisted telehealth-based parent-mediated intervention for young children with ASD. Families were randomly assigned to a self-directed or therapist-assisted program. Parents in both groups improved their intervention fidelity, self-efficacy, stress, and positive perceptions of their child; however, the therapist-assisted group had greater gains in parent fidelity and positive perceptions of child. Children in both groups improved on language measures, with a trend towards greater gains during a parent-child interaction for the therapist-assisted group. Only the children in the therapist-assisted group improved in social skills. Both models show promise for delivering parent-mediated intervention; however, therapist assistance provided an added benefit for some outcomes. A full-scale comparative efficacy trial is warranted.
authors.affiliation: Department of Psychology, Michigan State University, 316 Physics Rd., East Lansing, MI, 48824, USA. ingers19@msu.edu.
authors.forename: Brooke
authors.initials: B
authors.lastname: Ingersoll
authors.affiliation: Department of Psychology, Michigan State University, 316 Physics Rd., East Lansing, MI, 48824, USA.|Rush University Medical Center, Chicago, IL, USA.
authors.forename: Allison L
authors.initials: AL
authors.lastname: Wainer
authors.affiliation: Department of Psychology, Michigan State University, 316 Physics Rd., East Lansing, MI, 48824, USA.
authors.forename: Natalie I
authors.initials: NI
authors.lastname: Berger
authors.affiliation: Department of Psychology, Michigan State University, 316 Physics Rd., East Lansing, MI, 48824, USA.
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Pickard
authors.affiliation: Department of Psychology, Michigan State University, 316 Physics Rd., East Lansing, MI, 48824, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Bonter
mesh_terms: D000067877:Autism Spectrum Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007223:Infant; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D010865:Pilot Projects; D011615:Psychotherapy, Group / Q000379:methods; D012648:Self Care / Q000379:methods*; D017216:Telemedicine / Q000379:methods*
keywords: Autism; Parent training; Telehealth